Subject Numbers Regarding Health Provider Authorizations
June 8, 2015
The following have been added to the list of providers authorized to treat injured workers and/or perform independent medical examinations within the New York State workers’ compensation system.
| NAME | SPECIALTY AREA OF PRACTICE | CITY OF PRACTICE | AUTHORIZATION NUMBER* | EFFECTIVE DATE |
|---|---|---|---|---|
| Cano, Sarah Joanna | Anesthesiology | Rochester | 277765-4W | March 20, 2015 |
| Cantie, Shawn Michael | Anesthesiology | West Seneca | 276990-9W | March 19, 2015 |
| Charles, Shasky Kevin | Anesthesiology | New York | 266809-3W | March 4, 2015 |
| Kone, Bhavani P. S. S. | Anesthesiology | Rochester | 277821-5W | March 19, 2015 |
| Marshall, Cameron Michael | Anesthesiology | Lake Success | 271692-6W | March 10, 2015 |
| Ursillo, Christopher Ryan | Anesthesiology | Williamsville | 273233-7W | March 19, 2015 |
| Aliberti, Francesca | Chiropractic | Sunnyside | C12613-8W | March 16, 2015 |
| Backman, Deborah Kim | Chiropractic | Lockport | C12275-6W | March 16, 2015 |
| Blando, Jonathan Richard | Chiropractic | New Hartford | C12620-3W | March 16, 2015 |
| Calarco, Michael J. | Chiropractic | Lewiston | C12053-7W | March 16, 2015 |
| D'anna, Robert William | Chiropractic | Niagara Falls | C12581-7B | March 16, 2015 |
| D'aoust, Bryan Richard | Chiropractic | Utica | C12598-1W | March 16, 2015 |
| Elcock, Coral Jacqueline | Chiropractic | Jackson Heights | C06643-3B | March 16, 2015 |
| Farrell, Jessica Lynn | Chiropractic | Amherst | C12391-1B | March 16, 2015 |
| Gemelas, Alaina | Chiropractic | Huntington | C12543-7W | March 16, 2015 |
| Gerlach, Michael John | Chiropractic | Rochester | C12548-6B | March 16, 2015 |
| Giuffrida, Stephan Jay | Chiropractic | Yonkers | C12501-5W | March 16, 2015 |
| Grillo, Joseph Adam | Chiropractic | Brooklyn | C08136-6B | March 16, 2015 |
| Gucciardi, James | Chiropractic | East Setauket | C10407-7W | March 16, 2015 |
| Innes, Kyle Andrew | Chiropractic | Yorktown Heights | C12311-9W | March 16, 2015 |
| Kim, Ji Hoon | Chiropractic | Brooklyn | C12584-1B | March 16, 2015 |
| Nguyen, Thomas Vu | Chiropractic | Williston Park | C09720-6I | March 16, 2015 |
| Randall, Amanda Sue | Chiropractic | Wolcott | C12484-4W | March 16, 2015 |
| Reid, Michael James | Chiropractic | Northport | C11904-2W | March 16, 2015 |
| Surrett, Giselle Lorena | Chiropractic | Valley Stream | C12608-8W | March 16, 2015 |
| Thom, Michael Daniel | Chiropractic | Amherst | C12617-9W | March 16, 2015 |
| Todd, Michael Wesley | Chiropractic | Bloomingburg | C11493-6W | March 16, 2015 |
| Trif, Boris | Chiropractic | Brooklyn | C11063-7W | March 16, 2015 |
| Trombitas, Michael T. | Chiropractic | Lockport | C12582-5B | March 16, 2015 |
| Tsourounakis, Helena Marie | Chiropractic | Elmhurst | C12567-6W | March 16, 2015 |
| Vanacker, Lucas Todd | Chiropractic | Williamson | C12619-5W | March 16, 2015 |
| Whiting, Timothy Marc | Chiropractic | Syracuse | C12601-3W | March 16, 2015 |
| Zambuto, Gerlando | Chiropractic | Bronx | C12490-1B | March 16, 2015 |
| Grant, Bridget Marie | Dermatology | Cooperstown | 275670-8W | March 16, 2015 |
| Schliftman, Alan Bruce | Dermatology | White Plains | 135447-1W | March 31, 2015 |
| Gupta, Amit | Diagnostic Radiology | Stony Brook | 276720-0W | March 2, 2015 |
| Politi, Roman Gabriel | Diagnostic Radiology | Ithaca | 277309-1W | March 16, 2015 |
| Whittick, Wendy Faith | Diagnostic Radiology | Jamaica | 277190-5W | March 2, 2015 |
