Subject Numbers Regarding Health Provider Authorizations
March 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.
| NAME | LAST KNOWN CITY OF PRACTICE | AUTHORIZATION NUMBER* | EFFECTIVE DATE |
|---|---|---|---|
| Pascarelli, Emil | Santa Monica | 084851-5W | January 2, 2019 |
| Pope, David Farrington | Asheville | 195014-6W | January 2, 2019 |
| Powell, Edward N. | Watertown | 165818-6W | January 2, 2019 |
| Quash, Eugene T. | New York | 046992-4W | January 2, 2019 |
| Accettola, Albert B., Jr. | Staten Island | 126387-0W | January 15, 2019 |
| Basovich, Leonid | Miller Place | 235997-4W | January 15, 2019 |
| Bauer, Ronald Lawrence | Fountain Hills | 188498-0W | January 15, 2019 |
| Bendeth, Marc L. | North Woodmere | P02369-8W | January 15, 2019 |
| Bennett, Michael | Huntington Station | S07916-0W | January 15, 2019 |
| Bensman, Michael S. | West Nyack | 109279-0W | January 15, 2019 |
| Berke, Joseph H. | London | 094428-0W | January 15, 2019 |
| Blackburn, Chame Curtis | Albany | 237019-5W | January 15, 2019 |
| Bonanno, Anthony | Windermere | 167355-7W | January 15, 2019 |
| Brosnan, John | Osprey | 170214-1W | January 15, 2019 |
| Buxbaum, Frederick David | Delray Beach | P02489-4W | January 15, 2019 |
| Caporaso, Anthony M. | East Greenwich | 235784-6W | January 15, 2019 |
| Cataquet, David | Maplewood | 175359-9W | January 15, 2019 |
| Charles, Hearns Wilfrid | Miami | 189390-8W | January 15, 2019 |
| Chhangani, Sanjeev Vijairaj | Pointe Vedra Beach | 203774-5W | January 15, 2019 |
| Cohen, Dale I. | Championsgate | C02716-1W | January 15, 2019 |
| Cohen, Theodore Norman | New York | 082560-4W | January 15, 2019 |
| Derosa, Frank V. | Ozone Park | C03072-8W | January 15, 2019 |
| Dewar, John E. | Potsdam | 139252-1W | January 15, 2019 |
| Dikengil, Asim Gultekin | Lyndhurst | 165991-1W | January 15, 2019 |
| Doreste, William Charles | Elmhurst | C04449-5W | January 15, 2019 |
| Endo, Lawrence Paul | Ithaca | 166809-4W | January 15, 2019 |
| Ferdinando, Edward J. | Staten Island | P03558-5W | January 15, 2019 |
| Faverio, Charles David, Jr. | Poughkeepsie | 081833-6W | January 15, 2019 |
| Gao, Ping | Anderson | 242214-1B | January 15, 2019 |
| Giacalone, Peter Michael | Moriches | C00802-5W | January 15, 2019 |
| Goldman, Amy B. | New York | 109449-9W | January 15, 2019 |
| Goldstein, Mervyn Leon | Rockville | 086816-6W | January 15, 2019 |
| Guralnick, Susan | Mineola | 172661-1W | January 15, 2019 |
| Hart, Brian K. | Saranac Lake | 159314-4W | January 15, 2019 |
| Herbsman, Horace | Roslyn Heights | 075328-5W | January 15, 2019 |
| Higgins, Annlouise Maria | Norwood | 205544-0W | January 15, 2019 |
| Holland, William Augustine | Tampa | C08934-4W | January 15, 2019 |
| Holland-Yang, Amanda | Portland | 253443-6W | January 15, 2019 |
| Hsu, Cher Young | Whitestone | 090602-4W | January 15, 2019 |
| Hu, Qi | Hicksville | 198501-9W | January 15, 2019 |
| Huston, Jason Michael | Champaign | 269667-2W | January 15, 2019 |
| John, Liju Skaria | Syracuse | 287533-4W | January 15, 2019 |
| Jones, Kristina | New York | 234829-0W | January 15, 2019 |
| Joseph, Ashly Elizabeth | McDonough | 269021-2W | January 15, 2019 |
| Kang, Minsoo | Williamsville | 252105-2W | January 15, 2019 |
| Klayman, David Marshall | Blauvelt | C08738-9B | January 15, 2019 |
| Krawchenko, John | Watertown | 106875-8W | January 15, 2019 |
| Kudagi, Vinod Shrishail | Bethlehem | 254755-2W | January 15, 2019 |
| Kunkle, Herbert L. | Auburn | 270411-2W | January 15, 2019 |
| Lanoil, Jerry | White Plains | S04753-0W | January 15, 2019 |
| Lawrence, Andrea | Delray Beach | C06693-8W | January 15, 2019 |
