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Subject Number 046-1200 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

August 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
Abdullah, Mishal Knoxville 274265-8W June 10, 2019
Adornetto, Gregory J. Fort Lauderdale P02891-1W June 10, 2019
Agrawal, Rajendra Mohan Warsaw 142026-4W June 10, 2019
Amis, Edward Stephen, Jr. Greenwich 169055-1W June 10, 2019
Aufses, Arthur Harold, Jr. New York 049243-9W June 10, 2019
Basson, Monette G. New York 103294-5W June 10, 2019
Biondi, Nicholas Charles Murrells Inlet 180654-6W June 10, 2019
Blake, Anthony Stewartsville C05059-3W June 10, 2019
Brady, John A. Melville 178185-5W June 10, 2019
Broderick, Daniel Francis Jacksonville 200855-5W June 10, 2019
Brostowin, James John Wallace C04582-5W June 10, 2019
Chien, Yin C. Brooklyn 113342-0W June 10, 2019
Davis, Jerome A. Plattsburgh 100430-8W June 10, 2019
Daye, Susanne Massena 174424-2W June 10, 2019
Drudy, John Rudolph Hampton Bays C05327-4W June 10, 2019
El-Zaru, Mohamad R. Westwood 231170-2W June 10, 2019
Everitt, Amanda E. Williamsville C11961-2W June 10, 2019
Falk, Stephen A. Westport 137999-9W June 10, 2019
Floyd, Thomas Frederick Richardson 257483-8W June 10, 2019
Friedman, Richard Lawrence New York 186361-2W June 10, 2019
Gitlitz, David Benjamin Pikesville 207424-3W June 10, 2019
Kamalam, Dheeraj Rajendrannair Elmhurst 246332-1W June 10, 2019
Lippes, Jack Ponte Vedra Beach 047932-9W June 10, 2019
Han, Paul Hyunwoo Vestal 281626-2W June 10, 2019
Herold, Bruce W. Cohoes P02947-1W June 10, 2019
Iqbal, Muhammad Z. New York 129595-5W June 10, 2019
Khan, Tara C. Tampa 238186-1W June 10, 2019
Kim, Joseph Stony Brook 280363-3W June 10, 2019
Kim, UnSup Teaneck 111353-9W June 10, 2019
Kropf, Mark Joseph Port Jefferson 166236-0W June 10, 2019
Levy, Harold J. Buffalo 046141-8W June 10, 2019
Margolies, Allison Valley Stream S07041-7W June 10, 2019
Mikhail, Afaf Manhasset 194454-5W June 10, 2019
Miceli, Charles K. Massapequa 130596-0W June 10, 2019
Mehler, David Brian New York C07926-1W June 10, 2019
Masood, Anwer U. Rochester 110407-4W June 10, 2019
Martin, Edward Joseph Albany 102850-5W June 10, 2019
Mindell, Eugene Robert Williamsville 072583-8W June 10, 2019
Miranpuri, Amrendra Singh Rochester 270148-0W June 10, 2019
Moqtaderi, Farideh Irvington 117686-6W June 10, 2019
Nangia, Bhim Sen Brooklyn 109987-8W June 10, 2019
Nazir, Fiza Irving 254002-9W June 10, 2019
Nydick, Martin New York 081732-0W June 3, 2019
O’Brien, John Daniel New York 094755-6W June 10, 2019
O’Brien, Matthew J. Buffalo 141215-4W June 10, 2019
Patel, Hiral New City 269122-8W June 10, 2019
Philips, Robert C. Binghamton P02968-7W June 10, 2019
Pitman, Roger L. Ballston Spa C02595-9W June 10, 2019
Portin, Bertram A. Buffalo 078019-7W June 10, 2019
Pulkrabek, Jana Corning 153671-3W June 10, 2019
Rose, Herbert G. Briarcliff Manor 095059-2W June 10, 2019
Rubin, David Scott Westport 158805-2W June 10, 2019
Saber, Alan A. Brooklyn 215899-6W June 10, 2019
Sahi, Gobindveer Singh Patchogue 279614-2W June 10, 2019
Saigal, Kapil Flushing 248315-4W June 10, 2019
Schapiro, Karen Leslie Kronman Saint James S07998-8W June 10, 2019
Schlossman, Ralph E. Whitestone 078021-3W June 10, 2019
Schroers, Melissa Catherine Roanoke S17369-0W June 10, 2019
Schwartz, Arthur E. Boca Raton 072946-7W June 10, 2019
Seidman, Nelson Gainesville C00993-8W June 10, 2019
Negoianu, Eduard Philadelphia 136848-9W June 10, 2019
Perez, Russell Anthony Liverpool C09040-9W June 10, 2019
Rothman, Joseph Brooklyn 095556-7W June 10, 2019
Seinfeld, David Boca Raton 120894-1W June 10, 2019
Shah, Niranjan J. Elmhurst 146065-8W June 10, 2019
Siller, Walter Francis Huntington 144540-2W June 10, 2019
Steinhart, Arthur N. Brooklyn P02685-7W June 10, 2019
Strong, Nicole Angela Rochester 287678-7W June 10, 2019
Supplice, Julien J. Brooklyn 098348-6W June 10, 2019
Tavolacci, Joseph A. Elkins 128069-2W June 10, 2019
Tenreiro, Ramon Pound Ridge 178864-5W June 10, 2019
Wong, Khemin Montville 128813-3W June 10, 2019
Wynne, Peter John Upper Saddle River 188030-1W June 10, 2019
Yamani, Abdollah Mt Vernon 125364-0W June 10, 2019
Zuccaro, James S. Philadelphia C10968-8W June 10, 2019
Wood, Edward Thomas Old Westbury 083375-6W June 10, 2019
Bentley, Bernard Wesley Brooklyn 192628-6W June 17, 2019
Yambo, Edwardo M. Deer Park 131794-0W June 3, 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