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Subject Number 046-1105 Changes to the List of Health Care Providers Authorized to Render Services to Injured Workers Under the Workers' Compensation Law<

Subject Numbers Regarding Health Provider Authorizations

September 24, 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.

Amato, Richard Anthony Bradenton 202178-0W July 2, 2018
Abadir, John Sobhi Bronx 276334-0B July 10, 2018
Abott, Michael L. Staten Island 139802-3W July 10, 2018
Balmir, Clotilde Elmont 148257-9W July 10, 2018
Balsano, Nicholas A. Elmsford 096555-8W July 10, 2018
Bansal, Manjula New York 147749-6W July 10, 2018
Bennison, William M. Port Jefferson S06877-5B July 10, 2018
Bergstraesser, Lynn M. Lake Katrine 225698-0W July 10, 2018
Bohensky Paul Patchogue 139860-1B July 10, 2018
Bryant, Tuckett Rose Pound Ridge S06900-5B July 10, 2018
Budow, Jack Floral Park 091162-8W July 10, 2018
Carr, Linda Yancovitz Brooklyn 140545-5W July 10, 2018
Cavagnuolo, Scott Louis East Norwich C10662-7W July 10, 2018
Chaker, Sana Rochester 283639-3W July 10, 2018
Chowlera, Natwarlal O. Astoria 138983-2W July 10, 2018
Chung, Howard New Hyde Park 134675-8W July 10, 2018
Chung, Tae C. Pleasantville 141054-7W July 10, 2018
Coates, Edward Donnally Hannacroix 090878-0W July 10, 2018
Curtis, Joel New York 082595-0W July 10, 2018
Dennison, Patrick R. Dunkirk 276924-8B July 10, 2018
Deutsch, Lionel G. Ironton 086797-8W July 10, 2018
Ditullio, Anthony Joseph Lawrence Township 165334-4W July 10, 2018
Dolan, James Gerald Rochester 145182-2W July 10, 2018
Ducker, Paul S. Suffern 101731-8W July 10, 2018
Eisenberg, Jason Zeus Seattle 276966-9W July 10, 2018
Elyash, Igor Gary Franklin Lakes 283590-8W July 10, 2018
Falkow, Seymour New York 081438-4W July 10, 2018
Fieve, Ronald R. New York 080369-2W July 10, 2018
Follett, David Andrew Bronx 102667-3W July 10, 2018
Galkin, Vadim Bronx 208549-6B July 10, 2018
Gelfand, Mark A. Stony Brook 234242-6W July 10, 2018
Giordano, Louis William Endwell 093781-3W July 10, 2018
Godfrey, Peter Olean 142393-8W July 10, 2018
Gordon, Bernard Huntington 099017-6W July 10, 2018
Haaris, Absar Husain Oakland Gardens 217456-3W July 10, 2018
Hagendorf, Benjamin Ari Bordentown 276096-5W July 10, 2018
Harris, Colin Benjamin Syracuse 256659-4W July 10, 2018
Herman, Peter G. Great Neck 084775-6W July 10, 2018
Hertz, Ilona H. New York 122730-5W July 10, 2018
Illig, Karl Armistead Tampa 178848-8W July 10, 2018
Ionita, Catalina Codruta Williamsville 268472-8W July 10, 2018
Iordanescu, Alexandra Constantin Jersey City 178350-5W July 10, 2018
Jaffe, Morton A. Wantage 086255-7W July 10, 2018
Jehle, Dietrich Von Kuenssberg Myrtle Beach 184471-1W July 10, 2018
Jogu, Prasad Roseville 270736-2W July 10, 2018
Kelling, Ernest Collyer West Islip 251606-0W July 10, 2018
Keough, Lisa M. Seattle 242344-0W July 10, 2018
Kim, Han Joo Hasting on Hudson 108204-9W July 10, 2018
Kochersperger, Albert Bruen Norwich 108711-3B July 10, 2018