| Lederman, Selwyn | New York | S03150-0W | January 15, 2019 |
| Leilabadi, Shahriyar Akhavan | Redmond | 242080-0W | January 15, 2019 |
| Lin, Jen H. | Hicksville | 103573-2W | January 15, 2019 |
| Malchar, Victoria E. | Warwick | C02799-7W | January 15, 2019 |
| Malossi, Jennifer | Binghamton | 228628-4W | January 15, 2019 |
| Manderson, Lawton Vincent | Bellmore | 076842-4W | January 15, 2019 |
| Markowitz, Jeffrey | Woodmere | C04415-8W | January 15, 2019 |
| Masters, Stanley | Floral Park | 049013-6W | January 15, 2019 |
| Matteo, Richard Seaton | Dobbs Ferry | 078633-5W | January 15, 2019 |
| Mc Clung, James Elliott | Goshen | 100263-3W | January 15, 2019 |
| Mejia, Gustavo A. | Lake Grove | C03936-4W | January 15, 2019 |
| Miller, Donald Ellsworth | Orchard Park | 101374-7W | January 15, 2019 |
| Muia, Nicola | Huntington | 096191-2W | January 15, 2019 |
| Mukherjee, Ratnakar | Columbia | 229947-7W | January 15, 2019 |
| Murphy, Michael V. | Ormond Beach | 120744-8W | January 15, 2019 |
| Nagasawa, Glen Katsuto | Dayton | 156198-4W | January 15, 2019 |
| Nainzadeh, Nahid K. | New York | 127256-6W | January 15, 2019 |
| Nguyen, Hung Dang | Woodcliff Lake | 149271-9W | January 15, 2019 |
| Nissman, Paul | Dobbs Ferry | C05886-9W | January 15, 2019 |
| Pallotta, John Anthony | Bay Shore | 078336-5W | January 15, 2019 |
| Papciak, Anthony S. | Morganton | S08834-4W | January 15, 2019 |
| Parvin, Ahmad | Castle Point | 156221-4W | January 15, 2019 |
| Pearson, David Bruce | Palm Coast | C04435-6B | January 15, 2019 |
| Pletka, Joshua David | East Syracuse | 260397-5W | January 15, 2019 |
| Podesta, Luga | East Setauket | 164348-5W | January 15, 2019 |
| Pressman, Alan H. | Ossining | C01286-6W | January 15, 2019 |
| Reda, Edward Francis | Tarrytown | 149688-4W | January 15, 2019 |
| Reisel, Arthur | Goshen | S06734-8W | January 15, 2019 |
| Rotman, Marvin Zelman | Palm Beach Gardens | 087452-9W | January 16, 2019 |
| Ross, Jeffrey Stuart | Albany | 179400-7W | January 16, 2019 |
| Rosas, Donovan Thomas Edgar | Pomona | 262423-7W | January 16, 2019 |
| Roehmholdt, Mary Elizabeth | Williamsville | 128036-1W | January 16, 2019 |
| Shah, Pratima M. | Rochester | 130188-6W | January 16, 2019 |
| Schreck, Michael J. | Auburn | 148459-1W | January 16, 2019 |
| Sande, Hervey Allen | Brooklyn | P02169-2W | January 16, 2019 |
| Samios, George Konstantine | New York | 087199-6W | January 16, 2019 |
| Sagalla, Nicole Andrea | Stony Brook | 270091-2W | January 16, 2019 |
| Seplowitz, Alan Harvey | Scarsdale | 117073-7W | January 16, 2019 |
| Shapiro, Jack M. | East Northport | 140155-3W | January 16, 2019 |
| Shaw, Vijay K. | Woodmere | 142806-9W | January 16, 2019 |
| Spiera, Harry | New York | 082569-5W | January 16, 2019 |
| Stoller, Gerald Saul | Port Jefferson | 099090-3W | January 16, 2019 |
| Swiantek, Philip Arthur | Buffalo | 108820-3W | January 16, 2019 |
| Taddeo, Ronald J. | Tarpon Springs | 123293-3W | January 16, 2019 |
| Teitelbaum, Alan R. | New York | P02880-4W | January 16, 2019 |
| Therattil, Maya Rose | Skillman | 226794-6B | January 16, 2019 |
| Tress, Herschel | Glenmont | 154260-4W | January 16, 2019 |
| Ullman, David Alan | Cooperstown | 161907-1W | January 16, 2019 |
| Vedovato, Sandra Lee | Fredonia | S10437-2W | January 16, 2019 |
| Wolstein, Peter D. | Bronx | P02796-2W | January 16, 2019 |
| Woo, Jung John | Vienna | 222354-3W | January 15, 2019 |
| Wu, Duoping_ | Paramus | 214495-4W | January 15, 2019 |
| Pober, Joseph M. | New York | 144489-2W | January 22, 2019 |
* 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