Subject Numbers Regarding Health Provider Authorizations
January 28, 2015
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 |
|---|---|---|---|
| Allen, Eugene | Mt Vernon | 079747-2B | November 13, 2014 |
| Awan, Rina Nazir | Stony Brook | 258742-6B | November 13, 2014 |
| Baird, Nnemdi A | Delmar | 260673-9W | November 13, 2014 |
| Bellinfante, Bruno | New York | 084676-6W | November 13, 2014 |
| Cohen, Max | Roslyn Heights | 048369-3W | November 13, 2014 |
| Dait, Marianne | Elmira | 206695-9W | November 13, 2014 |
| Daliana, Maurizio | New York | 095422-2W | November 13, 2014 |
| Davies, Joshua William Jr | Cold Spring | 090809-5W | November 13, 2014 |
| Davila, Felix | White Plains | 110467-8W | October 30, 2014 |
| Delvalle, Nicholas H | New York | 077008-1W | November 13, 2014 |
| Dianto, Nicholas L | Staten Island | C02366-5B | November 13, 2014 |
| Doornick, Jean-Claude | Harrison | C09425-2W | November 13, 2014 |
| Dudelzak, Boris | Woodmere | 221486-4W | November 13, 2014 |
| Fallon, Brian Andrew | Bellmore | P05952-8B | November 13, 2014 |
| Feldman, B Robert | New York | 087042-8W | November 13, 2014 |
| Gershon, Howard Walter | Belle Harbor | 081230-5W | November 13, 2014 |
| Giannettino, Joseph Edward | Le Roy | C11179-1B | November 13, 2014 |
| Gicewicz, Edmond Joseph | Buffalo | 079450-3B | November 13, 2014 |
| Goodman, Mark Lloyd | Syracuse | 140828-5B | November 13, 2014 |
| Grandal, Jessica Ruth | Kings Park | C05178-1B | November 13, 2014 |
| Graney, Michael John | Rochester | 109331-9B | November 13, 2014 |
| Grange, Carmen Hermena | New York | 093935-5W | November 13, 2014 |
| Hackett, Erika J | Webster | C11694-9B | November 13, 2014 |
| Heller, Eugene | Melville | 085272-3W | November 13, 2014 |
| Ho, Frederick | Syracuse | 097508-6W | November 13, 2014 |
| Huddle, Timothy John | Elmira | 146425-4W | November 13, 2014 |
| Larppanichpoonphol, Panupong | Rochester | 260132-6W | November 13, 2014 |
| Lee, Frank Ungman | Huntington Station | 099618-1W | November 13, 2014 |
| Lieberman, Ronald Michael | New York | 230634-8B | November 13, 2014 |
| Mandler, Otto | Jamaica | 087278-8W | November 13, 2014 |
| Manglapus, Daniel P | Rome | 119597-3W | November 13, 2014 |
| Matos, Jose Euripides | Yonkers | 122156-3W | November 13, 2014 |
| Moran, Frank Theodore | Syracuse | 070624-2W | November 13, 2014 |
| Phillips, Philip L | Mamaroneck | 132836-8W | November 13, 2014 |
| Pillai, Shreejith Divakaran | Rochester | L04048-5W | November 13, 2014 |
| Propp, Richard Paul | Albany | 087720-9W | November 13, 2014 |
| Prusaczyk, Henryk | Niskayuna | 194956-9W | November 13, 2014 |
| Robert, John Peter | Olean | 170205-9W | November 13, 2014 |
| Rosier, Randy Nathan | Rochester | 159011-6W | November 13, 2014 |
| Rothschild, Mark A | Camillus | 168843-1B | November 13, 2014 |
| Rubins, Walter Henry | Port Washington | 080975-6B | November 13, 2014 |
| Sales, Benigno | Flushing | 119359-8W | November 13, 2014 |
| Sanghvi, Jasu Indravadan | New York | 108326-0W | November 13, 2014 |
| Satloff, Aaron | Pittsford | 086408-2B | November 17, 2014 |
| Sheehan, Thomas Patrick | Grand Island | 105456-8W | November 13, 2014 |
| Sood, Lonika | Rochester | L04045-1W | November 13, 2014 |
| Stevens, Richard Crosby | Binghamton | 075722-9W | November 13, 2014 |
| Weihs, John Stephen | New York | 170831-2W | November 13, 2014 |
* Providers authorized to treat only, have an authorization number ending in "W" – Providers authorized to treat and perform independent medical examinations, have an authorization number ending in "B" – Providers authorized to perform independent medical examinations only, 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.
Robert E. Beloten
Chair