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Subject Number 046-842R Changes to the List of Health Care Providers Authorized to Render Services to Injured Workers Under the Workers' Compensation Law

Subject Numbers Regarding Health Provider Authorizations

Revises Subject Number 046-842, released February 22, 2016,
with respect to the Authorization Numbers in the table.

February 25, 2016

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.

Altman, Howard Bronx P01733-6W December 21, 2015
Andolina, Lisa Marie Pittsford 246515-1W December 21, 2015
Ariaey-Nejad, Mohammad-Reza Longwood 158736-9W December 21, 2015
Asgher, Zahid Leesburg 184389-5W December 21, 2015
Aubry, Richard Harold Syracuse 084468-8W December 21, 2015
Blanco, Barbara Salvia Carmel 231477-1W December 21, 2015
Bosgang, Irwin Rockville Ctr S02716-9W December 21, 2015
Brickner, Philip Walter Bronx 077395-2W December 21, 2015
Brown, Roy H. Huntington 085130-3W December 21, 2015
Budorick, Nancy Elizabeth Stony Brook 211146-6W December 21, 2015
Christie, Joan Ann Gloversville 085210-3W December 21, 2015
Cohen, Jules Rochester 082953-1B December 21, 2015
Cole, Douglas Reese Bayshore 192172-5W December 21, 2015
Decorse, Marie New York 090879-8W December 21, 2015
Ducore, David Joseph Wellington 101359-8W December 21, 2015
Ferrato, Michael Richard Deer Park S10189-9W December 21, 2015
Futoran, Leon Brooklyn 206985-4W December 21, 2015
Garcia, Melchor G. Jr. E Patchogue 114521-8W December 21, 2015
Geraghty, Michael James Brooklyn 105344-6W December 21, 2015
Goldberg, Franklin H. New York S02844-9W December 21, 2015
Harris, Doreen Scotia S11082-5W December 21, 2015
Holzman, Clare G. Long Island City S05022-9W December 21, 2015
Howard, Wm Guerry Elmira 138778-6W December 21, 2015
Hyman, Stanley Oceanside 073938-3W December 21, 2015
Jones, Timothy Thaddeus Whitney Point 176525-4W December 21, 2015
Jonovich, Matthew Ronald Rochester 250004-9W December 21, 2015
Kerr, Lawrence Peters Binghamton 142730-1W December 21, 2015
Kim, Hooja Cho Duluth 144828-1W December 21, 2015
Kohn, Lawrence Louis Syracuse 157668-5W December 21, 2015
Kuhns, Rebecca Anne Olean 239203-3W December 21, 2015
Kwauk, Sam Tsung-Ming New York 164476-4B December 21, 2015
Lagoduke, Nikolai Forest Hills 233906-7W December 21, 2015
Lee, Boo Yong Ha Briarcliff 116443-3W December 21, 2015
Lessow, Herbert New York 090346-8W December 21, 2015
Levy, Abraham Louis Bonita Springs 112528-5W December 21, 2015
Liegl, James A. Boston P03511-4W December 22, 2015
Malik, Krishan New York 107728-8W December 22, 2015
Mansour, Sherry George Stony Brook 271829-4W December 22, 2015
Meltzer, Leonard A. Holbrook 080177-9W December 22, 2015
Moscato, John A. Orchard Park 124571-1B December 22, 2015
Norani, Hamed Staten Island C11872-1W December 22, 2015
Nussmeier, Nancy Ann Syracuse 241446-4B December 22, 2015
Peter, Renny Valamparambil Stony Brook 271710-6W December 22, 2015
Ramirez, Alfred L. Middletown 100036-3W December 22, 2015
Raza, Salim D. Williamsville 111536-9W December 22, 2015
Robbins, Steven Eric Glen Cove 191894-5W December 22, 2015
Roth, Robert George Port Jefferson 081913-6B December 22, 2015
Samii, Mohsen Roslyn 119360-6W December 22, 2015
Sandhu, Fatejeet Singh Ridgefield 226740-9W December 22, 2015
Saubermann, Albert Jacob New York 173264-3W December 22, 2015
Scheikowitz, Jay D. Lindenhurst 108928-3W December 22, 2015
Shah, Jitendra A. Patchogue 124768-3W December 22, 2015
Smith, Michael Joel New Windsor 223770-9W December 22, 2015
So, Juanito T. Honolulu 137258-0B December 22, 2015
Trabucco, Ermanno E. Muttontown 078868-7W December 22, 2015
Trinidad, Kimberly Suzanne Buffalo 189349-4W December 22, 2015
Ureles, Alvin L. Rochester 045795-2W December 22, 2015
Varanasi, Sai N. Cortlandt Manor 238219-0W December 22, 2015
Weiner, Michael Z. Forest Hills 128906-5B December 22, 2015
Weitzman, Steven Philip Stony Brook 233970-3W December 22, 2015
Wheeler, Mary F. Staten Island 087576-5W December 22, 2015
Wheeling, James Robert Oneonta 186971-8W December 22, 2015
Wyso, Eugene M. Endwell 074756-8W December 22, 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