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.
| NAME | LAST KNOWN CITY OF PRACTICE | AUTHORIZATION NUMBER* | EFFECTIVE DATE |
|---|---|---|---|
| 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
Chair