Subject Numbers Regarding Health Provider Authorizations
March 12, 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 |
|---|---|---|---|
| Pfeffer, Herbert | Hartsdale | 100157-7W | December 29, 2014 |
| Mandarano, Carmine G. | East Islip | 150973-6W | December 30, 2014 |
| Senat, Eric | Brooklyn | 173063-9W | December 30, 2014 |
| Bazan, Carlos Constante | New Hyde Park | 086537-8B | January 12, 2015 |
| Belkowitz, Martin Jacob | Dewitt | 113235-6B | January 12, 2015 |
| Berkay, Husnu Sinan | Roslyn | 129100-4W | January 12, 2015 |
| Blaugrund, Stanley M. | New York | 084072-8W | January 12, 2015 |
| Carmel, Peter W. | New York | 090213-0W | January 12, 2015 |
| Chen, Siok Ching L. | Northport | 112781-0W | January 12, 2015 |
| Christiana, Gerard Carl | Bronxville | C09541-6W | January 12, 2015 |
| Chung, Connie | New York | 245899-0W | January 12, 2015 |
| Dailey, Thomas Hammond | New York | 089510-2W | January 12, 2015 |
| Dorwitt, Deborah Irene | Newburgh | 170437-8W | January 12, 2015 |
| Doyen, Chelsea Cerise | Cicero | 266735-0W | January 12, 2015 |
| Eng, Young F. | Staten Island | 089292-7W | January 12, 2015 |
| Finn, Marvin L. | Syosset | C02001-8B | January 12, 2015 |
| Francis, Francis Xavier Jr. | Eggertsville | 086853-9W | January 12, 2015 |
| Freeman, Andrew Miller | Sayville | 175995-0W | January 12, 2015 |
| Friedman, Sam L. | New City | 084541-2W | January 12, 2015 |
| Gabriely, Magda | Peekskill | 236348-9W | January 12, 2015 |
| Greeley, Grant Horace | Brooklyn | 173638-8W | January 12, 2015 |
| Harding, John Edward | Edicott | 080708-1W | January 12, 2015 |
| Hickes, Robert George | Syracuse | 113067-3W | January 12, 2015 |
| Hyde, Richard Witherington | Rochester | 104355-3W | January 12, 2015 |
| Israeli, Ilan | Jericho | 107405-3W | January 12, 2015 |
| Jain, Yawantraj P. | North Hills | 113476-6W | January 12, 2015 |
| Jarmolow, Marc Robert | Freeport | C03257-5W | January 12, 2015 |
| Kang, Jae Ryong | Melville | 120115-1W | January 12, 2015 |
| Khan, Madeeha | East Corning | 266562-8W | January 12, 2015 |
| Kumar, Vijaya N. | Mount Kisco | 111362-0W | January 12, 2015 |
| Leblanc, Jude A. | Dundee | 129760-5W | January 12, 2015 |
| Lee, Bowlva M. | New York | 254979-8W | January 12, 2015 |
| Leveque, Eddy | Brooklyn | 141700-5W | January 12, 2015 |
| Llorens, Jose B. | Valley Stream | 121628-2W | January 12, 2015 |
| Loftus, Tayloe Holton | Manlius | 162291-9W | January 12, 2015 |
| Lorah, Jay Arthur | Pearl River | 206787-4W | January 12, 2015 |
| Lustgarten, Leonard Stuart | Westhampton Beach | 081727-0W | January 12, 2015 |
| Lutz, Thomas George | Syracuse | 114747-9W | January 12, 2015 |
| Lyon, Alan Franklin | Scarsdale | 077435-6W | January 12, 2015 |
| Maglione, Paul Louis | North Syracuse | 081206-5W | January 12, 2015 |
| Malfa, John D. | Buffalo | 086225-0W | January 12, 2015 |
| Mathieu, Claude | Hollis | 096707-5W | January 12, 2015 |
| Menotti, Robert A. | Clinton | 116587-7W | January 12, 2015 |
| Mohamed, Iqbal A. | Niagara Falls | 119982-7W | January 12, 2015 |
| Munnich, Kurt Stephen | Pittsford | C02740-1W | January 12, 2015 |
| Nobandegani, Fariborz | Kew Gardens | 194649-0W | January 12, 2015 |
| Payackapan, Wittaya | Amityville | 121997-1B | January 12, 2015 |
| Pillsbury, Helen Marie | Mount Kisco | 215507-5W | January 12, 2015 |
| Plamenco, Pedro Santos | Staten Island | 105469-1W | January 12, 2015 |
| Prentice, Michael James | Depew | C06425-5B | January 12, 2015 |
| Richie, Carl Milton | Flushing | 135999-1W | January 12, 2015 |
| Ruan, Jonathan | Vestal | 129202-8W | January 12, 2015 |
| Sagar, Freny D. | Plandone Manor | 106294-2W | January 12, 2015 |
| Schreiner, Eugene I. | Cornwall | 110460-3W | January 12, 2015 |
| Sese, Linda Q. | Brooklyn | 112251-4W | January 12, 2015 |
| Sivakumaran, Chandrasekara | Blauvelt | 129685-4W | January 12, 2015 |
| Smith, Kristen Marie | Syracuse | C12082-6W | January 12, 2015 |
| Smulyan, Harold | Syracuse | 082424-3W | January 12, 2015 |
| Yoon, Serena Hanee | Ithaca | 199049-8W | January 12, 2015 |
| Yutsis, Pavel Isaakovich | Brooklyn | 166959-7W | January 12, 2015 |
* 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