Subject Numbers Regarding Health Provider Authorizations
August 15, 2019
The following have been added to the list of providers authorized to treat injured workers and/or perform independent medical examinations within the New York State workers’ compensation system.
| NAME | SPECIALTY AREA OF PRACTICE | CITY OF PRACTICE | AUTHORIZATION NUMBER* | EFFECTIVE DATE |
|---|---|---|---|---|
| Hammer, Charles Hsiang | Anesthesiology | Rochester | 299341-8W | August 27, 2019 |
| Kellermier, Cyrus Van | Anesthesiology | Rochester | 298930-9W | August 27, 2019 |
| Sakr, Ashraf Mohamed | Anesthesiology, Pain Management | Brooklyn | 299354-1W | August 12, 2019 |
| Shulkin, Roman | Anesthesiology, Pain Management | Brooklyn | 298411-0W | August 13, 2019 |
| Bacon, Jaelle Tamara | Chiropractic | Buffalo | C13139-3W | August 9, 2019 |
| Bennett, Ian Alastair | Chiropractic | Pawling | C13252-4B | August 9, 2019 |
| Clarke, Kaitlyn Theresa | Chiropractic | Ridgewood | C12467-9W | August 9, 2019 |
| Gagan, Timothy Aloysius | Chiropractic | Webster | C13190-6W | August 9, 2019 |
| Isbrandt, Robert J. | Chiropractic | Cheektowaga | C13256-5B | August 9, 2019 |
| Nowicki, Zachary Alexander | Chiropractic | Bayport | C13155-9W | August 9, 2019 |
| Radpasand, Mohsen | Chiropractic | New Rochelle | C11944-8B | August 9, 2019 |
| Lambert, Smith Franki Lenae | Dermatology | Rochester | 298333-6W | August 22, 2019 |
| Plovanich, Molly Elizabeth | Dermatology | Hamlin | 299025-7W | August 27, 2019 |
| Altman, Sam | Diagnostic Radiology | New York | 278942-8W | August 9, 2019 |
| Jhanwar, Yuliya Samiksha | Diagnostic Radiology, Nuclear Medicine | Mount Kisco | 230871-6B | August 13, 2019 |
| Menashe, Leo Hughes | Diagnostic Radiology | Brooklyn | 282488-6W | August 12, 2019 |
| Simpson, William Louie, Jr. | Diagnostic Radiology | New York | 202773-8W | August 9, 2019 |
| Camara, Matthew Peter | Emergency Medicine | Syracuse | 299946-4W | August 9, 2019 |
| Fiorini, Melissa Marie | Emergency Medicine | Latham | 217942-2B | August 5, 2019 |
| Katz, Alan A. | Emergency Medicine | Port Washington | 186909-8W | August 19, 2019 |
| Lubliner, Eric | Emergency medicine | Brooklyn | 238885-8W | August 13, 2019 |
| Menkes, Leo | Emergency Medicine | Brooklyn | 243528-7W | August 27, 2019 |
| Schuster, Lindsey Rose | Emergency Medicine | Selden | 256112-4W | August 12, 2019 |
| Yamamoto, Julienne Ashley | Emergency Medicine | Syracuse | 298079-5W | August 13, 2019 |
| Bushman, Carly S. | Family Practice | Levittown | 289752-8W | August 9, 2019 |
| Chang, Sarah | Family Practice | Canandaigua | 295832-0W | August 12, 2019 |
| Chopra, Aarti | Family Practice | Astoria | 295554-0W | August 19, 2019 |
| Coicou, Caroline Anne | Family Practice | Brooklyn | 285176-4W | August 12, 2019 |
| Cunnington, Laura Ann | Family Practice | Cooperstown | 298227-0W | August 9, 2019 |
| Dworsky, Bryan William | Family Practice | Ravena | 297621-5W | August 27, 2019 |
| Dyster, John G. | Family Practice | Lewiston | 166794-8W | August 22, 2019 |
| Han, George Kim | Family Practice | New York | 291540-3W | August 12, 2019 |
| Heins, Carolyn Mary | Family Practice | Albany | 299061-2W | August 12, 2019 |
| Jefferson, Joni Felicia | Family Practice | Uniondale | 282442-3W | August 9, 2019 |
| Levinsohn, Susan Florence | Family Practice | Syracuse | 295689-4W | August 12, 2019 |
| Pani, Anupama | Family Practice | Briarcliff Manor | 228991-6B | August 13, 2019 |
| Slezinger-Mejia, Albert | Family Practice | Bronx | 271429-3W | August 9, 2019 |
| Steinmetz, Lauren L. | Family Practice | Orchard Park | 281443-2B | August 22, 2019 |
| Tu Ting, Jia | Family Practice | New York | 294035-1W | August 12, 2019 |
| Bannister, Annemarie Laurri | Internal Medicine | Niagara Falls | 290107-2W | August 12, 2019 |
| Chan, Terrence Anthony | Internal Medicine, Medical Oncology | Corona | 178615-1W | August 19, 2019 |
| Devkota, Kriti | Internal Medicine, Nephrology | Syracuse | 294876-8W | August 12, 2019 |
| Gallegos, Dargon Ian Felipe | Internal Medicine, Pediatrics | Syracuse | 297884-9W | August 9, 2019 |
| Halbert, Travis Weston | Internal Medicine | Mount Kisco | 296978-0W | August 13, 2019 |
| Hamid, Nauman | Internal Medicine, Pulmonary Diseases, Critical Care Medicine | Syracuse | 294881-8W | August 23, 2019 |
