Subject Numbers Regarding Health Provider Authorizations
November 4, 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 |
|---|---|---|---|
| Appel, Evan H. | Dix Hills | C07873-5B | September 15, 2015 |
| Bhat, Dinesh J. | Belmont | 137704-3W | September 15, 2015 |
| Bianculli, Charles R. | Lindenhurst | C02480-4B | September 15, 2015 |
| Bonsack, Timothy A. | Tampa | 272267-6B | September 15, 2015 |
| Burte, Jan M. | Bellerose | S07727-1W | September 15, 2015 |
| Cai, Patricia | Brooklyn | C08929-4W | September 15, 2015 |
| Candocia, Alexander J. | Chicago | C08289-3B | September 15, 2015 |
| Chiariello, Mario | Brooklyn | 145387-7W | September 15, 2015 |
| Cocozzo, Jeffrey J. | Fort Lauderdale | 176166-7W | September 15, 2015 |
| Cohen, Clifford | Brooklyn | 046977-5B | September 15, 2015 |
| Costanzo, George P. | Quitman | 146891-7W | September 15, 2015 |
| Coulehan, John L. | Coram | 184975-1B | September 15, 2015 |
| Crawford, Jim D. | Teaneck | S06582-1W | September 15, 2015 |
| Dmochowski, Thaddeus J. | Rochester | 123719-7W | September 15, 2015 |
| Dolan, James R. | Auburn | 175870-5W | September 15, 2015 |
| Drew, Simon P. | Bennington | 190788-0W | September 15, 2015 |
| Dubov, Igal | Howell | C09886-5W | September 15, 2015 |
| Dudrak II, Richard A. | Lakeland | 189979-8W | September 15, 2015 |
| Duran, Hilcias | Houston | 257198-2W | September 15, 2015 |
| Edelstein, Richard | Orangeburg | 082562-0W | September 15, 2015 |
| Eder, Brian C. | Travis Afb | C09071-4W | September 15, 2015 |
| Eibl, Ingeborg E. | Rochester | C02367-3W | September 15, 2015 |
| Faradyan, Sam M. | West Palm Beach | 247648-9B | September 15, 2015 |
| Fine, James H. | Bronxville | 085780-5W | September 15, 2015 |
| Flaherty, Allison L. | Rochester | 270375-9W | September 15, 2015 |
| Forgash, Stuart L. | New York | C01529-9B | September 15, 2015 |
| Fried, Alan R. | Livingston Manor | 077566-8W | September 15, 2015 |
| Gandhi, Jyoti R. | Elmhurst | 110797-8W | September 15, 2015 |
| Godlewski-Conway, Jennifer M. | North Syracuse | C11328-4W | September 15, 2015 |
| Goldberg, Richard S. | New York | 138246-4W | September 15, 2015 |
| Goodman, Robert B. | Great Neck | 074458-1W | September 15, 2015 |
| Grosswirth, Lawrence R. | Garden City | C02647-8B | September 15, 2015 |
| Grunert, Harold F. | Rochester | 099136-4W | September 15, 2015 |
| Gudas, Frank R. | Elmira | 111880-1W | September 15, 2015 |
| Hafner, Carol J. | Adams | C09979-8W | September 15, 2015 |
| Haggerty, James T. | Brockport | 086144-3W | September 15, 2015 |
| Hamilton, Maryann G. | Shelburne | S04209-3B | September 15, 2015 |
| Harshfield, David L. | Little Rock | 248394-9W | September 15, 2015 |
| Hastanan, Sansern | Yonkers | 115833-6W | September 15, 2015 |
| Hayes, David F. | Orchard Park | 123841-9W | September 15, 2015 |
| Heitzman, George C. | Fayetteville | 072035-9W | September 15, 2015 |
| Hemmerlein, John P. | East Syracuse | 097359-4W | September 15, 2015 |
| Hoffman, Ira R. | New York | 080118-3W | September 15, 2015 |
| Hogben, George L. | Rye | 092231-0W | September 15, 2015 |
| Homs, Carlos J. | Edison | 186619-3W | September 15, 2015 |
