Subject Numbers Regarding Health Provider Authorizations
November 17, 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 |
|---|---|---|---|
| Aaltonen, Eric Tapio | New York | 260748-9B | September 22, 2022 |
| Ansari, Masood Ul Hassan | Tampa | 205218-1W | September 22, 2022 |
| Arp-Sandel, Jeffrey Bruce | Canaan | 162674-6W | September 22, 2022 |
| Assa, Andrej | Durham | 288440-1W | September 22, 2022 |
| Baskin, Howard Franklyn | West Orange | P02350-7W | September 22, 2022 |
| Beaty, Robert Harwood | Glens Falls | 171995-4W | September 22, 2022 |
| Bell, Frank Brian | Kerrville | C05565-7B | September 22, 2022 |
| Benway, Jamie Lynn | Glens Falls | 278242-3W | September 22, 2022 |
| Bernstein, Lawrence Joel | New York | 083227-9W | September 22, 2022 |
| Bogart, Sydney David | Bayside | 097175-4W | September 22, 2022 |
| Boufal, Margaret | Auburn | 234265-7B | September 22, 2022 |
| Bratman, Steven | Slingerlands | 307145-3W | September 22, 2022 |
| Busque, John Dale | Manchester | PT044346-5W | September 22, 2022 |
| Cacatian, Aurelia | Staten Island | 111172-3W | September 22, 2022 |
| Calandrino, Joseph | Saint Augustine | 182606-4W | September 22, 2022 |
| Calhoun, Kathryn Elizabeth | Richmond Hill | PA020389-3W | September 22, 2022 |
| Canita, Marvin Palacio | Phippsburg | PT024074-7W | September 22, 2022 |
| Carthy, John J. | Temple Terrace | 099273-5B | September 22, 2022 |
| Chandran, Latha | East Setauket | 186838-9W | September 22, 2022 |
| Chirel, Elba E. | Lakeland | P04641-7W | September 22, 2022 |
| Clark, Vivian Louise | Cooperstown | 233275-7W | September 22, 2022 |
| Cobbs, Winston H. | Elmont | 150250-9W | September 22, 2022 |
| Deiparine-Sygaco, Maria Teresa | West Islip | 186018-8W | September 22, 2022 |
| Demishev, Michael | Mineola | 253127-5W | September 22, 2022 |
| Dennis, Charles R. | Stuart | 126943-0W | September 22, 2022 |
| Duhl, Jay L. | Long Beach | P02244-2W | September 22, 2022 |
| Eranki, Ambika Pallavi | Syracuse | 277363-8W | September 22, 2022 |
| Feldman, Robert | Fayetteville | 189128-2W | September 22, 2022 |
| Fellows, David Gunnar | Ithaca | 180913-6W | September 22, 2022 |
| Freeley, Douglas A. | Brooklyn | 124780-8W | September 22, 2022 |
| Gahr, Herbert M. | New York | 083345-9W | September 22, 2022 |
| Galatzan, Russell Elliott | Vestal | 174482-0W | September 22, 2022 |
| Giuliani, Edoardo | New York | 102360-5W | September 22, 2022 |
| Gleasman, Douglas Wayne | Sylvan Beach | C07257-9B | September 22, 2022 |
| Gnecco, Margarita Rosa | Pembroke Pines | PT015337-9W | September 22, 2022 |
| Goetz, James Joseph | North Babylon | P04737-3W | September 22, 2022 |
| Goldstein, Jeffrey Mark | Monticello | C04643-3B | September 22, 2022 |
| Goroza, Lynn P. | Parlin | PT015995-4W | September 22, 2022 |
| Gosselin, Richard Robert | Poughkeepsie | 252409-8W | September 22, 2022 |
| Green, Christopher Michael | Estero | C10993-4W | September 22, 2022 |
| Greenan, Timothy John | Bethesda | 205142-3B | September 22, 2022 |
| Hartle, Marcy Ann | Dubois | 161877-6W | September 22, 2022 |
| Herrington, Valerie Rose | Helendale | 307293-1W | September 22, 2022 |
| Hladki, Cynthia Diane | Plainview | C05486-6B | September 22, 2022 |
| Hummel, Mark Robert | Elizabethtown | PT023994-7W | September 22, 2022 |
| Hutchings, James Curtis | Cooperstown | 171698-4W | September 22, 2022 |
| Ibrahim, Ihab John | South Amboy | 244271-3W | September 22, 2022 |
| Inzerillo, Catherine Bruckner | Venice | C07420-3W | September 22, 2022 |
| Johnson, Sarah Bryn | Pleasant Valley | PT038433-9W | September 22, 2022 |
| Kalvar, Patricia Nicole | Huntington | P03834-9W | September 22, 2022 |
| Kamdar, Jayesh C. | New York | 164457-4W | September 22, 2022 |
| Kantu, Sanjay | Brooklyn | 179541-8W | September 22, 2022 |
| Kaplan, Jay S. | Baldwin | 122621-6W | September 22, 2022 |
| Kay, Martin Mitchell | Bayside | 114358-5W | September 22, 2022 |
| Kleene, Bruce Metcalf | Rochester | 139382-6W | September 22, 2022 |
| Kobak, Martin | Muttontown | P02501-5W | September 22, 2022 |
