Subject Numbers Regarding Health Provider Authorizations
July 1, 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 |
|---|---|---|---|---|
| Danielsson, Jennifer | Anesthesiology | New York | 254552-3W | May 19, 2015 |
| De, Arup | Anesthesiology | Delmar | 246563-1B | May 20, 2015 |
| Lo, Sansan Shelley | Anesthesiology | New York | 235525-3W | May 19, 2015 |
| Lynch, Lisa Renee | Anesthesiology | New York | 245615-0W | May 19, 2015 |
| Pagano, Parwane Parsa | Anesthesiology | New York | 247525-9W | May 19, 2015 |
| Yocum, Gene Thomas | Anesthesiology | New York | 268706-9W | May 19, 2015 |
| Chen, Martin | Anesthesiology, Critical Care Medicine | New York | 263733-8W | May 19, 2015 |
| Darrah, Daniela Marie | Anesthesiology, Critical Care Medicine | New York | 249973-9W | May 19, 2015 |
| Kiamanesh, David Ashkan | Anesthesiology, Critical Care Medicine | New York | 271459-0W | May 19, 2015 |
| Mulaikal, Teresa Anita | Anesthesiology, Critical Care Medicine | New York | 252618-4W | May 19, 2015 |
| Panzer, Oliver Peter-Friedrich | Anesthesiology, Critical Care Medicine | New York | 269562-5W | May 19, 2015 |
| Do, Ouro Rodrigues Suelane Sous | Anesthesiology, Pain Management | New York | 226227-7B | May 19, 2015 |
| Bland, Ryan Scott | Chiropractic | New York | C12541-1W | May 13, 2015 |
| Coster, Richard Donald | Chiropractic | Orchard Park | C12348-1W | May 13, 2015 |
| Debe, Anthony Harry | Chiropractic | Mastic | C12502-3W | May 14, 2015 |
| Denero, Robert Michael | Chiropractic | Rochester | C12556-9B | May 14, 2015 |
| Ellis, Mick | Chiropractic | East Aurora | C12390-3W | May 14, 2015 |
| Evans, Raymond Corey | Chiropractic | Williamsville | C12647-6W | May 14, 2015 |
| Fleming, Allison Meaghan | Chiropractic | Rochester | C12602-1W | May 13, 2015 |
| Gelber, Scott C | Chiropractic | Plainview | C11654-3W | May 14, 2015 |
| Grodin, Elizabeth Renee | Chiropractic | Forest Hills | C12589-0W | May 14, 2015 |
| Honor, Jennifer Lee | Chiropractic | Bayside | C12497-6W | May 14, 2015 |
| Jabaji, Yazan Rajai | Chiropractic | Niagara Falls | C12495-0B | May 14, 2015 |
| Jarrett-Thelwell, Fiona | Chiropractic | Seneca Falls | C11566-9B | May 14, 2015 |
| Lam, Ivan | Chiropractic | New York | C12540-3W | May 14, 2015 |
| Ludwig, Ryan Michael | Chiropractic | Rochester | C12610-4W | May 18, 2015 |
| Matty, Michael John | Chiropractic | Ctr Moriches | C12452-1I | May 14, 2015 |
| Mcleod, Adrienne Dayle | Chiropractic | Staten Island | C12108-9W | May 14, 2015 |
| Michael, Jonathan | Chiropractic | Rockville Centre | C11832-5W | May 13, 2015 |
| Michalski, Francis James | Chiropractic | Williamsville | C12623-7W | May 14, 2015 |
| Oldroyd, Melissa Ann | Chiropractic | Owego | C12524-7W | May 14, 2015 |
| Park, Samue Chungworn | Chiropractic | Elmont | C09870-9W | May 14, 2015 |
| Petersen, Claire Barbara | Chiropractic | Cicero | C12355-6B | May 14, 2015 |
| Rodnick, Alexander Henry | Chiropractic | Elmsford | C12593-2W | May 14, 2015 |
| Romeo, Jamel Kurtlan | Chiropractic | Brooklyn | C12404-2B | May 14, 2015 |
| Severson, Larissa Lynn | Chiropractic | Bath | C12526-2W | May 14, 2015 |
| Cohen, Laurence Sean | Diagnostic Radiology | Brooklyn | 217600-6W | May 15, 2015 |
| Muthiah, Annamalai Jr | Diagnostic Radiology | Liverpool | 210812-4W | May 15, 2015 |
| Ray, Jennifer Kam | Diagnostic Radiology | Orchard Park | 231784-0W | May 4, 2015 |
| Urban, Nancy Dorothy | Diagnostic Radiology | Brooklyn | 208360-8W | May 15, 2015 |
