Subject Numbers Regarding Health Provider Authorizations
December 17, 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 |
|---|---|---|---|
| Aiello, Nicholas | Rocky Point | S09476-3W | October 9, 2018 |
| Armenia, Joseph P. | West Seneca | 090890-5W | October 9, 2018 |
| Ashkin, Jeffrey R. | Bay Shore | 126861-4W | October 9, 2018 |
| Back, Vincent Richard | Nassau | 092527-1W | October 9, 2018 |
| Bartone, John Dale | St. Petersburg | 174072-9W | October 9, 2018 |
| Belton, Douglas | Regina | 250946-1W | October 9, 2018 |
| Berg, Roger Alan | Short Hills | 087976-7W | October 9, 2018 |
| Brehm, Anthony | Stony Brook | 270755-2B | October 9, 2018 |
| Brezler, Mario R. | White Plains | 115845-0W | October 9, 2018 |
| Butler, John J. | Naples | 072234-8W | October 9, 2018 |
| Calise, Domenick Anthony | Rochester | P04367-0W | October 9, 2018 |
| Cheng, Tung Woon | Flushing | P03223-6W | October 9, 2018 |
| Cohn Ronald Neil | Greenlawn | 111219-2W | October 9, 2018 |
| Davidson, Franklin Zimmern | New York | 084576-8W | October 9, 2018 |
| Davis, Sanders William | Mendham | 097405-5W | October 9, 2018 |
| Eagan, Marie T. | Carmel Valley | C03730-1I | October 9, 2018 |
| Ecuyer, Jean-Paul | Princeton | 242816-7W | October 9, 2018 |
| Epling, John Wilson, Jr. | Syracuse | 215267-6W | October 9, 2018 |
| Feldschuh, Joseph | New York | 090222-1W | October 9, 2018 |
| Fondacaro, Paul Francis | Franklin Lakes | 150421-6W | October 9, 2018 |
| Forero, Edward | Raleigh | 132636-2W | October 9, 2018 |
| Giardino, John J. | Palm Beach Gardens | 082849-1B | October 9, 2018 |
| Gornish, Michael | Hornell | 212950-0W | October 9, 2018 |
| Grande, Christopher Marcellinus | Lexington | 164709-8W | October 9, 2018 |
| Groetz, Susan Marie | Cazenovia | C04632-8W | October 9, 2018 |
| Groth, George H. W. | Valley Cottage | S08394-9W | October 9, 2018 |
| Harris, Harriet | Staten Island | 088059-1W | October 9, 2018 |
| Herskovits, Gerald | Mullica Hill | 166490-3W | October 9, 2018 |
| Hudson, Charles J. | Cooperstown | 119537-9W | October 9, 2018 |
| Hyman, Sonia W. | New York | 092646-9W | October 9, 2018 |
| Joy, Athalie D. | Buffalo | S05657-2W | October 9, 2018 |
| Kahanowicz, Yaffa | New York | 121567-2W | October 9, 2018 |
| Kameny, Ronald M. | Fayetteville | 093963-7W | October 9, 2018 |
| Kanarek, Irwin | New York | 091814-4W | October 9, 2018 |
| Kassem, Jawad Nadim | New York | 255629-8W | October 9, 2018 |
| Keefe, Jeffrey F. | Syracuse | S03274-8W | October 9, 2018 |
| Kim, Cheung Ki | Killeen | 140430-0W | October 9, 2018 |
| Kinsey, James Andrew | Venice | 114231-4B | October 9, 2018 |
| Lampell, Marc Steven | Naples | 147829-6W | October 9, 2018 |
| Li Calzi, Nicholas Charles | Palm Beach Gardens | 076806-9W | October 9, 2018 |
| Liao, Lydia | New York | 230213-1W | October 9, 2018 |
| Lloyd, William Edward | Slingerlands | 185683-0W | October 9, 2018 |
| Lynn, Theresa M. | Endicott | 280460-7W | October 9, 2018 |
| Sahai, Achal | Suffern | 279919-5W | October 10, 2018 |
| Sotoudeh, Houman | Saint Louis | 284717-6W | October 10, 2018 |
| Whitcomb, Christopher John | Stony Brook | 284792-9W | October 10, 2018 |
| Woods, Daniel P. | Woodbury | 275973-6W | October 10, 2018 |
| Yoon, Woo Choong | Hopewell Junction | 119455-4W | October 10, 2018 |
| Zelefsky, Melvin Nat | Bronx | 086163-3W | October 10, 2018 |
| Malik, Shahid Nasir | Johnson City | 242672-4W | October 10, 2018 |
| Marin, Diana V. | Palm Beach Gardens | 286807-3W | October 10, 2018 |
| Maxwell, Richard William | Ithaca | S09385-6B | October 10, 2018 |
| Melin, Albert L. | Middletown | C08651-4B | October 10, 2018 |
| Menge, Paul E. | Fairport | 155327-0W | October 10, 2018 |
| Mehta, Rishi | Stony Brook | 285314-1W | October 10, 2018 |
| Monaco, Liberatore P. | Rochester | 113630-8I | October 10, 2018 |
| Monte, Joseph Frank | Buffalo | 084258-3W | October 10, 2018 |
| Moore, James Patrick | Lewiston | 091628-8W | October 10, 2018 |
| Murphy, Andrew William | Charlottesville | 186970-0W | October 10, 2018 |
| Nostro, John Paul | Commack | C04974-4W | October 10, 2018 |
| Pitman, Gerald Harris | New York | 109517-3W | October 10, 2018 |
| Portugal, Alexander | Surfside | 194928-8W | October 10, 2018 |
| Ready, Katherine Fitzpatrick | Rochester | 278447-8W | October 10, 2018 |
| Richardson, Gregory Phillip | Canandaigua | C10866-4W | October 10, 2018 |
| Ritaccio, Anthony Louis | Albany | 172759-3W | October 10, 2018 |
| Rodrigue, Charlotte Marie | Ridge | S10245-9W | October 10, 2018 |
| Rowlands, John | Glens Falls | 269847-0W | October 10, 2018 |
| Sanborn, John C. | Manlius | 084069-4W | October 10, 2018 |
| Schwartz, Joel M. | Brooklyn | 081735-3W | October 10, 2018 |
| Silver, Alan J. | Irvington | 123745-2W | October 10, 2018 |
| Simpson, Scott Albert | Stony Brook | 285022-0W | October 10, 2018 |
| Splain, Shepard H. | Brooklyn | 120570-7W | October 10, 2018 |
| Staunton, Sheldon B. | Schenectady | 095150-9B | October 10, 2018 |
| Steres, David A. | Poughkeepsie | 154954-2W | October 10, 2018 |
| Stern, Rohan | Liverpool | 276297-9W | October 10, 2018 |
| Singh, Gaganjot | Syracuse | 275968-6W | October 10, 2018 |
| Surampudi, Padma | Tacoma | 221640-6B | October 10, 2018 |
| Te, Jaime C. | Lawrence | 149701-5W | October 10, 2018 |
| Vijaykumar, Rekha | Palatine | 167674-1W | October 10, 2018 |
| Vinton, Kenneth James | Grove City | C07869-3W | October 10, 2018 |
| Vitiello, Stacey Marie | Annandale | 211696-0W | October 10, 2018 |
| Walker, Allan Russell | Clifton Springs | 097916-1W | October 10, 2018 |
| Keller, Scott Joseph | Ronkonkoma | C07598-8W | October 15, 2018 |
| Werder, Brian F. | Palm Coast | C04242-6W | October 15, 2018 |
| Izzo, Michael A. | East Amherst | P03338-2B | October 29, 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