Kotlar, Petrusia G. Towaco C03924-0W July 10, 2018
Krynska, Elizabeth Barbara Bronx 194195-4B July 10, 2018
Kyger, Elizabeth L. Buffalo 143470-3W July 10, 2018
Lagmay, Merceditas M. Mount Kisco 178713-4B July 10, 2018
Lasser, Steven David Canandaigua 154592-0W July 10, 2018
Levine, Malcolm E. Palm Beach Gardens 093658-3W July 10, 2018
Levy, Alan New York C03864-8W July 10, 2018
Levy, William Ivan Syracuse 171121-7W July 10, 2018
Madad, Syed S. Roslyn Harbor 126577-6W July 10, 2018
Marshall, Robert Andrew Cropseyville 135338-2W July 10, 2018
Mascatello, Antonio Vincent Brooklyn 042281-6W July 10, 2018
Mayer, Donald Jay White Plains 081787-4W July 10, 2018
Miller, Jeffrey Clifton P02696-4W July 10, 2018
Miller, Joyce Cynthia Rydal 078268-0W July 10, 2018
Miller, Marlene Seaford C08371-9W July 10, 2018
Miro, Santiago Syracuse 235495-9W July 10, 2018
Mongeau, Christopher P. Sound Beach S12206-9W July 10, 2018
Moskowitz-Elfenbein, Leslie Brett Fishkill 204181-2B July 10, 2018
Nagel, Doris B. New York 098546-5W July 10, 2018
Nakazawa, Hiroshi Valley Cottage 093635-1B July 10, 2018
Paarlberg, Donald Coldwater 205542-4I July 10, 2018
Paonessa, Jessica Erin Syracuse 274692-3W July 10, 2018
Pathani, Shobhana Farmington 234544-5W July 10, 2018
Pipas, John Edward Cazenovia 092489-4W July 10, 2018
Plotkin, Jay Michael Pepper Pike C05561-8W July 10, 2018
Queler, Evan D. ParkRidge 267375-4B July 10, 2018
Quick, Winford A. Buffalo 121740-5W July 10, 2018
Sadowski, John Stanley Fort Myers 082638-8B July 10, 2018
Sanchez, Agustin Francisco San Antonio 173976-2W July 10, 2018
Satyam, Bhagyalakshmi D. Shaverstown 150855-5W July 10, 2018
Schielke, Lorenz H. Farmington 213928-5W July 10, 2018
Schwartzberg, Josh Essex 113913-8W July 10, 2018
Schweitzer, Paul Demarest 112546-7W July 10, 2018
Scopellito-Olsen, Anna Marie Biddeford 168980-1W July 10, 2018
Shirazi, Michael Bedford Hills 251802-5W July 10, 2018
Sider, Lee Edward Fort Lauderdale 205435-1W July 10, 2018
Steehler, Mark William Orlando 284191-4W July 10, 2018
Steinman, Stuart L. West Port 134465-4W July 10, 2018
Stillman, Elwin L. Lowville 124223-9W July 10, 2018
Stoner, Kristin Marie Port Jefferson 265273-3W July 10, 2018
Sugarman, Edward David Wake Forest 092606-3I July 10, 2018
Taktakishvili, Otar Mineola 260699-4W July 10, 2018
Tolchin, Alan J. Teaneck 130208-2W July 10, 2018
Topilow, Harvey W. Cresskill 127450-5W July 10, 2018
Valdez, Gloria B. Oakland Gardens 123302-2W July 10, 2018
Waldman, John Bernard Slingerlands 138266-2W July 10, 2018
Walsh, Joseph B. New York 102118-7W July 10, 2018
Wangkeo, Dusit Yonkers 133216-2W July 11, 2018
Weitzenkorn, Dan Edward Buffalo 266853-1W July 10, 2018
Wiechetek, Walter Joseph Bayonne 115887-2W July 10, 2018
Winter, Darius G. Rego Park 125658-5W July 10, 2018
Wynia, Blake Andrew Albany 283271-5W July 10, 2018
Zhang, Xiaowei Morganville 222855-9W July 10, 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