Subject Numbers Regarding Health Provider Authorizations
February 8, 2022
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 |
|---|---|---|---|
| Ahmad, Nina | Ravena | 276142-7W | December 16, 2021 |
| Alfenito, Ralph F. | Huntington | 082754-3W | December 16, 2021 |
| Angelos, George Christopher | Sioux Falls | 267730-0W | December 16, 2021 |
| Armengol, Sonia | New York | 098763-6W | December 16, 2021 |
| Baker, Laurence S. | White Plains | S00343-4W | December 16, 2021 |
| Bhatia, Nitin | White Plains | 262359-3W | December 16, 2021 |
| Bilen, Ziya | Elmira | 191671-7W | December 16, 2021 |
| Brunoski, Thomas T. | Westport | 114994-7W | December 16, 2021 |
| Calabrese, Peter W. | Syracuse | P03038-8W | December 16, 2021 |
| Devine, Terence M. | Vestal | 131307-1W | December 16, 2021 |
| Dhingra, Usha | Rochester | 140428-4W | December 16, 2021 |
| Dominguez, Gliceria Cavas | Forest Hills | 153077-3W | December 16, 2021 |
| Dougherty, Gwendolyn Elizabeth | Syracuse | PT043120-5W | December 16, 2021 |
| Einwohner, Ethel Joan | New York | S02996-7W | December 16, 2021 |
| Ellis, Leslie Spivack Pendery | New York | 300509-7W | December 16, 2021 |
| Fayemi, Ayodeji Bodunrin | White Plains | 119113-9W | December 16, 2021 |
| Fitzpatrick, Thomas Michael | Norwich | 144692-1W | December 16, 2021 |
| Gallagher, Michael S. | Stony Brook | C08735-5W | December 16, 2021 |
| Garcia, Patrick Einstein Cruz | Spring | 302367-8W | December 16, 2021 |
| Garman, Anna Grace | Pittsford | PT043538-8W | December 16, 2021 |
| Gatewood, Caroline Valenta | Hampton Bays | 203316-5W | December 16, 2021 |
| Gelberg, Burt W. | Woodmere | 116289-0W | December 16, 2021 |
| Glass, Peter Stanley Abraham | Washington | 216050-5W | December 16, 2021 |
| Goodman, David Alan | Burnsville | 292125-2I | December 16, 2021 |
| Grandville, Grace Rose | Holbrook | C09982-2W | December 16, 2021 |
| Hagadus, Ronald J. | New York | 099965-6W | December 16, 2021 |
| Hagen, Mark R. | Westfield | 143041-2W | December 16, 2021 |
| Hannigan, R. John | Wappingers Falls | C03660-0W | December 16, 2021 |
| Harris, Louise Marie | St. Augustine | 195893-3W | December 16, 2021 |
| Hassani, Nasser H. S. | Old Westbury | 108189-2W | December 16, 2021 |
| Hayman, Judy Ann | Syracuse | S14760-3W | December 17, 2021 |
| Heckman, Bruce H. | Millwood | 101999-1W | December 17, 2021 |
| Herzl-Betz, Kenneth Joseph | Elmira | 169700-2W | December 17, 2021 |
| Hirsch, Jessica Elizabeth | Levittown | PT043166-8W | December 17, 2021 |
| Hodorski, William Robert | Hyde Park | 210066-7W | December 17, 2021 |
| Hundal, Satvir Kaur | Bay Shore | PT043173-4W | December 17, 2021 |
| Jacobucci, Nicola Joseph | Brooklyn | 296566-3W | December 17, 2021 |
| Karimi, Sara | Englewood Cliffs | 210909-8W | December 17, 2021 |
| Karpf, Andrew J. | New York | S04736-5W | December 17, 2021 |
| Katz, Robert | Syracuse | S05997-2W | December 17, 2021 |
| Kazam, Elias | Bronx | 107167-9W | December 17, 2021 |
| Kenning, Tyler James | Albany | 265757-5W | December 17, 2021 |
| Kidd, Kassidy Ellen | Niagara Falls | PT043545-3W | December 17, 2021 |
| Klein, Leslie Alan | Brooklyn | C02242-8B | December 17, 2021 |
| Kokotos, William J. | Garden City | 190141-2W | December 17, 2021 |
| Kotkin, Lawrence Robert | Melville | S06339-6W | December 16, 2021 |