| Lum, Waiho | Emergency Medicine | Forest Hills | 202905-6B | May 19, 2015 |
| Korn, Robert S | Emergency Medicine, Pediatrics | Dix Hills | 218974-4W | May 19, 2015 |
| Gupta, Neha | Family Practice | Cobleskill | 276105-4W | May 5, 2015 |
| Parent, Colleen Elizabeth | Family Practice | Morrisville | 256078-7B | May 6, 2015 |
| Stoughton, James Elliott | Family Practice | Johnson City | 245822-2W | May 6, 2015 |
| Bottiglieri, Thomas S | Family Practice, Sports Medicine | Staten Island | 237430-4B | May 8, 2015 |
| Ding, Yongzeng | Internal Medicine | Stony Brook | 265413-5W | May 6, 2015 |
| Nguyen, Nina Thi | Internal Medicine | Brooklyn | 259169-1W | May 14, 2015 |
| Morkevicius, Matas | Internal Medicine, Critical Care Medicine, Pulmonary Diseases | Hamilton | 261074-9B | May 6, 2015 |
| Dimopoulos, Vassilios Georgios | Neurological Surgery | Amherst | 277247-3W | May 4, 2015 |
| Raval, Ami B | Neurological Surgery | Staten Island | 267265-7W | May 19, 2015 |
| Smith, Arien Javon | Neurological Surgery | Bronx | 238180-4W | May 8, 2015 |
| Maltese, Todd Joseph | Neurology | Coram | 265409-3W | May 4, 2015 |
| Babalola, Ebenezer Olufemi | Obstetrics/Gynecology | Stony Brook | 277987-4B | May 6, 2015 |
| Kaelber, Arlene Emily | Obstetrics/Gynecology | Stony Brook | 172918-5W | May 6, 2015 |
| Lerman, Vadim | Orthopedic Surgery | Brooklyn | 256328-6W | May 7, 2015 |
| Mangion, Jeremy Eric | Orthopedic Surgery | Fishkill | 276704-4W | May 5, 2015 |
| Papadonikolakis, Anastasios | Orthopedic Surgery | Rego Park | 278501-2W | May 19, 2015 |
| Rawlins, Bernard Alexander | Orthopedic Surgery | New York | 175025-6W | May 19, 2015 |
| Renzoni, Steven Alex | Orthopedic Surgery | Airmont | 212885-8B | May 4, 2015 |
| Kumar, Kishore | Pediatrics | Massena | 277200-2W | May 4, 2015 |
| Da Silva, Annette Christina | Physical Medicine/Rehabilitation | New York | 209768-1B | May 20, 2015 |
| Prilik, Sofiya | Physical Medicine/Rehabilitation | New York | 239234-8W | May 19, 2015 |
| Coba, Miguel Antonio | Physical Medicine/Rehabilitation, Spinal Cord Injury Medicine | Astoria | 278190-4W | May 13, 2015 |
| Abernathie, Brenon Lee | Plastic Surgery | Purchase | 268851-3W | May 19, 2015 |
| Brass, Tara Lynn | Psychiatry | Scarsdale | 228766-2B | May 5, 2015 |
| Baker, Kevin Scott | Radiology - Diagnostic Radiology | Stony Brook | 277475-0W | May 6, 2015 |
| Shah, Samit Naresh | Radiology - Diagnostic Radiology | Latham | 278721-6W | May 20, 2015 |
| Yoon, Hannah | Radiology - Radiological Oncology | Coram | 274986-9W | May 7, 2015 |
| Glocker, Roan Jamison | Surgery | Rochester | 274719-4W | May 14, 2015 |
| Doyle, Adam Joseph Griffin | Surgery - General Vascular Surgery | Rochester | 274433-2W | May 14, 2015 |
| Cipollone, Maria | Surgery, Plastic Surgery | Huntington | 238327-1W | May 14, 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"
The following doctors have been added to the list of Impartial Specialists eligible for appointment in specific cases by the Board.
| NAME | SPECIALTY AREA OF PRACTICE | CITY OF PRACTICE | LICENSE NUMBER | EFFECTIVE DATE | END DATE |
|---|---|---|---|---|---|
| Rubin, Edward Samuel | Anesthesiology, Pain Management | Lake Success | 235004 | May 22, 2015 | May 22, 2020 |
| Szeinuk, Jaime | Occupational Medicine | Saint James | 203721 | May 20, 2015 | May 20, 2020 |
Any questions regarding the authorized lists should be referred to the Medical Director’s Office at 1 (800) 781-2362.
Robert E. Beloten
Chair