Subject Numbers Regarding Health Provider Authorizations
August 5, 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 |
|---|---|---|---|---|
| Flanagan, Joseph William | Allergy And Immunology, Internal Medicine | Ithaca | 200087-5W | July 13, 2015 |
| Wang, Yafei | Anatomic Pathology, Clinical Pathology, Cytopathology | Elmira | 234101-4B | July 13, 2015 |
| Beniamin, Myriam Nimr Shafik | Anesthesiology | Ogdensburg | 273223-8W | July 29, 2015 |
| Brooks, John Roderick | Anesthesiology | Schenectady | 278350-4W | July 24, 2015 |
| Chen, Donghui | Anesthesiology | Short Hills | 232253-5W | July 20, 2015 |
| Enyinna, Chinedum Steven | Anesthesiology | Mount Kisco | 278181-3W | July 20, 2015 |
| Kalsi, Mandip Singh | Anesthesiology | New York | 261472-5W | July 1, 2015 |
| Kim, Jennifer Hee | Anesthesiology | Rockville Centre | 277350-5W | July 1, 2015 |
| Patterson, Robert Andrew | Anesthesiology | Johnson City | 216746-8B | July 28, 2015 |
| Pulli, Emily Carroll | Anesthesiology | Buffalo | 279452-7W | July 20, 2015 |
| Rutkowski, Piotr Stanislaw | Anesthesiology | Williamsville | 278603-6W | July 20, 2015 |
| Saxena, Vikram Vidiasagar | Anesthesiology | New York | 273740-1W | July 20, 2015 |
| Schwagerl, Anthony L | Anesthesiology | West Islip | 278475-9W | July 29, 2015 |
| Wade, Gabriel Charles | Anesthesiology | Mount Kisco | 278433-8W | July 20, 2015 |
| Wise, Christopher Scott | Anesthesiology | Melville | 273119-8W | July 1, 2015 |
| Wong, Sai-Kit | Anesthesiology | Melville | 243586-5W | July 1, 2015 |
| Wu, Isaac Y | Anesthesiology | New York | 274670-9W | July 20, 2015 |
| Besleaga, Diana L | Anesthesiology, Pain Management | West Islip | 277724-1W | July 24, 2015 |
| Arnold, Gregory | Chiropractic | Hauppauge | C12159-2B | July 30, 2015 |
| Bolsenbroek, Jodi | Chiropractic | Monroe | C11412-6W | July 30, 2015 |
| Cracchiola, Peter Thomas | Chiropractic | West Seneca | C12648-4W | July 30, 2015 |
| Crawford, John Allen | Chiropractic | Rochester | C12576-7W | July 30, 2015 |
| Dornink, Marshall Eugene | Chiropractic | Buffalo | C12627-8W | July 30, 2015 |
| Heffron, Allison Deane | Chiropractic | Hollis Hills | C12565-0B | July 30, 2015 |
| Johnson, Sarah Ashley | Chiropractic | Montgomery | C12621-1W | July 30, 2015 |
| Kahn, Harry Nathan | Chiropractic | Slingerlands | C12412-5W | July 30, 2015 |
| Leder, Mark Eric | Chiropractic | Great Neck | C06079-0W | July 30, 2015 |
| Masia, Nicholas Gino | Chiropractic | Williamsville | C12530-4W | July 31, 2015 |
| Mayrkovich, Inna | Chiropractic | Staten Island | C09330-4B | July 31, 2015 |
| Mills, Saglara B | Chiropractic | Brooklyn | C11887-9W | July 31, 2015 |
| Murray, Stacie Amanda | Chiropractic | Buffalo | C12640-1B | July 31, 2015 |
| Przybyla, Scott David | Chiropractic | Orchard Park | C12624-5W | July 31, 2015 |
| Ryan, Nicholas Andrew | Chiropractic | Batavia | C12389-5B | July 31, 2015 |
| Sickler, Thomas Joseph | Chiropractic | Buffalo | C12628-6W | July 31, 2015 |
| Walia, Amandeep Singh | Chiropractic | Oyster Bay | C12469-5W | July 31, 2015 |
| Amin, Sejal Patel | Diagnostic Radiology | Rye Brook | 277283-8W | July 20, 2015 |
| Axel, Leon | Diagnostic Radiology | New York | 222568-8B | July 21, 2015 |
| Deipolyi, Amy | Diagnostic Radiology | New York | 274375-5B | July 20, 2015 |
| Longley, Deborah Gay | Diagnostic Radiology | Syracuse | 277616-9W | July 20, 2015 |
| Mason, Derek Mell | Diagnostic Radiology | New York | 247784-2B | July 20, 2015 |
| Sanchez, Laurie Sophia | Diagnostic Radiology, Neuroradiology | New York | 229667-1B | July 1, 2015 |
| Lala, Shailee V | Diagnostic Radiology, Pediatric Radiology | New York | 255516-7B | July 20, 2015 |
| Cyr, Risa Dubin | Emergency Medicine | Ithaca | 271060-6W | July 13, 2015 |
| Fisher, Hope Charmaine | Emergency Medicine | Buffalo | 225511-5W | July 24, 2015 |
| Haque, Masood Ul | Emergency Medicine | Mont Kisco | 187927-9B | July 20, 2015 |
