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Subject Number 046-1155 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

April 15, 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
Abrahamson, Ivan Philip Rego Park P02007-4W February 12, 2019
Anand, Satish K. Dix Hills 124963-0W February 12, 2019
Anderson, Eldridge Thomas Ithaca 173533-1W February 12, 2019
Bandler, Martin Brooklyn 080420-3W February 12, 2019
Brady, Brendan C. Canandaigua 134486-0W February 12, 2019
Campbell, Timothy John Williamsburg 236997-3W February 12, 2019
Capote, Eddy, Jr. Miami 251634-2W February 12, 2019
Capuana, Nicholas J. Sauquoit 112705-9W February 12, 2019
Cervi, Joseph W. Winter Springs 103914-8W February 12, 2019
Chece, Stephen David Middletown S12341-4W February 12, 2019
Cincotta, Onofrio Bronxville 095053-5W February 12, 2019
Cintron, Nathan Daniel Clifton Park C11837-4W February 12, 2019
Claps, Francis Xavier New York 070944-4W February 12, 2019
Collier, Bryan John Bradley Beach C02332-7W February 12, 2019
Conschafter, David Scott Cheektowaga C06171-5B February 12, 2019
Cristian, Adrian Miami 192152-7W February 12, 2019
David, Dennis Rivera Schenectady 116158-7W February 12, 2019
Decarlo, Robert L. Herkimer P02568-5W February 12, 2019
Detschelt, Elizabeth Legnard North Huntington 259432-3B February 12, 2019
Eckert, Bertram Brooklyn 087237-4W February 12, 2019
Engelsher, Charles Joseph Prospect 127859-7W February 12, 2019
Fishel, Steven J. Merrick C09138-1B February 12, 2019
Fundaro, Frank Leo Monroe Township C06597-1W February 12, 2019
Galante, Michele Bruno Suffern 152652-4W February 12, 2019
Gelber, Jonathan David Bronx 281024-0W February 12, 2019
Giannaris, Theodore Astoria 123093-7W February 12, 2019
Gifaldi, Amy S. Madison 192577-5W February 12, 2019
Goldberg, Mark S. Aberdeen P04739-0W February 12, 2019
Greenstein, Adrian Joseph New York 098520-0W February 12, 2019
Grosack, Marc A. Fulton P02906-7W February 12, 2019
Hali, Theodore New Rochelle P02329-2W February 12, 2019
Hanzly, Michael I. Lake View P02793-9W February 12, 2019
Hardy, Anton Gysberti Albany S10744-1B February 12, 2019
Hatton, Paul Damien Scottsdale 207904-4W February 12, 2019
Hines, Jerod L. Oswego 268213-6W February 12, 2019
Hodge, Charles Joseph, Jr. Edgartown 108474-8W February 12, 2019
Hopens, Theodore Temple 107009-3W February 12, 2019
Hunter, John Robert Victor P06587-1W February 12, 2019
Isaacs, Fredrick A. Silver Spring 131103-4W February 12, 2019
Kahn, Lloyd M. Cliffside Park P02746-7W February 12, 2019
Kashan, Faiz New York 102385-2B February 12, 2019
Khanna, Apurv Fayetteville 251964-3W February 12, 2019
Klein, Maurice Roslyn Heights 086510-5B February 12, 2019
Kornfeld, Herbert Robert Beverly Hills 092876-2W February 12, 2019
Kranthi, Bhavana Colonia 287857-7B February 12, 2019
Kwah, Henry Hunjoo Muttontown 119194-9W February 12, 2019
Maloney, Brian A. Staten Island 128904-0W February 12, 2019
Meacham, Marc Andrew Queensbury 207891-3W February 12, 2019
Menaldino, Ernest New York 083805-2W February 12, 2019
Mentis, Sue Wayne Okatie 209011-6W February 12, 2019
Miller, Merrily O'Connor Saratoga Springs S08835-1W February 12, 2019
Mills, Shawn Paul South Dartmouth 262235-5W February 12, 2019
Mohan, Krishna M. New York 126596-6W February 12, 2019
Mustafa, Ali Jersey City C11422-5B February 12, 2019
Nadel, Lester Montreal 124159-5W February 12, 2019
Nahar, Rajesh Plains 221022-7W February 12, 2019
Orencia, Carrie Anne Oceanside C10489-5W February 12, 2019
Ostrum, Arthur George, Jr. East Amherst 186766-2W February 12, 2019
Parikh, Stuti Norfolk 263085-3W February 12, 2019
Parisien, Christine J. Houston 228852-0W February 12, 2019
Peimer, Clayton Austin North Kingstown 112453-6I February 12, 2019
Philippou, Soterios West Hempstead 130214-0W February 12, 2019
Ploutz, James Dean Vestal C07961-8W February 12, 2019
Porter, John Alfred Clifton Springs 146697-8W February 12, 2019
Raia, Anthony M. Ridgewood 082210-6W February 12, 2019
Rampton, Joshua William Bismarck 263250-3W February 12, 2019
Rose, T Freehold 186041-0B February 12, 2019
Salei, Inesa Clifton Park 270930-1B February 12, 2019
Schrank, W. Winslow Canandaigua 108038-1W February 12, 2019
Sewell, Nicholas Louis Jackson Heights 152192-1W February 12, 2019
Shaderowfsky, Lawrence New York 086517-0W February 12, 2019
Shen, Edward Yeong Tai Roslyn 132459-9W February 12, 2019
Sher, Irene Mineola 245867-7W February 12, 2019
Spak, Mary C. S. Huntington 120056-7W February 12, 2019
Spinosa, Frank A. Sandia Park P03131-1I February 12, 2019
Van Eenenaam, David Owen Watertown 101008-1B February 12, 2019
Victoriano, Virgilio C. Albany 115869-0W February 12, 2019
Warren, Fred Bardonia P03300-2W February 12, 2019
Weinberg, Steven Jay Rye Brook P02522-2W February 12, 2019
Winnick, Stanley Lake Worth 096258-9W February 12, 2019
Winter, Eugene H. East Northport P02115-5W February 12, 2019
Yan, Chau W. Windermere 115664-5W February 12, 2019
Zaky, Dawlat Rochester 111660-7W February 12, 2019
Zhong, Chizheng Smithtown 201312-6W February 12, 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