Subject Numbers Regarding Health Provider Authorizations
September 27, 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 |
|---|---|---|---|
| Abissi, Christopher Joseph | Phoenixville | 137062-6W | July 14, 2022 |
| Agrawal, Jugal K. | Flushing | 110799-4W | July 14, 2022 |
| Aguila, Demetrio A., Jr. | Norfolk | 136456-1W | July 14, 2022 |
| Alenick, D. Scott | Westwood | 164387-3W | July14, 2022 |
| Antao, Olavio A. | Rochester | 158866-4W | July 14, 2022 |
| Auerbach, Paul Steven | Poughkeepsie | 165171-0W | July 14, 2022 |
| Axelrad, Alexander | Atlantic Beach | 170647-2W | July 14, 2022 |
| Ayos, Emelita Angeles | Center Valley | 150176-6W | July 14, 2022 |
| Bhatt, Shiv S. | Flower Mound | 146859-4W | July 14, 2022 |
| Blatt, Neil | Jersey City | P02319-3B | July 14, 2022 |
| Bowman, Ralph Edward | Port Jervis | 167733-5W | July 14, 2022 |
| Boxer, Myron Charles | Woodmere | P02065-2B | July 14, 2022 |
| Brock, James Steven | Shrewsbury | 168229-3W | July 14, 2022 |
| Caamano, Victor Michael | Potsdam | PT018288-1W | July 14, 2022 |
| Cali, Joseph Robert | Mattituck | 088125-1I | July 14, 2022 |
| Callahan, Erica | Danville | C11519-6W | July 14, 2022 |
| Campbell, Karli Rena | Johnson City | PA016230-5W | July 14, 2022 |
| Chen, I | Seattle | OT021218-3W | July 14, 2022 |
| Choi, Hee K. | Grand Island | 122962-4W | July 14, 2022 |
| Chu, Jai Ock | Elmhurst | 110388-6W | July 14, 2022 |
| Clabough, Staci | Port Jefferson | N731419-8W | July 14, 2022 |
| Claire, Philip G. | Stony Brook | 293336-4W | July 14, 2022 |
| Cocioba, Rares Ion | Winchester | 259837-3W | July 14, 2022 |
| Connery, Lisa Eve | Vera Beach | 189380-9B | July 14, 2022 |
| Cueva, Polivio A. | Corona | 102334-0W | July 14, 2022 |
| Dasher, George Ellis | Gloversville | 167898-6W | July 14, 2022 |
| Dauber, Stanley E. | Getzville | P02741-8B | July 14, 2022 |
| Dinovis, James Paul | Sayville | P03232-7B | July 14, 2022 |
| Fabbri, Carol Jean | N. Syracuse | PT006977-3W | July 14, 2022 |
| Faccini, Lino Angelo | Islip | S11517-0W | July 14, 2022 |
| Fazio, Linda Frances | Northport | S07956-6W | July 14, 2022 |
| Fernandez, Oscar Emiro | Elmhurst | 104507-9W | July 14, 2022 |
| Friedlander, Charles Norman | New York City | 104575-6W | July 14, 2022 |
| Gaines, Victor D. | Poughkeepsie | 154174-7W | July 14, 2022 |
| Galler, Steven G. | Jericho | 129708-4W | July 14, 2022 |
| Gegerson, Andrew S. | Valley Stream | P03012-3W | July 14, 2022 |
| Gewacke, Marilyn | East Nassau | S06617-5W | July 14, 2022 |
| Gharia, Bharatsinh Mahendrasinh | Cooperstown | 294604-4W | July 14, 2022 |
| Giusti, John Anthony | Greenwich | C11414-0W | July 14, 2022 |
| Glicksman, Steven Jacob | New York | S08913-6B | July 14, 2022 |
| Greenberg, Stephan Michael | Hornell | 099238-8W | July 14, 2022 |
