Subject Numbers Regarding Health Provider Authorizations
November 14, 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 |
|---|---|---|---|
| Adjei, Paul Carl | Montgomery Village | 272590-1W | September 11, 2019 |
| Albert, John Moore | Roslyn | 289195-0W | September 11, 2019 |
| Ashraf, Sadia | Bedford | 289009-3W | September 11, 2019 |
| Bartalos, Michael K. | Bronx | 108876-4W | September 11, 2019 |
| Begell, Suzanne R. | Syracuse | C07300-9W | September 12, 2019 |
| Bennett, Edward V., Jr. | Albany | 140950-7W | September 11, 2019 |
| Boxt, Lawrence M. | Englewood | 124019-1W | September 11, 2019 |
| Brooks, Michael | Palm Beach Gardens | 112108-6W | September 12, 2019 |
| Brown, Elana | Brooklyn | C05305-0W | September 11, 2019 |
| Calleja, Gregorio A. | Rockaway Park | 148093-8W | September 11, 2019 |
| Cardina, Timothy Michael | Ithaca | 137066-7W | September 11, 2019 |
| Carlson, John Andrew | Albany | 196363-6W | September 11, 2019 |
| Chaudhry, Farrukh Ali | Roosevelt | 231671-9W | September 11, 2019 |
| Cheung, Yiu Cheung | New York | 118965-3W | September 11, 2019 |
| Daggett, Brian George | Valatie | 146777-8W | September 11, 2019 |
| Decarolis, Patrick G. | Roslyn | C05595-6W | September 11, 2019 |
| Decker, Melissa R. | Saratoga Springs | 249393-0W | September 11, 2019 |
| Detrinis, Vincent Paul | Port Jefferson Station | C04504-9W | September 11, 2019 |
| Di Santo, Vinson M. | Springdale | 253755-3I | September 4, 2019 |
| Farber, Alan M. | Nanuet | P02362-3W | September 11, 2019 |
| Frankel, Shimon Melech | Passaic | 247713-1W | September 11, 2019 |
| Gambale, Gerald Joseph | Brooklyn | P04936-2W | September 11, 2019 |
| Gelb, Alvin Meyer | New York | 079498-2W | September 11, 2019 |
| Gerber, Leonard Stuart | Poughkeepsie | P03356-4W | September 11, 2019 |
| Hetland, Ruth Ellen | Rochester | 149798-1W | September 11, 2019 |
| James, Nicholas | Mineola | 128243-3W | September 12, 2019 |
| Johnson, David Norman | Buffalo | 139434-5W | September 12, 2019 |
| Kachurek, David P. | Delmar | 262921-0W | September 12, 2019 |
| Kamlet, Jerome | New York | 090019-1W | September 12, 2019 |
| Kashefsky, Helene Pamela | Brooklyn | P05030-3W | September 12, 2019 |
| Kelley, David Wayne | Maumelle | 258862-2W | September 13, 2019 |
| Khan, Mulazim H. | Carthage | 113496-4W | September 12, 2019 |
| Kuan, Joven Gurdiel | Watertown | 111983-3W | September 12, 2019 |
| Laudando, Deborah M. | Bayside | C07259-7W | September 12, 2019 |
| Laude, Amy Kristin | Bronx | 270733-9W | September 12, 2019 |
| Leonti, Vincent | Endicott | 151611-1W | September 12, 2019 |
| Letourneau, Thomas G. | Sausalito | 128296-1B | September 11, 2019 |
| Lichtenstein, Peter David | New Paltz | C07174-8W | September 11, 2019 |
| Malebranche, Roger J. | Broadalbin | 102844-8W | September 11, 2019 |
| Malsan, Richard P. | Delmar | 089688-6W | September 11, 2019 |
| Mantia, Philip Anthony | Nesconset | 094617-8W | September 11, 2019 |
| Marks, Natalia Malgorzata | Charleston | 290264-1W | September 9, 2019 |
| Melnick, Robert Norman | Worcester | 079834-8W | September 11, 2019 |
| Millora, Angel B. | Loudonville | 109982-9W | September 11, 2019 |
| Minano, Cecilia | Middletown | 247086-2W | September 11, 2019 |
| Norris, James E C | New York | 093627-8W | September 11, 2019 |
| Onaodowan, Onajite | Vestal | 270582-0W | September 12, 2019 |
| Osborn, Thomas Irvin | Manlius | 116333-6W | September 11, 2019 |
| Ostuni, John Anthony | Massapequa | 112891-7W | September 11, 2019 |
| Pedraza-Negron, Solimar | Parkland | 257440-8W | September 12, 2019 |
| Pena, Cecilia | Sarasota | 275957-9W | September 11, 2019 |
| Puthumana, Neal George | Syracuse | 255138-0W | September 11, 2019 |
| Rohrlich, Jay B. | New York | 101232-7W | September 13, 2019 |
| Sam, Stanley | Stony Brook | 255524-1W | September 11, 2019 |
| Sands, Mark Fredric | Williamsville | 161832-1W | September 11, 2019 |
| Schulman, Leonard B. | Yonkers | P01763-3W | September 11, 2019 |
| Schwartz, Aaron M. | Armonk | 073320-4W | September 11, 2019 |
| Shahem, Daher | Brooklyn | 224199-0W | September 11, 2019 |
| Shaw, Ryan Eames | Glenville | C12507-2W | September 11, 2019 |
| Shehata, Monda Lotfy Mansour | Syracuse | 289450-9W | September 11, 2019 |
| Simonetti, Clifford Paul | Putnam Valley | 147160-6W | September 11, 2019 |
| Simpao, Jose Rodriguez, Jr. | Las Vegas | 162398-2W | September 12, 2019 |
| Stanley, Susan Mary | Stony Brook | 254581-2W | September 12, 2019 |
| Strauss, Elliot | Fresh Meadows | C03775-6W | September 12, 2019 |
| Sullivan, Barbara Eileen | Port Jefferson Stn | 081795-7W | September 12, 2019 |
| Summers, Brenda Joyce | Bronx | P04799-4W | September 12, 2019 |
| Tan, Beng Jit | Naples | 231029-0W | September 12, 2019 |
| Vanmaaren, Brianna Polly | Meridale | 227006-4W | September 12, 2019 |
| Volpe, Michael F. | Staten Island | 129309-1W | September 12, 2019 |
| Wagner, Wayne Paul | Goldsboro | C09027-6W | September 12, 2019 |
| Watson, Eileen | Williamsville | 196677-9W | September 12, 2019 |
| Wynter, Clifton Davis | South Dartmouth | 172638-9W | September 12, 2019 |
| Yudin, Howard S. | Purchase | 154986-9W | September 12, 2019 |
| Zeb, Annie | North Bellmore | P06794-3W | September 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