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Subject Number 046-1276 UChanges 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

March 12, 2020

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
Aponte-Cipriani, Sandra L. Miami 183386-2W January 15, 2020
Arandia, Hernando Y. Liverpool 117293-1W January 15, 2020
Bates, Paul Emerson Ithaca 105132-5W January 15, 2020
Berroya, Renato B. Port Washington 107925-0W January 15, 2020
Boles, James Irwin Cody 147559-9W January 15, 2020
Bossart, Peter Albert Saddle River 072896-4W January 15, 2020
Burstein, Alan G. Las Vegas 124993-7W January 15, 2020
Chan, Rose Philadelphia 165155-3W January 15, 2020
Cichocki, Kevin Edmund Elma C04588-2W January 15, 2020
Clironomos, Andreas I. Astoria C11589-1W January 15, 2020
Cornwall, John W. New York 124680-0W January 15, 2020
Fazzari, Patrick Joseph Washington 101816-7W January 15, 2020
Ferraro, John A. Albany 124358-3W January 15, 2020
Fish, Rowan Montreal 134131-2W January 15, 2020
Frank, Kristen Lianne Port Matilda 274971-1W January 15, 2020
Gauthier, Ronald Thomas, Jr. Binghamton 161807-3W January 15, 2020
Ghimire, Anil Kumar Fresno 272936-6W January 15, 2020
Haddad, Heskel M. New York 092153-6W January 15, 2020
Hastings, Brent W. Plattsburgh 125877-1W January 15, 2020
Herman, Barry J. Williamsville 083480-4W January 15, 2020
Hernandez, Ivan Aurelio Schenectady 093218-6W January 15, 2020
Hirokawa, Theodore I. Scottsville 135439-8W January 15, 2020
Holder, Donovan O'Neil Coral Springs 165662-8W January 15, 2020
Hsu, John Tseng Tung New York 099809-6W January 15, 2020
Iglehart, Robyn Christyl Hershey 257790-6W January 15, 2020
Jayaswamy, Asha Williamsville 231290-8W January 15, 2020
Joshi, Nandini P. Rochester 155401-3W January 15, 2020
Kabasakalian, Anahid Stony Brook 266960-4W January 15, 2020
Kanter, Allan Irwin Syracuse 108604-0W January 15, 2020
Kayastha, Manharlal N. Hurley 127973-6W January 15, 2020
Kayastha, Veena Niskayuna 138852-9W January 15, 2020
Khovidhunkit, Pakawadee Medina 248186-9W January 15, 2020
Kumar, Kishore Farmington 277200-2W January 15, 2020
Labar, Douglas R. New York 158231-1W January 15, 2020
Landman, Fevus New York 104952-7W January 15, 2020
Langdon, Christina Terese Palo Alto 214942-5W January 16, 2020
Lee, Jennifer N. Albany 282188-2W January 16, 2020
Lynn-Ong, Elizabeth Tiffany Sacramento 276382-9W January 16, 2020
Mahoney, William Dunbar Rye 105396-6W January 16, 2020
Manasan-Greenberg, Milagros Costa New York 093991-8W January 16, 2020
Mandalaywala, Vijaykumar Massena 157002-7W January 16, 2020
Mir, Nilofar Loudonville 107488-9W January 16, 2020
Ngeow, Jeffrey Yinfoh New York 169617-8W January 16, 2020
Nickerson, Christopher J. New York 141740-1W January 16, 2020
Pant, Shradha Syracuse 285887-6W January 16, 2020
Pascual, Margarita C. Brentwood 111490-9W January 16, 2020
Pazionis, Theresa Julia Christi Westbury 273479-6W January 16, 2020
Pottanat, Rose J. Amityville 126643-6W January 16, 2020
Prescott, Ian Dalton Valley Stream 185071-8W January 16, 2020
Przybyla, Adrian Troy 256381-5W January 16, 2020
Raza, Syed Mohsin Montyville 224737-7W January 16, 2020
Redding, David Gregory Lima C07233-2W January 16, 2020
Reddy, Rajashaker Pullagurram Roswell 217018-1W January 16, 2020
Reger, Mark J. Jamesville 145191-3W January 16, 2020
Reytblat, Zinaida Kingston 227191-4W January 16, 2020
Shapiro, Barry Michael Yonkers 138918-8W January 16, 2020
Sher, Aaron Emanuel Albany 110167-4W January 16, 2020
Sinha, Hirendra Pratap Center Moriches 142253-4W January 16, 2020
Speller, Philip J. Syracuse 081695-9W January 16, 2020
Stabile, Nicholas Dix Hills 087935-3W January 16, 2020
Suchnicki, James Edward Westerly 196723-1W January 16, 2020
Swoboda, Thomas Kevin Henderson 213528-3W January 16, 2020
Tanowitz, Herbert Bernard Larchmont 101779-7W January 16, 2020
Tinklepaugh, Mark Scott North Hero 185859-6W January 16, 2020
Torre, Joseph John Marriottsville 121131-7W January 16, 2020
Turro, James Joseph Mount Kisco 155574-7W January 16, 2020
Wang, Yumei Greenwich 224388-9W January 16, 2020
Weissman, William Lake Hill C04498-4W January 16, 2020
Wiles, Charles E 3d Baltimore 120903-0W January 16, 2020

* 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