| Kresse, Teresa Ann | Whitestone | AC001067-8W | December 16, 2021 |
| Lee, Christine Ann | New York | PT043279-9W | December 16, 2021 |
| Levine, Donald M. | New York | S09958-0W | December 16, 2021 |
| Levine, Robert Aaron | Brookline | 116082-9I | December 16, 2021 |
| Lin, Min Chung | Bath | 125455-6W | December 16, 2021 |
| Mahoney, Shannon Elizabeth | Tallman | PT043258-3W | December 16, 2021 |
| Mandelblat, Zarina | Brooklyn | 227160-9W | December 16, 2021 |
| Mangcoy, Bobby Sadiua | Wallington | PT026088-5W | December 16, 2021 |
| McCormick, Toni M. | Syracuse | S11223-5W | December 16, 2021 |
| McCoy, Kieran Scott | Johnstown | PT043287-2W | December 16, 2021 |
| Miguel, Arturo Dumlao | Port Jefferson Station | PT022287-7W | December 16, 2021 |
| Morrongiello, Michael Anthony | Corning | S10784-7W | December 16, 2021 |
| Notaristefano, Luigia Gina | West Nyack | 203453-6W | December 16, 2021 |
| Nugent, Craig Timothy | New City | C11438-1W | December 16, 2021 |
| Olson, Carl | Patchogue | PT032366-7W | December 16, 2021 |
| Pappous, Emmanuel | Glen Head | 148387-4W | December 16, 2021 |
| Pardes, Morton N. | New Hyde Park | S03164-1W | December 16, 2021 |
| Patel, Devayani M. | Staten Island | 124260-1W | December 16, 2021 |
| Perkal, Andrew | Flushing | S07382-5W | December 16, 2021 |
| Petrini, Anthony Joseph | Syosset | 147882-5W | December 16, 2021 |
| Platt, Bruce Lee | Buffalo | 137318-2W | December 16, 2021 |
| Plotkin, Scott Norman | Buffalo | 177070-0W | December 16, 2021 |
| Podolsky, Scott Jon | Queensbury | 183558-6W | December 16, 2021 |
| Putignano, Joseph D. | Shelter Island | 097285-1W | December 16, 2021 |
| Randev, Sonika | Ashland | 302519-4W | December 16, 2021 |
| Reed, Nathan Parker | Delmar | 093700-3W | December 16, 2021 |
| Rehman, Abdul | Staten Island | 115368-3W | December 16, 2021 |
| Reyner, Kaylyn Lee | Johnson City | OT016274-3W | December 16, 2021 |
| Sabah, Maira | Eastvale | C12807-6W | December 16, 2021 |
| Schaefer, Luke Thomas | Buffalo | PT043480-3W | December 16, 2021 |
| Schulze, Gerald John | East Islip | 145787-8W | December 16, 2021 |
| Schwartz, Douglas Bryan | Albany | 175566-9W | December 16, 2021 |
| Seketa, Nicholas Frank | Johnson City | P02900-0W | December 16, 2021 |
| Seleverstov, Oleksandr | Plattsburgh | 284310-0W | December 16, 2021 |
| Shah, Rajnikant P. | Manhasset Hills | 117861-5W | December 16, 2021 |
| Sher, Lawrence M. | Lawrence | 140157-9W | December 16, 2021 |
| Sims, Lewis J. | Poughkeepsie | P02446-4B | December 16, 2021 |
| Sisler, Hampson Albert | New York | 081897-1B | December 16, 2021 |
| Sjem, Suzanne | Athens | PT026321-0W | December 16, 2021 |
| Sorkin, Arnold | Boca Raton | S05472-6W | December 16, 2021 |
| Thomas, Joel | Stony Brook | 295788-4W | December 16, 2021 |
| Thomas, Neila Jeanne | Horseheads | PT043461-3W | December 16, 2021 |
| Weinstein, Pearl A. | Great Neck | S07463-3W | December 16, 2021 |
| Weisel, Susan Michele | Fishkill | 174222-0W | December 16, 2021 |
| Wolder, Margaret | New York | S09777-4W | December 16, 2021 |
| Wong, Winston C. | Latham | 123644-7W | December 16, 2021 |
| Yee, Wilfred W. B. | Hyde Park | 129448-7W | December 16, 2021 |
| Zhang, Yue | Stony Brook | 275430-7W | December 16, 2021 |
*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