| Hwang, Chung S. | Exeter | 126508-1W | September 15, 2015 |
| Ianucelli, Vicki | New York | S05647-3W | September 15, 2015 |
| Itenberg, Alexander | Merrimack | 159389-6W | September 15, 2015 |
| Klein, Robert F. | Rochester | 104611-9W | September 15, 2015 |
| Koshy, Indira | Syracuse | 125420-0W | September 15, 2015 |
| Kurzman, David | Delray Beach | S07328-8W | September 15, 2015 |
| Lawson, Beverly A. | Saratoga | S07999-6W | September 15, 2015 |
| Leeds, Gary | New York | 148835-2W | September 15, 2015 |
| Lindell, Brad J. | Ronkonkoma | S09882-2B | September 15, 2015 |
| Linwood, Richard A. | Rockville Centre | 085213-7B | September 15, 2015 |
| Littman, Ralph M. | Monsey | C00216-4B | September 15, 2015 |
| Lu, Min J. | South Setauket | 218566-8B | September 15, 2015 |
| Markowitz, Allan S. | Yorktown Heights | 124446-6W | September 15, 2015 |
| Martin, James W. | South Salem | C01790-7B | September 15, 2015 |
| Mauser, Donald I. | Wantagh | 088110-2W | September 15, 2015 |
| Moldover, Jonathan R. | Northampton | 127205-3W | September 15, 2015 |
| Neffinger, George G. | Upper Nyack | S04493-3B | September 15, 2015 |
| Nussbaum, Morton | Belleharbor | C00927-6B | September 15, 2015 |
| Orioli, Victor S. | Southold | 083822-7W | September 16, 2015 |
| Perlmutter, Allan P. | Bronx | C01935-8W | September 16, 2015 |
| Platt, Christine C. | Rochester | 160134-3W | September 16, 2015 |
| Plotkin, David | Highland Beach | 071659-7W | September 16, 2015 |
| Poiesz, Michael J. | Syracuse | 248042-4W | September 16, 2015 |
| Polatschek, Donald P. | Hicksville | C02264-2W | September 16, 2015 |
| Rho, Soon M. | Brooklyn | 125249-3W | September 16, 2015 |
| Robbins, David B. | Highland Beach | 086234-2B | September 16, 2015 |
| Ronch, Judah L. | Edgewater | S05742-2W | September 16, 2015 |
| Rosner, Richard | New York | 099320-4B | September 16, 2015 |
| Samala, Rafaelita B. | Manhasset | 141778-1W | September 16, 2015 |
| Satchi, Ananthan | Staten Island | 127033-9W | September 16, 2015 |
| Sauter, Wesley | Welslley Island | 079553-4W | September 16, 2015 |
| Schrier, Robert M. | Delray Beach | 080060-7W | September 16, 2015 |
| Schwartz, Mordecai | Brentwood | 078660-8W | September 16, 2015 |
| Sheikh, Farhan M. | Slingerlands | 123272-7W | September 16, 2015 |
| Sheth, Sneha M. | Manorville | 262031-8W | September 16, 2015 |
| Silverberg, Joseph D. | Rochester | 092599-0B | September 16, 2015 |
| Slutsky, Lawrence J. | Wichita | 116433-4W | September 16, 2015 |
| Snyder, Richard D. | Westfield | 084085-0W | September 16, 2015 |
| Squilla, Vincent D. | New Rochelle | 073809-6W | September 16, 2015 |
| Steinbach, Sheldon H. | New York | 104170-6W | September 16, 2015 |
| Turner, Particia Y. | Pensacola | 248372-5W | September 16, 2015 |
| Vallarino, Ramon | Manhasset | 126947-1W | September 16, 2015 |
| Walker, Charles D. | Syosset | 101942-1W | September 16, 2015 |
| Weber, Niva Z. | Eastchester | 119620-3W | September 16, 2015 |
| White, Richard T. | Bath | 181463-1W | September 16, 2015 |
| Zanzi, Italo | Manhasset | 144636-8W | September 16, 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