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Subject Number 046-1141 Voluntary Resignations.

Subject Numbers Regarding Health Provider Authorizations

February 4, 2019

Please be advised that the below-named providers have resigned their authorizations to treat injured workers and to perform independent medical examinations in the New York State workers’ compensation system as follows:

NAME LAST KNOWN ADDRESS AUTHORIZATION NUMBER EFFECTIVE DATE
Ron Amidror 175 Memorial Highway, Suite 1-5
New Rochelle, New York 10801
C11183-3B January 25, 2019
Gurvansh Anand 248 Walnut Road, Glen Cove
New York 11542
C12615-3I January 25, 2019
Nicholas Charles Bavaro 422-C Great East Neck Road
West Babylon, New York 11704
C08794-2B January 28, 2019
Stephen L. Brenner 222 West 80th Street, Suite 5C
New York, New York 10024
128480-1B January 30, 2019
John Roe Denton 170 Wiliam St.
New York, NY 10038
102038-7B January 26, 2019
Joseph C. Elfenbein 30 Talcott Road, Rye Brook, New York 10573 092557-8B January 29, 2019
Christopher Steven Ferrante 2120 Hempstead Turnpike
East Meadow, New York 11554
C07385-0B January 29, 2019
Pierce J. Ferriter 1421 3rd Avenue, 5th Floor
New York, New York 10028
145930-4B January 30, 2019
Milton P. Groelinger 180 Great East Neck Road
West Babylon, New York 11704
C03475-3B January 25, 2019
James Anthony Jones 8540 Seneca Turnpike, New Hartford, New York 13413 C09470-8B January 25, 2019
Ronald Alan Light 410 Lakeville Road, Suite 303
New Hyde Park, New York 11042
160081-6B January 25, 2019
Dana Annabelee Mannor 607 Park Avenue
New York, New York 10065
197496-3B January 26, 2019
Edward L. Mills 10 Medical Plaza, Suite 208
Glen Cove, New York 11542
207769-1B January 30, 2019
Kumar S. Reddy 86-11 Lefferts Boulevard
Richmond Hill, New York 11418
104996-4B January 28, 2019
Steven Alex Renzoni 86-11 Lefferts Boulevard
Richmond Hill, New York 11418
212885-8B January 30, 2019
Raymond A. Shebairo 1575 Hillside Avenue, Suite 303
New Hyde Park, New York 11040
122681-0B January 30, 2019
Warren K. Slaten 89 N Maple Avenue
Ridgewood, New Jersey 07450
235899-2B January 30, 2019
Catherine Tortorella 18 Hinsdale Ave.
Floral Park, NY 11001
C02754-2B January 28, 2019
William J. Walsh, Jr. 384 Harris Road
Bedford Hills, New York 10507
097304-0B January 28, 2019
Neil Farrell Watnik 410 Lakeville Road, Suite 303
New Hyde Park, New York 11042
174669-2B January 28, 2019
Julio Victor Westerband 86-11 Lefferts Boulevard
Richmond Hill, New York 11418
213270-2B January 29, 2019

The above providers are prohibited from rendering treatment and care to injured workers, from performing independent medical examinations, and from conducting reviews of records regarding variance requests pursuant to 12 NYCRR § 324.3(b)(2)(ii)(a). Reports submitted by the above providers for services rendered prior to the date of their resignation are valid, but are invalid for any services rendered on or after that date. Requests to cross-examine the above providers for services rendered prior to the date of their resignation should not be denied due to the resignation 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