Subject Numbers Regarding Health Provider Authorizations
March 8, 2018
Pursuant to Workers’ Compensation Law § 13-b, a provider must be licensed and registered with the New York State Education Department in order to maintain a Workers’ Compensation Board authorization(s).
The following have been removed from the list of providers authorized to treat injured workers and/or perform independent medical examinations within the New York State workers’ compensation system based on information provided by the New York State Education Department indicating that they do not currently have an active license to practice medicine in New York State.
| NAME | LAST KNOWN CITY OF PRACTICE | AUTHORIZATION NUMBER* | EFFECTIVE DATE |
|---|---|---|---|
| Albert, Gary H. | Melville | 118275-7W | January 9, 2018 |
| Ammoumi, Abdel A. | New York | 113276-0W | January 9, 2018 |
| Arango, Pablo | Brooklyn | 224799-7W | January 9, 2018 |
| Baltsas, Pamela Ballew | Surfside Beach | C08525-0B | January 9, 2018 |
| Barrett, Brian Michael | Southampton | C04084-2W | January 9, 2018 |
| Berenstein, Anna | Woodside | 163158-9W | January 9, 2018 |
| Blum, Fred J. | Plainview | C11155-1W | January 9, 2018 |
| Borg, Seth A. | Rochester | 116880-6W | January 9, 2018 |
| Bousvaros, George | Larchmont | 099905-2W | January 9, 2018 |
| Brown, Thomas C. | Vestal | 107409-5W | January 9, 2018 |
| Buschatzke, Richard Michael | Cazenovia | 153004-7W | January 9, 2018 |
| Caruana, Dennis Salvatore | Brightwaters | 153183-9W | January 9, 2018 |
| Chittoria, Namita | Syracuse | 277113-7W | January 9, 2018 |
| Conway, Katie Michele | Huntington | C11184-1B | January 9, 2018 |
| Dodd, Katherine Susan | Rochester | 274063-7W | January 9, 2018 |
| Driscoll, Daniel Joseph | Lisle | 113141-6W | January 9, 2018 |
| Eisenstein, Arthur Leonard | New York | 104095-5B | January 9, 2018 |
| Ferguson, Jane H. | Red Hook | 132033-2W | January 9, 2018 |
| French, Oliver | Ithaca | 080453-4W | January 9, 2018 |
| Friedman, Howard Paul | Rockville Centre | 081242-0W | January 9, 2018 |
| Fuller, Aaron Elzer | Potsdam | 263619-9W | January 9, 2018 |
| Gangemi, Richard John | Rochester | 107562-1W | January 9, 2018 |
| Garcia, Christine Ann | Stony Brook | 281665-0W | January 9, 2018 |
| Glass, Terri Sue | East Rockaway | 163798-2W | January 9, 2018 |
| Guthikonda, Sudhir B. | Fulton | 142290-6W | January 9, 2018 |
| Henline, Donald William | Snohomish | 204678-7I | January 9, 2018 |
| Henson, Ruth De Guzman | Oldsmar | 275525-4W | January 9, 2018 |
| Huntington, Peter Perit | Tully | 103284-6W | January 9, 2018 |
| Hwang, Ben Mau Lian | Allegany | 126510-7W | January 9, 2018 |
| Joki, Jaclyn Beth | Warren | 273822-7W | January 9, 2018 |
| Kamenecka, Henry | Rhinebeck | 100825-9W | January 9, 2018 |
| Kashen, Mark S. | Delray Beach | 116421-9W | January 9, 2018 |
| Kates, Stephen Lloyd | Rochester | 165777-4B | January 9, 2018 |
| King-Asia, Wekesa | Brooklyn | 197213-2W | January 9, 2018 |
| Licalzi, Luke K. | Rockville Centre | 145729-0W | January 9, 2018 |
| Lien, Cynthia Ann | New York | 166655-1W | January 9, 2018 |
| Luidens, Mary Koeppe | Albany | 168348-1W | January 9, 2018 |
| Maiorano, Michael F. | Rochester | C03753-3W | January 9, 2018 |
| Musso, Deborah Gay | New York | C05091-6W | January 9, 2018 |
| Nwafor, Peter Okechukwu | Elmira | 247276-9W | January 9, 2018 |
| Obrien, Brendan M. | Rochester | 273735-1W | January 9, 2018 |
| Oleary, Michael Robert | Manlius | 138763-8W | January 9, 2018 |
| Ozoktay, Sezen Z. | New York | 137617-7W | January 9, 2018 |
| Park, Soon Pyo | Fayetteville | 145505-4W | January 9, 2018 |
| Parmar, Vinodrai Motilal | Glens Falls | 174265-9W | January 9, 2018 |
| Qureshi, Adnan Iqbal | Minneapolis | 218890-2W | January 9, 2018 |
| Rahman, Mayeed Ur | Pittsford | 121929-4W | January 9, 2018 |
| Rhodes, George Anthony | New York | 113742-1W | January 9, 2018 |
| Rise, Richard | Glen Cove | 185249-0I | January 9, 2018 |
| Rizvi, Irfan Adib | Corning | 266150-2W | January 9, 2018 |
| Saluja, Gurbir S. | Vernon | 115386-5W | January 9, 2018 |
| Santana, Ernesto J. | Canandaigua | 136744-0W | January 9, 2018 |
| Schenk, Paul Joseph | Scottsdale | 172016-8W | January 9, 2018 |
| Schwartz, Mark Lawrence | Farmingdale | 197645-5B | January 9, 2018 |
| Serle, Anthony Ross | Saint Augustine | C09773-5W | January 9, 2018 |
| Shulman, Howard | Princeton | 086291-2W | January 9, 2018 |
| Silvers, H. Roy | Sanibel | 106125-8W | January 9, 2018 |
| Spak, Thaddeus J. | Huntington Sta. | 119994-2B | January 9, 2018 |
| Stuart, Philip John | Nelson | 191124-7W | January 9, 2018 |
| Tang, Pak Seong | Scarsdale | 139311-5W | January 9, 2018 |
| Tawiah, Phyllis | Hicksville | 249469-8W | January 9, 2018 |
| Torns, Scott Raymond | Commack | C08119-2B | January 9, 2018 |
| Turcotte, Jan K. | Watertown | 143676-5W | January 9, 2018 |
| Wainberg, Michael Colman | Watertown | 208730-2W | January 9, 2018 |
| Yang Sung Hoon | Haymarket | 128818-2W | January 9, 2018 |
| Yau, Michael S. | Fresh Meadows | 125659-3W | January 9, 2018 |
| Zaroff, Helen | Brooklyn | C11017-3W | January 9, 2018 |
| Zarzecki, Cathy | Cortland | 211743-0W | January 9, 2018 |
* Providers authorized to treat and perform independent medical examinations have an authorization number ending in B. Providers authorized to only treat have an authorization number ending in W. Providers authorized to only perform independent medical examinations have an authorization number ending in I.
These providers are prohibited from rendering treatment and care to injured workers and/or from performing independent medical examinations. Reports submitted for services rendered prior to the effective date are valid, but are invalid for any services rendered on or after that date. Requests to cross-examine any of the above for services rendered prior to the effective date should not be denied due to the removal of their authorizations.
Any questions regarding the authorized lists should be referred to the Medical Director’s Office at 1 (800) 781-2362.
Clarissa M. Rodriguez
Chair