| Keating, James O'malley | Emergency Medicine | White Plains | 233007-4W | July 31, 2015 |
| Schwaner, Robert Allen | Emergency Medicine, Medical Toxicology | Stony Brook | 223774-1W | July 27, 2015 |
| Del Pilar, Alberto Saludes Jr | Family Practice | Liverpool | 266776-4W | July 20, 2015 |
| Houpt, Darren Clifford | Family Practice | Rochester | 260033-6W | July 9, 2015 |
| Nesheiwat, Janette | Family Practice | Springdale | 275185-7W | July 31, 2015 |
| Saribekyan, Arpine | Family Practice | Middletown | 271272-7W | July 21, 2015 |
| Lurvey, Gabriel Cullen | Family Practice, Sports Medicine | Auburn | 276638-4W | July 29, 2015 |
| Aiello, Dana Christopher | Internal Medicine | Liverpool | 278381-9W | July 20, 2015 |
| Bansal, Nidhi | Internal Medicine | Syracuse | 278315-7W | July 20, 2015 |
| Fahoury, Alex Ibrahim | Internal Medicine | Brockport | 237262-1W | July 31, 2015 |
| Gamarnik, Paul Hernan | Internal Medicine | Mount Kisco | 268339-9B | July 20, 2015 |
| Monserrate, Nicole Marie | Internal Medicine | Delmar | 249693-3W | July 1, 2015 |
| Ruoff, Carl Alex | Internal Medicine | Lake Success | 270030-0W | July 1, 2015 |
| Salas, Stephanie Ann | Internal Medicine | Bronx | 243065-0W | July 14, 2015 |
| Schwam, Ariel Sergio | Internal Medicine | Albany | 236972-6W | July 21, 2015 |
| Shah, Janki Ranjit | Internal Medicine | Massena | 275875-3W | July 13, 2015 |
| Wasileski, Heather L | Internal Medicine | Auburn | 234048-7W | July 29, 2015 |
| Baker, Marc Louis | Internal Medicine, Cardiovascular Disease | Auburn | 241055-3W | July 24, 2015 |
| Sodums, Marcis T | Internal Medicine, Cardiovascular Disease, Interventional Cardiology | Ithaca | 154828-8W | July 13, 2015 |
| Amin, Hossam Hassan | Internal Medicine, Pulmonary Diseases, Critical Care Medicin | Brooklyn | 204538-3W | July 28, 2015 |
| Shannon, Larry Roland Ii | Neurological Surgery | Cooperstown | 249631-3W | July 14, 2015 |
| Yassari, Reza | Neurological Surgery | Bronx | 258644-4W | July 24, 2015 |
| Manning, Erin Elizabeth | Neurology | New York | 266012-4W | July 1, 2015 |
| Meyers, Clifford William | Neurology | Rochester | 267152-7W | July 20, 2015 |
| Lian, Xun | Obstetrics/Gynecology | Stony Brook | 278302-5W | July 1, 2015 |
| Yao, Michelle | Ophthalmology | Mineola | 252006-2W | July 1, 2015 |
| Lager, Sean Louis | Orthopedic Surgery | New York | 221926-9B | July 20, 2015 |
| Rogers, Roger Warren | Orthopedic Surgery | Lewiston | 275135-2W | July 20, 2015 |
| Mirza, Justin Bruno | Orthopedic Surgery, Hand Surgery | Saint James | 258198-1W | July 27, 2015 |
| Plancher, Kevin D | Orthopedic Surgery, Hand Surgery | New York | 181664-4B | July 31, 2015 |
| Namon, Ari J | Otolaryngology | Poughkeepsie | 215691-7B | July 24, 2015 |
| Jurkowich, Michael R | Physical Medicine/Rehabilitation | Valley Stream | 270951-7B | July 20, 2015 |
| Masaba, Oliver Mate | Physical Medicine/Rehabilitation | Rego Park | 278585-5W | July 24, 2015 |
| Patel, Rakesh H | Physical Medicine/Rehabilitation | Middletown | 279096-2W | July 24, 2015 |
| Al-Tariq, Quazi Saifullah | Psychiatry | Middletown | 176250-9W | July 14, 2015 |
| Buch, Sandip Pradip | Psychiatry | New York | 240099-2B | July 1, 2015 |
| Kiblitsky, Irina | Psychiatry | Brooklyn | 246958-3B | July 28, 2015 |
| Quinn, Marie Elaine | Radiology - Diagnostic Radiology | Williamsville | 278564-0W | July 20, 2015 |
| Selvaraj, Dhana Rekha | Radiology - Diagnostic Radiology | White Plains | 278344-7W | July 28, 2015 |
| O'connor, Catherine Eileen | Surgery | Oneonta | 277802-5W | July 20, 2015 |
| Abodeely, Adam J | Surgery, Colon And Rectal Surgery | Saranac Lake | 257000-0W | July 13, 2015 |
| Rorabaugh, James Douglas | Surgery, Colon And Rectal Surgery | Corning | 277940-3W | July 13, 2015 |
| Ambrosino, John Joseph | Surgery, General Vascular Surgery | Kingston | 278100-3W | July 24, 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