Subject Numbers Regarding Health Provider Authorizations
July 1, 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 |
|---|---|---|---|
| Abiri, Michael Manovchehr | Bryn Mawr | 133068-7W | April 18, 2022 |
| Adcock, Stephen Randall | Lowville | 282871-3W | April 18, 2022 |
| Adrien, Jean R. | Hollis | 129912-2W | April 18, 2022 |
| Alexander, Gregory | Stony Brook | S08516-7W | April 18, 2022 |
| Alicandro, Jeanne M. | New York | 154227-3W | April 18, 2022 |
| Auh, Yong Ho | New York | 140300-5W | April 18, 2022 |
| Baldini, Gleda P. | Cairo | 154782-7W | April 18, 2022 |
| Balon, Walter A. | Buffalo | 144353-0W | April 18, 2022 |
| Banchs, Richard Jorge | Chicago | 196091-3W | April 18, 2022 |
| Baran, Galina | Bedford Hills | 233203-9W | April 18, 2022 |
| Basu, Niladri | Dallas | 285955-1W | April 18, 2022 |
| Bella, Sama | Johnson City | 296019-3W | April 18, 2022 |
| Bennett, Allen J. | Flushing | 124008-4W | April 18, 2022 |
| Bishara, Mary Ann Zavisca | Wheatfield | 084509-9B | April 18, 2022 |
| Blatt, Robert | Little Neck | P02158-5W | April 18, 2022 |
| Bleser, Karen Ann | Schenectady | 241705-3W | April 18, 2022 |
| Borowski, David Thomas | Erie | 167976-0W | April 18, 2022 |
| Bulauitan, Manuel C. | Manhasset | 121369-3W | April 18, 2022 |
| Bullitt, Clarissa Wardwell | Stony Brook | S14890-8W | April 18, 2022 |
| Chen, Chau Fang | Rome | 134917-4W | April 18, 2022 |
| Chen, Jacky | Cortland | 294629-1W | April 18, 2022 |
| Chow, Steve Pi-Hsiung | Apex | 174114-9W | April 18, 2022 |
| Cohen, Ian Laurence | Amherst | 160787-8W | April 18, 2022 |
| D'Alessandro, Frank M. | Yonkers | 083006-7W | April 18, 2022 |
| Dhanani, Harsha Narendra | Secaucus | 202952-8W | April 18, 2022 |
| Dhingra, Munish Kumar | Staten Island | 117595-9W | April 18, 2022 |
| Donela, Richard S. | Keeseville | P02533-8W | April 18, 2022 |
| Dossani, Rimal Hanif | Buffalo | 296758-6W | April 18, 2022 |
| Dow, Amanda Lynne | Saratoga Springs | 284405-8W | April 18, 2022 |
| Duvivier, Hubert | New Paltz | 100673-3W | April 18, 2022 |
| Dworkin, Paul | Schenectady | 136742-4W | April 18, 2022 |
| Ehrenberg, Morris Paul | Cherry Hill | S08897-1W | April 18, 2022 |
| Eisenberg, Henry M. | Manlus | 092148-6W | April 18, 2022 |
| Fastman, Norman S. | Staten Island | 081439-2W | April 18, 2022 |
| Ferro, John Alfred | Poughkeepsie | 179984-0W | April 18, 2022 |
| Fierro, Charles B. | Greenwich | 143905-8W | April 18, 2022 |
| Fogel, Alan Jeffrey | Altamont | 150260-8W | April 18, 2022 |
| Fort, Frank G. | Schenectady | 168019-8W | April 18, 2022 |
| Gardner, Sheila Fulton | Delray Beach | 216989-4W | April 18, 2022 |
| Grieg, Kristin Danielle | Bethpage | OT020806-6W | April 18, 2022 |
| Grossman, John A. I. | Miami | 182336-8W | April 18, 2022 |
| Gupta, Rahul | Constable | 273605-6W | April 18, 2022 |
| Hatwal, Namrata | Mount Kisco | 210985-8W | April 18, 2022 |
| Hoehn, James Gurney | Loudonville | 108079-5B | April 18, 2022 |
| Hoffman, David E. | Williamsville | 123532-4W | April 18, 2022 |
| Huang, Ching-Huang | Warwick | 164972-2W | April 18, 2022 |
| Hunt, Patrick Brian | Levittown | C08054-9B | April 18, 2022 |
| Jacobs, Morton | New York | 116305-4W | April 18, 2022 |
| Jean, Jacques Edner J. | Wellington | 121560-7W | April 18, 2022 |
| Kagan Bryan B. | White Plains | P03093-2W | April 18, 2022 |
| Kane, Gerald S. | Huntington | S08335-2W | April 18, 2022 |