| Ilyagu, Mark | Internal Medicine | Brooklyn | 295645-6W | August 13, 2019 |
| Lee, Sophia Sun Young | Internal Medicine | Middletown | 205952-5B | August 9, 2019 |
| Mavroson, Matthew Nicholas | Internal Medicine | Bayside | 281826-8W | August 9, 2019 |
| Qubti, Marzouq Awni | Internal Medicine, Rheumatology | Saranac Lake | 265130-5W | August 15, 2019 |
| Shepard, David Lee | Internal Medicine | Jamestown | 208190-9W | August 22, 2019 |
| Stern, Alexandra | Internal Medicine, Cardiovascular Disease | New York | 187242-3B | August 9, 2019 |
| Kimmell, Kristopher Thomas | Neurological Surgery | Rochester | 285417-2W | August 27, 2019 |
| Ali, Sara Tawakol Gamil | Neurology | Syracuse | 291270-7W | August 12, 2019 |
| Otite, Fadar Oliver | Neurology | Syracuse | 298744-4W | August 12, 2019 |
| Pitts, Thomas Charles | Neurology | New York | 289410-3W | August 12, 2019 |
| Titoff, Igor Borisovich | Neurology | Rochester | 300333-2W | August 27, 2019 |
| Berck, David Joseph | Obstetrics/Gynecology, Maternal/Fetal Medicine | Mount Kisco | 202313-3B | August 13, 2019 |
| Cape, Alison Victoria | Obstetrics/Gynecology, Maternal/Fetal Medicine | Mount Kisco | 256061-3B | August 13, 2019 |
| Cumella, Angelo | Obstetrics/Gynecology | Brewster | 167742-6B | August 13, 2019 |
| Gannon, Jennifer Botte | Obstetrics/Gynecology | Mount Kisco | 236273-9B | August 13, 2019 |
| Gore, Stephanie Elaine | Obstetrics/Gynecology | Mount Kisco | 276063-5B | August 13, 2019 |
| Katz, Jeffrey Brian | Obstetrics/Gynecology | Carmel | 193160-9B | August 13, 2019 |
| Kaye, Laura M. | Obstetrics/Gynecology | Carmel | 199627-1B | August 13, 2019 |
| Keller, Adina Holand | Obstetrics/Gynecology | Mount Kisco | 199324-5B | August 13, 2019 |
| Parapurath, Jyothi | Obstetrics/Gynecology | Carmel | 249642-0B | August 13, 2019 |
| Partouche, Yafit | Obstetrics/Gynecology | Katonah | 258869-7B | August 13, 2019 |
| Pierce, Megan Marie | Obstetrics/Gynecology | Jefferson Valley | 247948-3B | August 13, 2019 |
| Trakht, Asya | Obstetrics/Gynecology | Brewster | 231397-1B | August 5, 2019 |
| Yazdanyar, Amirfarbod | Ophthalmology | Syracuse | 285397-6W | August 23, 2019 |
| Banagan, Kelley Elizabeth | Orthopedic Surgery | Albany | 299999-3W | August 27, 2019 |
| Blevins, Jason | Orthopedic Surgery | New York | 275663-3W | August 12, 2019 |
| Boccio, Richard | Orthopedic Surgery | Huntington | 172659-5B | August 21, 2019 |
| Hansen, Derek Gartland | Orthopedic Surgery | New York | 275158-4W | August 13, 2019 |
| Hushmendy, Shazaan | Orthopedic Surgery | Plainview | 293711-8W | August 5, 2019 |
| Nwachukwu, Benedict | Orthopedic Surgery | New York | 276191-4W | August 13, 2019 |
| Smith, Jared Michael | Orthopedic Surgery | Corning | 297745-2W | August 12, 2019 |
| Tetrault, Matthew William | Orthopedic Surgery | Albany | 299366-5W | August 22, 2019 |
| Araim, Rawa | Physical Medicine/Rehabilitation | Elmira | 294082-3W | August 12, 2019 |
| Bhaidasna, Jeet | Physical Medicine/Rehabilitation | Hampton Bays | 282447-2B | August 9, 2019 |
| Samuels, Blossom Patricia | Physical Medicine/Rehabilitation | West Haverstraw | 290512-3W | August 14, 2019 |
| Singh, Simer Preet | Physical Medicine/Rehabilitation, Pain Management, Spinal Cord Injury Medicine | Rochester | 269366-1W | August 12, 2019 |
| Patrick, Andrew | Psychiatry | Brooklyn | 246895-7W | August 9, 2019 |
| Prabhu, Vinay | Radiology – Diagnostic Radiology | New York | 285702-7W | August 9, 2019 |
| Vitto, Marco Diego | Radiology – Diagnostic Radiology | Albany | 271645-4W | August 27, 2019 |
| Aversano, Frank R. | Surgery | Suffern | 274308-6W | August 22, 2019 |
| Boyle, Sean Patrick | Surgery, Surgical Critical Care | Slingerlands | 278565-7W | August 12, 2019 |
| Mix, Doran S. | Surgery – General Vascular Surgery | Rochester | 280161-1W | August 27, 2019 |
| Suarez, David Peter | Surgery | Bronxville | 245996-4W | August 12, 2019 |
| Taddeo, Joseph Robert | Surgery, Surgical Critical Care | Bronx | 185649-1W | August 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.
Any questions regarding the authorized lists should be referred to the Medical Director’s Office at 1 (800) 781-2362.
Clarissa M. Rodriguez
Chair