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Subject Number 046-1144 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

February 11, 2019

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.

Ambrosino, John Joseph Hermitage 278100-3W December 10, 2018
Archer, Joel Strom New York 078365-4W December 10, 2018
Aversa, Alphonse Rocco Mount Kisco 137745-6B December 10, 2018
Baff, Steven Earl New York P02398-7W December 10, 2018
Bahk, Benedictus Soo Il Daytona Beach 121339-6W December 10, 2018
Bailey, Kathryn A. Rochester 213700-8W December 10, 2018
Balti, Mohamad A. North Tonawanda 139264-6W December 10, 2018
Becker, Melvin Harry Manhasset 078485-0W December 10, 2018
Berkowitz, Sharon Gail Iowa City 235652-5W December 10, 2018
Blake, Robert V. Garden City 132947-3W December 10, 2018
Bock, Jay Lawrence North Hills 150696-3W December 10, 2018
Boyle, Thomas Patrick Boca Raton 158549-6W December 10, 2018
Brody, Robert Allan New York P02488-6W December 10, 2018
Caracci, V. William West Islip 082924-2W December 10, 2018
Cardillo, Leo Robert Hartsdale 078595-6W December 10, 2018
Chang, Jin Yol Batavia 135857-1W December 10, 2018
Dawoud, Rabah Brooklyn C08009-5B December 10, 2018
De, Elise J B Albany 236214-3W December 10, 2018
De Jesus, Diana Dela Cruz Yonkers 268919-8B December 10, 2018
Demarco, Joseph Christopher Latham 285936-1W December 10, 2018
Dubner, Stuart I. Delray beach 093171-7W December 10, 2018
Fierro, Louis Edward Somers 086835-6W December 11, 2018
Finster, Mieczyslaw New York 085433-1W December 11, 2018
Gohil, Kartik Narendra West Caldwell 270952-5W December 11, 2018
Gordon, Eric Brooklyn 234113-9W December 11, 2018
Hecht, Howard Port Jefferson S04430-5B December 11, 2018
Huckabee, Carol B. Danbury S08595-1B December 11, 2018
Humphries, Leah Virginia Seneca Falls C12709-4W December 11, 2018
Keller, Charles J. Yonkers C00183-6B December 11, 2018
Kohn, Joseph Wailuku 155403-9I December 11, 2018
Konrad, Sean Paul Farmington C11800-2W December 11, 2018
Lei, Biao Schenectady 267933-0W December 11, 2018
Loflin, Robert Donald Rochester 285980-9W December 11, 2018
Mahadevia, Surendrakumar D. Richmond Hill 111411-5W December 11, 2018
Martino, Denise Anne Long Island City C06868-6B December 11, 2018
McKay, Douglas James Staten Island P05453-7B December 11, 2018
Mehta, Ila Navinchandra North Woodmere 156517-5W December 11, 2018
Mehta, Rashi I. Falls Church 261558-1W December 11, 2018
Mortazav, Alan Lakewood 097402-2W December 11, 2018
Nandi, Kumarie Sesnarine Scarsdale 215589-3W December 11, 2018
Neira, Luis E. Emerson 104975-8W December 11, 2018
Nguyen, Don Stony Brook 280393-0W December 11, 2018
Nielsen, Noelle B. Silver Bay 146970-9W December 11, 2018
Paschalidis, Maria New York 285933-8B December 11, 2018
Plotkin, Stuart Port Jefferson Station P02970-3B December 11, 2018
Primis, Ronald Alan Westbury 094624-4W December 11, 2018
Purpera, Frank Craig, Jr. Blacksburg 259054-5W December 11, 2018
Quatrano, Arthur James Central Islip S07088-8W December 11, 2018
Riddell, John Mark Boxford 228118-6W December 11, 2018
Rosenberg, Alan S. New York 090590-1W December 11, 2018
Sainnoval, Gregory Port St Lucie 252285-2W December 11, 2018
Shahani, Saira Kate Poughkeepsie 235890-1W December 11, 2018
Sheahan, Timothy Horseheads P02989-3W December 11, 2018
Sherman, Maurice E. New York 080940-0W December 11, 2018
Shik, Mikhail Borisovich Syracuse 220992-2B December 11, 2018
Sordi, Peter J. Hicksville 138638-2B December 11, 2018
Sorin, Sergey Henrietta 229335-5W December 11, 2018
Stone, Philip M. Roslyn Heights S01243-5B December 11, 2018
Stornelli, Kathleen Marie New Hartford 260457-7B December 11, 2018
Torrents, Mario E. Palm Beach Gardens 157774-1B December 11, 2018
Turner, Shawn Michael Rego Park C12323-4W December 11, 2018
Vashi, Anita San Fancisco 252766-1W December 11, 2018
Ventrudo, Steven L. Tappan 166157-8W December 11, 2018
Venugopal, Thummakkundu KrishnaRao Estero 186060-0W December 11, 2018
Wadsworth, Rebecca Woodruff Wolcott 159069-4W December 11, 2018
Walrath, David Langdon Denver 109412-7W December 11, 2018
West, Jaclyn Sue Honeoye Falls C11786-3B December 11, 2018
Widger, Charles David Edwards 080996-2W December 11, 2018
Willner, Gary Stephen New York C03779-8B December 11, 2019
Yerys, Paul Commack 090195-9B December 11, 2018
Zeleny, Betka Tenafly 134073-6W December 11, 2018
Rosoff, Jennifer New Hyde Park C07039-3B December 31, 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