| Kantounis, Stratos George | Rockville Centre | 082880-6W | April 18, 2022 |
| Kaplan, Ralph Victor | Roslyn | S07310-6W | April 15, 2022 |
| Kaufman, Jeffrey | Woodbury | 197625-7W | April 19, 2022 |
| Kaye, Stanley B. | Scarsdale | S03698-8W | April 15, 2022 |
| Kelly, Lawrence P. | Cutchogue | 152310-9W | April 15, 2022 |
| Kilfoil, Peter J. | Southold | P03001-5W | April 15, 2022 |
| Kim, Jae Chan | Nyack | 117579-3W | April 15, 2022 |
| Kogan, Melanie G. | New Rochelle | 165430-0W | April 15, 2022 |
| Kore, Michael Mikelis A. | Herkimer | 233450-6W | April 15, 2022 |
| Kozlyansky, Yelena | Mount Kisco | C10979-3W | April 15, 2022 |
| Lee, Sung K. | Hoboken | 133531-4W | April 15, 2022 |
| Levy, Walter Joseph | Ithaca | 202288-7W | April 15, 2022 |
| Lobo, Warren Daniel | Palm Beach Gardens | 175268-2W | April 15, 2022 |
| Makrides, Michael | East Setauket | 097149-9W | April 15, 2022 |
| Malik, Ali Saad | New York | 278053-4W | April 15, 2022 |
| Mayrkovich, Inna | Staten Island | C09330-2W | April 15, 2022 |
| Meng, Marie-Louise | Durham | 269894-2W | April 15, 2022 |
| Meringolo, John Joseph | Neponsit | 200302-8W | April 15, 2022 |
| Metcalf, Harry Leonard | Buffalo | 087718-3W | April 15, 2022 |
| Minnerop, Carol A. | New York | 116588-5W | April 15, 2022 |
| Moloff, Harry | East Northport | P01938-0B | April 15, 2022 |
| Mull, Sears Curtiss | Orchard Park | 302348-8I | April 15, 2022 |
| Needelman, Andrew | Poughkeepsie | 130452-6W | April 15, 2022 |
| Nichols, Abram Harold | Binghamton | C07948-3B | April 15, 2022 |
| Oleyar, Michael Joseph | Chicago | 276686-3W | April 15, 2022 |
| O'Neill, Daniel John | New York | 292446-2W | April 15, 2022 |
| Patel, Jonah Harshad | Boston | 278425-4W | April 15, 2022 |
| Prasad, Srinivasa B. R. | Johnson City | 144345-6W | April 15, 2022 |
| Rangaswamy, Leela | Wilmington | 133986-0W | April 15, 2022 |
| Rea-Sarkis, Lucy Ann | Staten Island | 107394-9W | April 15, 2022 |
| Rubin, Charles | Glen Allen | 101191-5B | April 15, 2022 |
| Salierno, Anthony | Milford | 210497-4I | April 15, 2022 |
| Secchi, Jorge Enrique | Manhasset | 093337-4W | April 15, 2022 |
| Sennett, Margaret Anne | Skaneateles | 250679-8W | April 18, 2022 |
| Shapiro, Warren Bruce | New York | 100379-7W | April 18, 2022 |
| Sharahy, Tatiana | Wayne | 217994-3W | April 18, 2022 |
| Shelly, Robert Jon | Williamsville | 208628-8W | April 18, 2022 |
| Siegal, Andrew Wayne | Babylon | S08053-1B | April 18, 2022 |
| Singh, Amarjit | Williamsville | 119393-7W | April 18, 2022 |
| Steinberg, Esther | Pleasant Hill | 135637-7W | April 18, 2022 |
| Stolzberg, Mark Elliott | Boynton Beach | S10826-6I | April 18, 2022 |
| Studentsova, Yana | West Roxbury | 218867-0B | April 18, 2022 |
| Testa, Nicholas Noel | New York | 098948-3W | April 18, 2022 |
| Treitler, Byron M. | Roslyn | 078136-9W | April 18, 2022 |
| Tumminello, Nicholas Charles | Lynbrook | P04919-7W | April 18, 2022 |
| Villafuerte, Ceferino Reyes | Greenwich | 105492-3W | April 18, 2022 |
| Volosin, Seldman Mirta E. | Manhasset | 120695-2W | April 18, 2022 |
| Wolek, Robert | Madison | 212980-7W | April 18, 2022 |
| Wormer, Thomas Andrew | Canandaigua | 168688-0W | April 18, 2022 |
| Wyatt, Gina | Elmira | PT044030-5W | April 18, 2022 |
| Yaddanapudi, Kavitha | Tucson | 276715-0W | April 18, 2022 |
| Yee, Eric Uriah | Little Rock | 304178-7W | April 18, 2022 |
*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