| Yaddanapudi, Kavitha | Diagnostic Radiology | Westbury | 276715-0W | March 2, 2015 |
| Petropoulou, Kalliopi | Diagnostic Radiology, Neuroradiology | Syracuse | 276263-1W | March 31, 2015 |
| Ching, Elbert | Emergency Medicine | Flushing | 255981-3W | March 2, 2015 |
| Corinaldi, Chalene A. | Emergency Medicine | Middletown | 228363-8W | March 4, 2015 |
| Gonzalez, Juan P. | Emergency Medicine | Bronxville | 205061-5W | March 18, 2015 |
| Kassem, Jawad Nadim | Emergency Medicine | Stony Brook | 255629-8W | March 2, 2015 |
| Leung, Liza | Emergency Medicine | Stony Brook | 254798-2W | March 19, 2015 |
| Turley, Baxter Jesse III | Emergency Medicine | Rochester | 268956-0W | March 19, 2015 |
| Tysz, Samantha | Emergency Medicine | New York | 267181-6W | March 30, 2015 |
| Ali, Faiza | Family Practice | Coram | 271435-0B | March 31, 2015 |
| Chou, Wei-Yu Wayne | Family Practice | Liverpool | 277614-4W | March 19, 2015 |
| Finn, Heather Kathleen | Family Practice | Syracuse | 277179-8W | March 19, 2015 |
| Jacob, Noble Kurian | Family Practice | Pearl River | 276562-6B | March 30, 2015 |
| James, Kesha Antionette | Family Practice | Middletown | 271427-7W | March 4, 2015 |
| Johal, Rupinder Kaur | Family Practice | Garden City | 277051-9W | March 10, 2015 |
| Julien-Banica, Jehanne | Family Practice | Middletown | 265717-9B | March 4, 2015 |
| Laing, Audra Ann | Family Practice | Geneseo | 266255-9W | March 9, 2015 |
| Mcphee, Catherine C. A. | Family Practice | Rochester | 245313-2W | March 20, 2015 |
| Potter, Amy Michelle | Family Practice | Webster | 276337-3W | March 20, 2015 |
| Roman, Lauren S. | Family Practice | Black River | 260700-0W | March 24, 2015 |
| Rosenthal, Laurel M. | Family Practice | Au Sable Forks | 136958-6I | March 20, 2015 |
| Singh, Lisa Ann | Family Practice | New York | 271360-0W | March 19, 2015 |
| Coghill, Alice Victoria | Internal Medicine | New York | 150251-7W | March 30, 2015 |
| Das, Saju | Internal Medicine | Cornwall | 275212-9W | March 4, 2015 |
| Dooley, Sean | Internal Medicine | Stony Brook | 278079-9W | March 4, 2015 |
| Duquella, Gregory Woodlee | Internal Medicine | Middletown | 272367-4W | March 4, 2015 |
| George, Sunil Kurien | Internal Medicine | Huntington | 253419-6W | March 2, 2015 |
| Grodberg, Jennifer Beth | Internal Medicine | Brooklyn | 219831-5W | March 26, 2015 |
| Merino, Ronald | Internal Medicine | Ithaca | 266766-5W | March 16, 2015 |
| Mohsin, Samira | Internal Medicine | Stony Brook | 277849-6B | March 19, 2015 |
| Riccardi, Elizabeth Gaffney | Internal Medicine | Syracuse | 269713-4W | March 30, 2015 |
| Sandhu, Jujhar Kaur | Internal Medicine | Malone | 273500-9W | March 2, 2015 |
| Nissirios, Themistoklis J. | Internal Medicine, Cardiovascular Disease | Goshen | 253483-2W | March 4, 2015 |
| Idelchik, Gary Michael | Internal Medicine, Cardiovascular Disease, Interventional Cardiology | Saratoga Springs | 259398-6W | March 26, 2015 |
| Sharma, Rajeev | Internal Medicine, Endocrinology, Diabetes And Metabolism | Syracuse | 270991-3W | March 19, 2015 |
| Monroe, Julie Ann | Internal Medicine, Hematology, Medical Oncology | Yonkers | 204986-4W | March 4, 2015 |
| Chittoria, Namita | Internal Medicine, Medical Oncology | Syracuse | 277113-7W | March 19, 2015 |
| Jurdi, Adham Adel | Internal Medicine, Medical Oncology | Syracuse | 276568-3W | March 30, 2015 |
| Kratzer, Joseph Harold | Neurology | Schenectady | 150454-7W | March 26, 2015 |
| Salamon, Elliott J. | Neurology | New Hyde Park | 255509-2B | March 10, 2015 |