| Lederman, Marvin | Pittsford | 092771-5B | September 22, 2022 |
| Lodha, Ajay Kumar | Corona | 189688-5W | September 22, 2022 |
| Lowenberg, Jennifer Michele | Roslyn | PT044359-8W | September 22, 2022 |
| Manzo, Andrew Albert | Farmingdale | P01862-2W | September 22, 2022 |
| Martin, David Joseph | Elbridge | 137277-0W | September 22, 2022 |
| Mazhari, Amir | Buffalo | 234311-9W | September 22, 2022 |
| Miller, Ronald Peter | Newark | C04739-9W | September 22, 2022 |
| Mitchell, John P. | New York | 120632-5W | September 22, 2022 |
| Monroe, Claudia Anne | Westfield | PT010920-7W | September 22, 2022 |
| Morasco, Christopher Michael | Batavia | C12024-6B | September 22, 2022 |
| Noorzad, Sara Ann | Elmira | PA020335-6W | September 22, 2022 |
| O'Connell, April Danielle | Long Island City | OT014804-9W | September 22, 2022 |
| Overland, Keith Scott | Norwalk | C02810-0I | September 22, 2022 |
| Owens, Terrance A. | Rochester | 162088-9W | September 22, 2022 |
| Perdios, Athanassios O. | Staten Island | 104988-1W | September 22, 2022 |
| Perlmutter, Steven | Sayville | 116754-3B | September 22, 2022 |
| Pillalamarri, Eswar Dutt | Baldwin | 130961-6W | September 22, 2022 |
| Pitaro, Maria Teresa | Astoria | 186087-3W | September 22, 2022 |
| Portzer, James Leonard | Savannah | 203724-0W | September 22, 2022 |
| Pradhan, Amit Prakash | Phoenix | 279586-2W | September 22, 2022 |
| Prophete, Harry | Brooklyn | 186316-6W | September 22, 2022 |
| Qamar, Wafa | New Hyde Park | 279270-3W | September 22, 2022 |
| Quraishi, Nisar Ali | New York | 117801-1W | September 22, 2022 |
| Radwan, Hussien Abdelmohsen Tha | Garland | 261813-0W | September 22, 2022 |
| Ramirez, Paul Michael | Woodstock | S11602-0W | September 22, 2022 |
| Rattotti, Richard Raymond | Bronx | 175462-1W | September 22, 2022 |
| Ravanmehr, Arash | Acworth | 285900-7B | September 22, 2022 |
| Rayher, Ronald Gerard | Clifton Park | C03944-6B | September 22, 2022 |
| Reddy, Gaddum Duemani | Syracuse | 289515-9W | September 22, 2022 |
| Riccione, Michael Angelo | Syracuse | 168710-2W | September 22, 2022 |
| Richman, Robert Alan | Clifton | C09129-8I | September 22, 2022 |
| Rohan, William Gustave | Malta | 171585-3B | September 22, 2022 |
| Root, David R. | Deltona | C03178-1B | September 22, 2022 |
| Rosen, Herman | New York | 085198-0W | September 22, 2022 |
| Rossmer, Irene Epelboym | Mineola | 269483-4W | September 22, 2022 |
| Ryback, Hyman A. | White Plains | 129907-2B | September 22, 2022 |
| Sandison, Michael Raymond Lewis | Delmar | 180087-9W | September 22, 2022 |
| Santos, Jose A. | Rockville Centre | 123259-4W | September 22, 2022 |
| Shanal, Monica | Summit | PT044360-6W | September 22, 2022 |
| Shethna, Avni Vijay | Edison | PT044348-1W | September 22, 2022 |
| Simmons, Danielle Paige | Sloan | N767226-4W | September 22, 2022 |
| Slear, Jeffrey Charles | Herndon | PT008157-0W | September 22, 2022 |
| Stahl, Gregory David | Venice | 142773-1B | September 22, 2022 |
| Straus, Lisa Ann | Millerton | 181394-8W | September 22, 2022 |
| Swift, Robert D. | Southfield | 266664-2W | September 22, 2022 |
| Tainsh, Cynthia Shearn | Nashville | 268620-2W | September 22, 2022 |
| Tamarkin, Arthur Neal | Bellmore | 151808-3W | September 22, 2022 |
| Thompson, Carolyn Henne | Norwalk | 170097-0W | September 22, 2022 |
| Trostle, Douglas R. | Bethlehem | 242683-1W | September 22, 2022 |
| Ventimiglia, Thomas R. | Forest Hills | C02558-5B | September 22, 2022 |
| Vento, Joseph Thomas | Bonita Springs | 162446-9W | September 22, 2022 |
| Wang, Long Qin | Brooklyn | 305038-2W | September 22, 2022 |
| Weckerle, Christine M. | Williamsville | 175914-1W | September 22, 2022 |
| Weiskopf, Richard Walter | Syracuse | 079726-6W | September 22, 2022 |
| White. Merritt Burke | Southampton | 112975-8W | September 22, 2022 |
| Winkler, Barbara Anne | Mt. Kisco | 142342-5B | September 22, 2022 |
| Wood, Rory Dewitt | Schenectady | 195792-7B | September 22, 2022 |
| Yoo, Kyung Sook | Colts Neck | 182528-0W | September 22, 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