| Gregory, Robert A. D. | Nanuet | C00136-2W | July 14, 2022 |
| Guttikonda, Veeranjaneya V. | Tempe | 135854-8W | July 14, 2022 |
| Gyuratz, Peter | Kew Gardens Hills | PA014155-6W | July 14, 2022 |
| Haig, Armen Charles | Scarsdale | 092032-2W | July 14, 2022 |
| Heilman, Ellin Marcia | Scarsdale | S12546-8W | July 14, 2022 |
| Henderson, Denise Llyn | Henrietta | S09875-6I | July 14, 2022 |
| Hennessey, William J. | Troy | 120355-3W | July 14, 2022 |
| Hui, William Manwai | Great Neck | C04309-3B | July 14, 2022 |
| Ishak, Mark-Mina Maher | Highland Mills | 296442-7B | July 14, 2022 |
| Jalowiec, David P. | Herkimer | C03815-0B | July 14, 2022 |
| Janvier, Marie Lodie | Bronx | C10311-1B | July 14, 2022 |
| Johnstone, Annette | Webster | PT007411-3W | July 14, 2022 |
| Kalmuk, Eugene James, Jr. | Canton | 161345-4W | July 14, 2022 |
| Kanes, Melissa Panayiota | Manhasset Hills | C08089-7I | July 14, 2022 |
| Kapotes, Charles Nicholas | Manhasset Hills | S00653-6B | July 14, 2022 |
| Kienitz, Beverly A. | Madison | 211234-0W | July 14, 2022 |
| King-Adekunle, Dorinda Amun | New York | P06239-9B | July 14, 2022 |
| Kircher, Barbara Jean | Rochester | 242007-3W | July 14, 2022 |
| Kolanchick, Gary J. | Kittery | 142539-6B | July 14, 2022 |
| Kricheff, Irvin I. | Teaneck | 086021-3W | July 14, 2022 |
| Laforest, Jean J. | Baldwin | 132993-7W | July 14, 2022 |
| Lamb, Charles William | Cooperstown | S03704-4W | July 14, 2022 |
| Lau, Yat Hong | Loudonville | 185508-9W | July 14, 2022 |
| Leader, Eric Theodore | Auburn | C07334-8W | July 14, 2022 |
| Lee, Yeong H. | Batavia | 122714-9W | July 14, 2022 |
| Lew, Ewa Maria | West Pittston | 217014-0W | July 14, 2022 |
| Locke, Clyde R. | Amagansett | 093260-8W | July 14, 2022 |
| Longo, Anthony | Monroe | C02094-3W | July 14, 2022 |
| Maniscalco, Philip L. | Tarrytown | S11344-9W | July 14, 2022 |
| Martin, Claire Rena | Ballston Spa | PT010625-5W | July 14, 2022 |
| Martin, Timothy | Trout Run | PT044196-3W | July 14, 2022 |
| Mcmenamy, John Michael | New York | 257838-3B | July 14, 2022 |
| Messerschmitt, Joshua Jacob | Seneca Falls | AC006501-1W | July 14, 2022 |
| Meyers, Michael B. | Denver | 121038-4W | July 14, 2022 |
| Miller, Joseph Alan | Victor | C07054-2B | July 14, 2022 |
| Miller, Samuel L. | Brooklyn | 101754-0W | July 14, 2022 |
| Minardi, Alexander Frank | East Islip | S08253-7W | July 14, 2022 |
| Moody, Yasmeen A. | Burdett | 147355-2W | July 14, 2022 |
| Ohene, Baah Nana Yaw | Fairport | 293385-1W | July 14, 2022 |
| Okpukpara, Onyinye Obianuju | West Harrison | 258078-5W | July 14, 2022 |
| Orenstein, Hadassah Lee | Great Neck | 154444-4W | July 14, 2022 |
| Ott, Gary R. | Deadwood | 128707-7W | July 14, 2022 |
| Padmanabhan, Vellore T. | Port Washington | 111481-8W | July 14, 2022 |
