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Subject Number 046-1127 Newly Authorized Health Care Providers Approved to Render Services to Injured Workers Under the Workers' Compensation Law

Subject Numbers Regarding Health Provider Authorizations

December 17, 2018

The following have been added to the list of providers authorized to treat injured workers and/or perform independent medical examinations within the New York State workers’ compensation system.

NAME SPECIALTY AREA OF PRACTICE CITY OF PRACTICE AUTHORIZATION NUMBER* EFFECTIVE DATE
Atkinson, Derek Anesthesiology Stony Brook 293226-7W November 6, 2018
Bansal, Itisha Anesthesiology Cooperstown 291299-6W November 20, 2018
Chon, Boeu Mune Anesthesiology Mount Kisco 262847-7B November 20, 2018
Greenberg, Brian Geoffrey Anesthesiology White Plains 287250-5W November 20, 2018
Haddad, Fareed Farhan Anesthesiology Albany 294235-7W November 8, 2018
Knuth, Jennifer Hamilton Anesthesiology Delmar 257020-8W November 7, 2018
Pitta, Gabriel Eduardo Anesthesiology Mount Kisco 267465-3B November 20, 2018
Rogel, Daniel Joseph Anesthesiology Westbury 292880-2W November 8, 2018
Abdella, Ahmad Magdy Chiropractic Brooklyn C13150-0B November 23, 2018
Bringley, Elizabeth Mary Chiropractic Binghamton C12998-3B November 23, 2018
Brockhuizen, Jenna Dawn Chiropractic Newark C13147-6W November 23, 2018
De Sousa, Jerslin Chiropractic Rockaway Beach C12739-1I November 23, 2018
Fernandez, Jenaro Chiropractic Richmond Hill C13057-7W November 23, 2018
Gilliam, Trainer Kimberly Joy Chiropractic New York C12974-4W November 23, 2018
Heyert, Holley Chiropractic Phoenix C13090-8I November 23, 2018
Jagbandhansingh, Darrick K. Chiropractic Richmond Hill C09524-2W November 23, 2018
Mercogliano, Carla Ann Chiropractic Deer Park C09270-2W November 23, 2018
Moseson, Nicole Ashley Chiropractic Brooklyn C12950-4B November 23, 2018
Southerst, Danielle Chiropractic New York C12871-2W November 23, 2018
Wlodarczyk, Weronika Chiropractic Maspeth C13004-9W November 23, 2018
Hoffman, Jason Charles Diagnostic Radiology Mineola 239707-3B November 7, 2018
Kochkine, Sergey Diagnostic Radiology New York 286933-7B November 27, 2018
Marks, Natalia Malgorzata Diagnostic Radiology Mineola 290264-1W November 7, 2018
Rapoport, Irina Diagnostic Radiology Merrick 255899-7B November 7, 2018
Saboeiro, Gregory Roy Diagnostic Radiology New York 231021-7B November 27, 2018
Anderson, Ferdinand F., Jr. Emergency Medicine Hopewell Junction 155348-6W November 29, 2018
Dyson, Duane Joseph Emergency Medicine Johnson City 174648-6W November 20, 2018
Hojnowski, Eric Edward Emergency Medicine Camillus 281299-8W November 8, 2018
Ko, Patrick Pom-Jin Emergency Medicine Flushing 205420-3B November 6, 2018
Litvak, Ilya Emergency Medicine Johnson City 290986-9W November 20, 2018
Amin, Osman Family Practice Horseheads 295009-5B November 6, 2018
Boes, Tanner William Family Practice Liverpool 295278-6W November 29, 2018
Elnaggar, Dina Family Practice, Sports Medicine Cortlandt Manor 295752-0B November 20, 2018
Hegland, Erika Marie Family Practice Syracuse 271536-5W November 28, 2018
Koda, Emi Amy Family Practice Orchard Park 290892-9W November 6, 2018
Luke, Christopher Jamaal Family Practice White Plains 289269-3W November 20, 2018
Planer, Ryan Gere Family Practice Baldwinsville 294296-9W November 8, 2018
Margolis, Justin General Vascular Surgery Commack 277254-9W November 20, 2018
Amin, Noor Ul               Internal Medicine Syracuse 289653-8W November 27, 2018
