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Subject Number 046-1178 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

June 12, 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
Kay, Burton Jordan Victor 093237-6W April 1, 2019
Filippone, Mark A. P. Jersey City 124054-8W April 2, 2019
Spirt, Beverly A. Las Vegas 112968-3W April 2, 2019
Aronwald, Michael Suffern 130790-9W April 9, 2019
Abelew, Paul H. Lynbrook S04145-9W April 9, 2019
Aguam, Basman M. New Hartford 109784-9W April 9, 2019
Alam, Abdulkader San Diego 238375-0W April 9, 2019
Ashline, Cheyne Douglas Clifton Park C12765-6W April 9, 2019
Baghban, Adam Salim Rochester 272616-4W April 9, 2019
Bahn, Eunkyung Michelle Slingerlands 245260-5W April 9, 2019
Baltazar, Reynaldo M. Jamaica 095388-5W April 10, 2019
Batash, Maia Rego Park 199672-7W April 10, 2019
Bayne, David Peter Johnson City 268172-4W April 10, 2019
Beecher, Walter Stewart Rochester 139048-3W April 10, 2019
Brancaccio, William R. Riverhead 132146-2W April 10, 2019
Butts, Hugh F. Beechhurst 078797-8W April 10, 2019
Carpenter, Darrell Ward Camden 229066-2B April 10, 2019
Cartier, Renee Beth Queensbury C10287-1W April 11, 2019
Castine, Victor Edward, Jr. Plattsburgh 152662-3W April 11, 2019
Cayer, Jeremy Thomas Auburn C12762-1W April 11, 2019
Cimato, Dominic Anthony Lancaster 192038-8W April 11, 2019
Comerie-Smith, Sandra Elaine Mount Vernon 177527-9W April 11, 2019
Cooley, Leroy Henry Utica 143660-9W April 11, 2019
Degiarde, Massimo P. New York 098217-3W April 11, 2019
Corson-Rikert, Janet Louise Ithaca 190240-2W April 11, 2019
Dinitz, Elaine Chaifetz Roslyn Heights S04184-8W April 11, 2019
Druff, Gerald Hendrik Groton 213991-3W April 11, 2019
Edreira, Juan G. Dobbs Ferry 081434-5W April 11, 2019
Erkkila, Helen Williamsville S03509-7W April 11, 2019
Espino, Francisco A. Plainview 111263-0W April 11, 2019
Farber, Martha Gilmore Albany 189362-7W April 11, 2019
Farrell, Jessica Lynn West Seneca C12391-9W April 11, 2019
Gadhoke, Arun Mickey Mountain Top 242981-9W April 11, 2019
Gage, Travis Alan Newport C12749-8W April 11, 2019
Geller, Joseph East Patchogue 090649-5W April 11, 2019
Giammartino, Frank A. Mount Vernon C00112-5W April 11, 2019
Glassman, Bonnie S. Scarsdale C05691-3B April 11, 2019
Golden, Donald Harrison 078237-5W April 11, 2019
Goldfine, Andrew Michael Stony brook 235887-7W April 11, 2019
Goldman, Joel M. Brooklyn 120880-0W April 11, 2019
Goodwin, Stephanie Luette Ithaca 184585-8W April 11, 2019
Gray, Terence Bay Philadelphia 254233-0W April 11, 2019
Green, Jesse Andrew Philadelphia 178709-2B April 11, 2019
Gregory, Eoin Christopher East Setauket C11508-1W April 11, 2019
Gross, Michal Johnson City 279103-6W April 11, 2019
Grosso, William M. New City C02597-5W April 11, 2019
Gustafson, Christopher Olaf Traverse City 258492-8B April 11, 2019
Hostin, A Emmanuel Westbury 126504-0W April 11, 2019
Jain, Rajinder K. Troy 127826-6W April 11, 2019
Jennings, Samuel Thomas Elmira 140893-9W April 11, 2019
Kaplan, Kenneth Charles Croton on Hudson 090487-0W April 11, 2019
Lachance, Michael Paul Cooperstown 184518-9W April 11, 2019
Lee, Joong K. Latham 130039-1W April 11, 2019
Lodato, Joseph A. Huntington Station C05846-1W April 11, 2019
Manecke, Gerard Raymond San Diego 173487-0W April 11, 2019
Mauer, Stephen P. Geneva C03092-6W April 11, 2019
Mills, Christopher B. New York 130301-5W April 11, 2019
Montag, Richard Mark Boynton Beach P02288-9W April 11, 2019
Morrissey, James F. Warrensburg 085811-8W April 11, 2019
Mulcare, Robert John Greenwich 087771-2W April 11, 2019
Nichols, David Lloyd Whitefish 155817-0W April 11, 2019
Nuccio, Richard Douglas The Villages P02386-2W April 11, 2019
Nuessle, Frederick Carl East Aurora 079552-6W April 11, 2019
Perez, Joseph South Setauket 183817-6W April 11, 2019
Post, Paul New York 079561-7W A[ril 11, 2019
Post, Robert Charles New York 083316-0W April 11, 2019
Preval, Horacio Freeport 186078-2W April 11, 2019
Rad, Morteza N. Staten Island 100225-2W April 11, 2019
Rappaport, Irwin New York 091116-4W April 11, 2019
Reznick, Louis Glendale 109161-0B April 11, 2019
Rose, Frederick B. Lafayette 152859-5W April 11, 2019
Rosenberg, Herman I. Brooklyn 081655-3W April 11, 2019
Russo, Nicholas Carmine Rochester 104161-5W April 11, 2019
Sadikot, Shabbir M. Syosset 200586-6W April 11, 2019
Sahai, Rohit Paradis Valley 243331-6W April 11, 2019
Schwartz, Allan J. Rochester S04526-0W April 11, 2019
Shuman, Perry Todd Delavan 169768-9W April 11, 2019
Simpson, Robert Bruce Fort Walton Beach 207947-3W April 11, 2019
Spohn, Peter John Hazle Township 183007-4W April 11, 2019
Stein, Leonard Sheldon Fairport S03929-7W April 11, 2019
Sturgeon, Stephen Craig Cohoes C02880-5W April 11, 2019
Taub, Carole Elizabeth New York 206304-8W April 11, 2019
Tejwani, Roop Slidell 176167-5W April 11, 2019
Thomas, Claudia Louise Mineola 167856-4W April 11, 2019
Thomson, David Procter Winterville 212899-9W April 11, 2019
Tisch, Ira Steven Utica 157606-5W April 11, 2019
Ursillo, Christopher Ryan Albany 273233-7W April 11, 2019
Valins, Stuart Setauket S05173-0W April 11, 2019
Verola, Nicholas W. Bradenton 106913-7W April 11, 2019
Wallingford, Arthur Joseph, Jr. Loudonville 096542-6W April 11, 2019
Wang, David D. Rochester 126722-8W April 11, 2019
Wright, Jonathan Syracuse 177480-1W April 11, 2019
Bull, Robert Leonard, Jr. Niagara Falls 158870-6W April 15, 2019
Duffy, Andrew Peter Katonah 176103-0W April 29, 2019
Sewert, David J. Newark C01962-2W April 29, 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