| Parillo, Jack P. | Buskirk | 145074-1W | July 14, 2022 |
| Parsont, Lawrence M. | New York | 128401-7W | July 14, 2022 |
| Partridge, Henry Seymour | Glen Head | 105496-4B | July 14, 2022 |
| Pass, Harold L. | Smithtown | S05095-5B | July 14, 2022 |
| Patel, Yogendra R. | Staten Island | 120705-9B | July 14, 2022 |
| Patil, Devina Omeidi | Mineola | 287914-6W | July 14, 2022 |
| Pfohl, George W. | Orchard Park | 144747-3W | July 14, 2022 |
| Piechowiak, Rachel Lynn | Woodbridge | 260214-2W | July 14, 2022 |
| Pillari, George Peter | Jupiter | 100029-8W | July 14, 2022 |
| Port, Michael William | Melville | 160854-6W | July 15, 2022 |
| Pratt, Kattie Mae | Glens Falls | PT033398-6W | July 14, 2022 |
| Realuyo, Amelia R. | New York | 100745-9W | July 14, 2022 |
| Rekhi, Neeta | Rochester | 123241-2W | July 14, 2022 |
| Rimawi, Kathryn Tara | Schenectady | OT023706-9W | July 14, 2022 |
| Roman, Joseph | Florida | S08457-4W | July 14, 2022 |
| Rose, Alan | Bay Shore | 097643-1W | July 14, 2022 |
| Rosen, Michael R. | White Plains | 121266-1B | July 14, 2022 |
| Rosso, David Michael | Travis Afb | 192501-5W | July 14, 2022 |
| Roth, Allen | Westbury | P03200-4B | July 14, 2022 |
| Sandhu, Baldev S. | Englewood Cliffs | 161451-0W | July 14, 2022 |
| Sharma, Hari Har | Cary | 110375-3W | July 14, 2022 |
| Sheikh, Amjad Ghani | Irving | 200248-3W | July 14, 2022 |
| Shvilkina, Tatyana | Framingham | 303904-7W | July 14, 2022 |
| Simon, Jeffrey M. | Carmel | S06767-8B | July 14, 2022 |
| Song, Juho | Latham | 162399-0W | July 14, 2022 |
| Spring, Camberly Ipson | Rochester | 249079-5W | July 14, 2022 |
| Stumacher, Mark Jay | Danbury | 134980-2W | July 14, 2022 |
| Sulaiman, Tasneem | Huntington Station | 130099-5B | July 14, 2022 |
| Tempesta, Reno | Eastport | 089436-0W | July 14, 2022 |
| Timmins, Edward M. | West Islip | 190433-3W | July 14, 2022 |
| Todd, Jeffrey Andrew | Norwich | P03816-7B | July 14, 2022 |
| Vosseller, James Turner | Jacksonville | 253715-7W | July 14, 2022 |
| Wain, Sydney | Old Westbury | 086751-5W | July 14, 2022 |
| Walker, Jan Mayer | Wolcott | 185268-0W | July 14, 2022 |
| Wallace, Wayne A. | Hammondsport | 108875-6B | July 14, 2022 |
| Watkins, Michael A. | Ballston Spa | PT006271-2W | July 14, 2022 |
| Weinstein, Barry Alan | Williamsville | 106114-2W | July 14, 2022 |
| Weise, Leonard E. | Allegany | PT005815-7W | July 14, 2022 |
| Weisel, Thomas Scott | Fishkill | 174168-5W | July 14, 2022 |
| Wheeler, Jennifer Ann | Bergen | 241304-5W | July 14, 2022 |
| Wiegman, Nelson Eric | Lowville | 303847-8W | July 14, 2022 |
| Wizorek, Joseph John | Rochester | 286292-8W | July 14, 2022 |
| Wood, William Benedict | Palm Beach | 084340-9W | July 14, 2022 |
| Yankey, Godfred Kwame-Nyamekech | Fresno | 253865-0W | July 14, 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