Bella, Sama Internal Medicine Johnson City 296019-3W November 20, 2018
Ewida, Ahmed H. Internal Medicine Cortland 294638-2W November 20, 2018
Gannot, Sharon Internal Medicine White Plains 284540-2W November 6, 2018
Gnanasekaran, Jansi Internal Medicine Gansevoort 294792-7W November 28, 2018
Habib, Nazia Internal Medicine Albany 240535-5B November 28, 2018
Kabbli, Gangadhara Internal Medicine, Cardiovascular Disease East Syracuse 262909-5W November 8, 2018
Kapkov, Denis Valentin Internal Medicine Johnson City 241725-1W November 20, 2018
Khan, Sarah Azim Internal Medicine Vestal 294628-3W November 20, 2018
Mouriz, Jennifer Lynn Internal Medicine Brooklyn 295037-6W November 20, 2018
Nwulu, Chika Conrad Internal Medicine Brooklyn 280873-1W November 27, 2018
Phan, Tramanh Xuan Internal Medicine Rochester 289237-0W November 28, 2018
Rosenberg, Harvey Joel Internal Medicine Mount Kisco 277902-3B November 20, 2018
Solomita, Mario Internal Medicine, Pulmonary Diseases, Critical Care Medicine East Setauket 238432-9W November 8, 2018
Win, Myo Su Internal Medicine Massena 285727-4W November 27, 2018
Virk, Michael Singh Neurological Surgery New York 268795-2W November 27, 2018
Neimand, Lindsey Ross Neurology Mount Kisco 283001-6B November 20, 2018
Karls, Shawn Nuclear Medicine New York 293539-3W November 6, 2018
Webster, Thomas Andrew Nuclear Medicine Middletown 295776-9W November 6, 2018
Alam, Pakeeza Andaleeb Obstetrics/Gynecology Mount Kisco 291854-8B November 20, 2018
Laborde, Elve Elette Obstetrics/Gynecology Hudson 258878-8W November 7, 2018
Chaudhri, Kamran Imtiaz Ophthalmology Vestal 219404-1B November 20, 2018
Choudhury, Tahsin Ophthalmology Syracuse 291609-6W November 8, 2018
Wasylik, Dustin Jeffrey Ophthalmology Warsaw 293780-3W November 20, 2018
Allen, Deborah Marie Orthopedic Surgery Bronx 266705-3B November 20, 2018
Arutyunyan, Grigoriy Orthopedic Surgery New York 288526-7W November 27, 2018
Binkley, Matthew Thomas Orthopedic Surgery Buffalo 292796-0W November 30, 2018
Elshaar, Rami Mohamad Orthopedic Surgery Honeoye Falls 295163-0W November 28, 2018
Huang, Ronald C. Orthopedic Surgery New York 288561-4W November 20, 2018
Mehta, Vishal Arun Orthopedic Surgery Yonkers 272831-9W November 20, 2018
Ragusa, Paul Salvatore Orthopedic Surgery Yonkers 272563-8W November 20, 2018
Young, Mae Ewing Orthopedic Surgery Middletown 296135-7W November 27, 2018
Gold, Daniel Otolaryngology White Plains 244098-0B November 20, 2018
Shah, Jay M. Physical
Medicine/Rehabilitation
New York 291400-0W November 6, 2018
Blau, Mordcai Plastic Surgery White Plains 135936-3W November 26, 2018
Harper, Oliver Louis Psychiatry, Child and Adolescent Psychiatry, Forensic Psychiatry New York 269182-2B November 27, 2018
Winnett, Monique Michelle Psychology Dewitt S18869-8W November 8, 2018
Golia, Michael Vincent Radiology – Diagnostic Radiology, Internal Medicine Plainview 243115-3W November 7, 2018
Gupta, Nishant Radiology – Diagnostic Radiology Cooperstown 287481-6W November 20, 2018
Mavani, Pratik Mansukh Radiology – Diagnostic Radiology Jamestown 293152-5W November 6, 2018
Edwards, Kurt Daniel Surgery, Surgical Critical Care Latham 296069-8W November 27, 2018
Lee, Denise Surgery Ithaca 274579-2W November 20, 2018
Maclaughlin, Brian Winthrop Surgery Syracuse 295939-3W November 29, 2018
Rossmer, Irene Epelboym Surgery Mineola 269483-4W November 7, 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.

Any questions regarding the authorized lists should be referred to the Medical Director’s Office at 1 (800) 781-2362.

Clarissa M. Rodriguez
Chair