| Prince, Henry Kurt | Obstetrics/Gynecology | Woodbury | 135297-0W | March 10, 2015 |
| Ezon, Isaac C. | Ophthalmology | Newburgh | 255348-5I | March 23, 2015 |
| Derasari, Aditya Manjul | Orthopedic Surgery | Fresh Meadows | 276427-2W | March 10, 2015 |
| Doak, Jeremy Paul | Orthopedic Surgery | Amherst | 274278-1I | March 19, 2015 |
| Gaines, Evan Bradley | Orthopedic Surgery | New City | 248779-1B | March 9, 2015 |
| Lamont, Justin Gerard | Orthopedic Surgery | New York | 142981-0B | March 11, 2015 |
| Okeefe, Kevin Daniel | Orthopedic Surgery | Auburn | 276929-7W | March 24, 2015 |
| Pruzansky, Jason Stuart | Orthopedic Surgery | Buffalo | 254265-2W | March 11, 2015 |
| Shen, Jian | Orthopedic Surgery | Amsterdam | 260330-6B | March 6, 2015 |
| Somberg, Andrew Max | Orthopedic Surgery | West Nyack | 274811-9W | March 30, 2015 |
| Ellicott, Emilie Alice | Pediatrics | Rochester | 270080-5B | March 20, 2015 |
| Dholakia, Amit | Physical Medicine/Rehabilitation | Fishkill | 243155-9B | March 25, 2015 |
| Rekhala, Vishal | Physical Medicine/Rehabilitation | Williamsport | 266775-6W | March 20, 2015 |
| Schoenfeld, Jennifer | Physical Medicine/Rehabilitation | West Hempstead | 263449-1W | March 2, 2015 |
| Aponte Martha, Patricia | Podiatry | Port Jefferson Station | P06477-5W | March 9, 2015 |
| Bauer, Richard Thomas III | Podiatry | Latham | P06435-3W | March 9, 2015 |
| Birnbaum, Stuart C. | Podiatry | Wesley Hills | P05970-0I | March 9, 2015 |
| Gomez, Danny J. | Podiatry | New York | P06626-7W | March 9, 2015 |
| Schwerdt, John David | Podiatry | Binghamton | P06632-5B | March 9, 2015 |
| Briody, Marie E. | Psychology | Staten Island | S16845-0W | March 3, 2015 |
| Caskey, Vanessa Porto | Psychology | New York | S20756-3W | March 3, 2015 |
| Henkell, Heather Marie | Psychology | Port Washington | S20964-3B | March 3, 2015 |
| Lazer-Gomez, Sarah Beth | Psychology | Astoria | S20335-6W | March 3, 2015 |
| Lutzky, Harriet Claire | Psychology | New York | S03419-9W | March 3, 2015 |
| Mahaffey, Brittain Lynn | Psychology | Kew Gardens | S20811-6W | March 3, 2015 |
| Mantell, Erica Meagan | Psychology | Plainview | S20350-5W | March 3, 2015 |
| Schwalbe, Evan | Psychology | New York | S17479-7I | March 3, 2015 |
| Serrao, Holly Felicia | Psychology | Schenectady | S20591-4W | March 3, 2015 |
| Small, Michael John | Psychology | Long Lake | S13837-0I | March 3, 2015 |
| Stewart, Julie Bright | Psychology | New York | S13969-1B | March 3, 2015 |
| Taylor, Gavin Henderson | Psychology | Loudonville | S19877-0W | March 2, 2015 |
| Lee, Sharon Sang Eun | Public Health & General Preventive Medicine | New York | 255894-8W | March 25, 2015 |
| Abulfaraj, Moaz Waleed | Surgery | Middletown | 275442-2B | March 9, 2015 |
| Chiu, Ernest Sai-Yun | Surgery | New York | 207328-6W | March 16, 2015 |
| Gill, Gurpreet | Surgery | Middletown | 276197-1B | March 4, 2015 |
| Jeganathan, Rajkumar | Surgery | Olean | 276238-3W | March 20, 2015 |
| Linehan, David C. | Surgery | Rochester | 277774-6W | March 25, 2015 |
| Sobral, Filipe Anacleto | Surgery | Huntington | 274504-0W | March 17, 2015 |
| Webb, Travis Paul | Surgery | Liverpool | 275729-2W | March 2, 2015 |
| Schiff, Jeffrey Todd | Urology | Garden City | 245572-3W | March 25, 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"
Any questions regarding the authorized lists should be referred to the Medical Director’s Office at 1 (800) 781-2362.
Robert E. Beloten
Chair