Subject Numbers Regarding Health Provider Authorizations
August 5, 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 |
|---|---|---|---|
| Abbas, Nausheen | Slingerlands | 268882-8W | June 8, 2015 |
| Agrawal, Divya | New York | 244211-9W | June 8, 2015 |
| Andersen, Harold Willids | Oyster Bay | 081078-8W | June 8, 2015 |
| Anzalone, Michelangelo | Brooklyn | C08643-1B | June 8, 2015 |
| Azar, Massoud Maroun | Plattsburgh | 118079-3W | June 8, 2015 |
| Baldovin, Donald Anton | Brooklyn | 148655-4W | June 8, 2015 |
| Bennett, Matthew Anthony | Getzville | 250570-9W | June 3, 2015 |
| Brawner, Josephine Aliac | Westbury | 200303-6W | June 8, 2015 |
| Brownstein, Howard | Great Neck | 089256-2B | June 8, 2015 |
| Carfagna, Vincent O | Orchard Park | 086317-5W | June 8, 2015 |
| Cohen, Howard M | Poughkeepsie | S01053-8W | June 8, 2015 |
| Cohen, Neil | Jamaica | 111218-4W | June 8, 2015 |
| Connors-Adler, Ann | Webster | 158305-3W | June 8, 2015 |
| Dayton, Merril Taylor | Buffalo | 228611-0B | June 8, 2015 |
| Delapaz, Robert Louis | Dobbs Ferry | 187374-4W | June 8, 2015 |
| Jimenez, Esther | Baldwin | C08840-3W | June 8, 2015 |
| Finkelstein, Paul | New York | 047025-2W | June 8, 2015 |
| Gardezi, Syed Qalb-E-Abbas | Brooklyn | 200444-8W | June 8, 2015 |
| Goldman, Beth A | Clifton Park | 238360-2W | June 8, 2015 |
| Greenberg, Andrew Steven | Saint James | 178332-3W | June 8, 2015 |
| Grimes, Judy Davis | Marietta | S11042-9W | June 8, 2015 |
| Hoffer, Alexander | New Rochelle | 095465-1W | June 8, 2015 |
| Howell, Ronald D | Oswego | 262823-8W | June 8, 2015 |
| Janof, Richard M | New York | C04533-8B | June 3, 2015 |
| Kim, Johnstone | Warsaw | 268617-8W | June 8, 2015 |
| Kim, Moon Ho | Hopewell | 130934-3W | June 8, 2015 |
| Kimball, Walter Franklin | Penneville | C10813-6W | June 8, 2015 |
| Kuranda, David | Trumansburg | 163481-5W | June 8, 2015 |
| Lemel, Rosalynn Dinah | New Hartford | 150458-8W | June 8, 2015 |
| Mandel, Mark Alex | Commack | C02058-8B | June 8, 2015 |
| McLeod, Michele L | Mt. Kisco | 197709-9W | June 3, 2015 |
| Medina, Cynthia Lynn | Saint James | 220723-1B | June 8, 2015 |
| Medler, Raymond Francis | Easthampton | 084830-9W | June 8, 2015 |
| Moulton, Andrew Wells | Briarcliff Manor | 223687-5W | June 8, 2015 |
| Nadpara, Nishant Ramniklal | Florida | 249614-9B | June 3, 2015 |
| Nyalakonda, Ashok R | Williamsville | 138358-7W | June 8, 2015 |
| Olson, Erik | Rochester | 268586-5W | June 8, 2015 |
| Palmer, Andrew K | Syracuse | 129906-4B | June 8, 2015 |
| Pameijer, Colette | Stony Brook | 236181-4W | June 8, 2015 |
| Parillo, Jack P | Buskirk | 145074-1W | June 8, 2015 |
| Patel, Anil Natvarbhai | Buffalo | 239005-2B | June 8, 2015 |
| Patel, Soham S | Plattsburgh | 121708-2W | June 8, 2015 |
| Phelps, Charles | North Tonawanda | C12192-3W | June 8, 2015 |
| Pinkernell, Bruce | Chatham | 095220-0W | June 8, 2015 |
| Prawak, Pasieka | Williamsville | 117792-2W | June 8, 2015 |
| Prijic, Ronald A | Norwich | 152346-3W | June 8, 2015 |
| Sadaghiani, Hassan | Port Jervis | 126666-7W | June 8, 2015 |
| Schwartzman, Sophia | Brooklyn | 177659-0W | June 8, 2015 |
| Seligman, Isaiah Joel | New Rochelle | 091027-3W | June 8, 2015 |
| Sharma, Mohan | Nesconset | 209585-9W | June 9, 2015 |
| Singh, Gurtej | Port Jefferson | 253471-7W | June 9, 2015 |
| Skogland, Herbert | Rome | 100598-2W | June 9, 2015 |
| Sloan, Edward | Bronx | S07654-7W | June 9, 2015 |
| Stalhamer, Deemah | Melville | 237068-2W | June 9, 2015 |
| Theall, Gary Wayne | Warwick | 181774-1W | June 9, 2015 |
| Uretsky, Scott | Lake Success | 252916-2B | June 9, 2015 |
| Walters, Denny W | Nanuet | 119542-9W | June 9, 2015 |
| Zodiatis, Demetrius | Stony Brook | 119465-3W | June 9, 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