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Subject Number 046-845 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

March 23, 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.

Chandler, Arthur C., III Tivoli 211077-3W December 28, 2015
Ahmed, Maher S. New York 134351-6W January 12, 2016
Alne, Dennis J. Brooklyn S08354-3W January 12, 2016
Alvarado, Christobal Manhasset Hills 102302-7W January 12, 2016
Amato, Richard L. Merrick P02590-9W January 12, 2016
Astor, Martin H. Manhasset S02908-2W January 12, 2016
Beaudoin, Margaret Chernack Rockville Centre S08869-0W January 12, 2016
Beers, Emily Hannah Rochester 264902-8W January 12, 2016
Beres, Jacqueline Louise Whittier C12303-6B January 12, 2016
Brenner, Marc A. Manhasset P03892-8W January 12, 2016
Chan, Him-Wing Williamsville 122484-9W January 12, 2016
Cianciolo, Thomas J. Clarence P02095-9W January 12, 2016
Coff, Joan Marie Albuquerque C06638-3W January 12, 2016
Compas, Manuel Brooklyn C11361-5W January 12, 2016
Cosby, Paul W. Utica 130702-4W January 12, 2016
Dalavagas, Basil New York 117409-3W January 12, 2016
Dalope, Manuel G. Syracuse 124392-2W January 12, 2016
Delgaudio, Dino John Lynbrook S09526-5W January 12, 2016
Denton, Keith G. Syosset S05930-3B January 12, 2016
Donnelly, Thomas Eugene Auburn 089982-3W January 12, 2016
Dougherty, Mickaelle Mary New York S12401-6W January 12, 2016
Doust, Brewster Clark Jr. Syracuse 076374-8W January 12, 2016
Etu, Paul David Albany S10719-3B January 12, 2016
Fagin, Mitchel Stewart Smithtown 143268-1W January 12, 2016
Feld, Leslie Joy Garden City 217265-8W January 12, 2016
Ferro, Philip Leonard Syracuse 076671-7W January 12, 2016
Finck, Arthur Donald New York 116283-3B January 12, 2016
Fries, Michael William Rome 145677-1W January 12, 2016
Galati, Darlene Bogdanowich Glen Head 163597-8W January 12, 2016
Galu, Maria Gabriela-Livia Binghamton 225504-0W January 12, 2016
Garg, Hari P. Spencerport 110348-0B January 12, 2016
Gonzalez, Ronaldo C. Melville 121507-8W January 12, 2016
Greenwald, Robert Alan Melville 101466-1W January 12, 2016
Hafer, Thomas E. Fort Edward 143399-4B January 12, 2016
Halbert, Caitlin Ann Newark 273400-2W January 12, 2016
Hans, Roger Adam Astoria P04560-0W January 12, 2016
Hansen, Wilhelm Gustav Ithaca 090793-1W January 12, 2016
Indenbaum, Gisa K. New York S05027-8W January 12, 2016
James, Hilliard Peter Osprey 174435-8W January 12, 2016
Kang, Seong Kwan Old Westbury 116218-9W January 13, 2016
Khullar, Anil Kumar Hudson 173990-3W January 13, 2016
Kicha, Peter Alexander Pensacola C10211-3W January 13, 2016
Krischer, David Anthony Delmar 158336-8W January 13, 2016
Kumar, Sangeeta Williamsville 238310-7W January 13, 2016
Lee, Sung W. Staten Island 109957-1W January 13, 2016
Lieberg, Olaf Ulrich Geneva 118724-4W January 13, 2016
Litwa, Wallin J. Malta 125382-2W January 13, 2016
Mangonon, Michael Lopez Atlanta 258302-9W January 13, 2016
Manoni, Richard Bethpage C02380-6W January 13, 2016
Martin, Pat J. Chappaqua 124515-8W January 13, 2016
Matrisciano, Robert J. Babylon C01279-1B January 13, 2016
Maxwell, Tara Garden City P04778-8W January 13, 2016
Merletti, Theodore F. Niagara Falls P03956-1W January 13, 2016
Moore, John Robert Remsen 101756-5W January 13, 2016
Mukhi, Shakir Uniondale 187169-8W January 13, 2016
Newman, John C. Lewiston 106627-3B January 13, 2016
Nurok, Michael Topanga 258571-9W January 13, 2016
Orsini, Anthony Leonard Webster P02080-1W January 13, 2016
Park, Chang J. New Hyde Park 120788-5W January 13, 2016
Pedreira, Denia Clifton Park 257444-0W January 13, 2016
Philips, George M. Rochester 264796-4W January 13, 2016
Phillips, Emilia Amherst 209348-2W January 13, 2016
Picariello, Marco Anthony Hauppauge C06096-4B January 13, 2016
Pierson, Richard N. Jr. New York 078606-1W January 13, 2016
Pinchefsky, Barry New York C02561-1W January 13, 2016
Prill, Donna Maureen Hampton Bays 203755-4W January 13, 2016
Randazzo, Vincent Holbrook C04047-9W January 13, 2016
Rogers, Genesia Liu Chappaqua 105607-6W January 13, 2016
Rubin, Richard A. Rock Hill P03603-9B January 13, 2016
Ruzich, Jeffery Vance Germantown 192910-8W January 13, 2016
Savitt Myles Lake Ronkonkoma P02298-9B January 13, 2016
Schmitt, Jerome Alvin Gloversville C01541-4B January 13, 2016
Srinivasan, Ashmitha Middletown 258307-8W January 13, 2016
Stampas, Argyrios White Plains 257721-1B January 13, 2016
Starr, George I. Champlain 094483-5W January 13, 2016
Teta, Diana C. E Patchogue S05807-3W January 13, 2016
Thomas-Hall, Millicent Marie Amherst C10791-4W January 13, 2016
Togawa, Cynthia Aya Stony Brook 272295-7W January 13, 2016
Tubbs, Daniel Scott Nashville 264226-2W January 13, 2016
Vilkhu, Ravinder Kaur Oneonta 191286-4W January 13, 2016
Weerasinghe, Mervyn Upali Rochester 117971-2W January 13, 2016
Williams, C. Errington New Rochelle P04004-9W January 13, 2016
Williams, Krystle Michelle Syracuse 272335-1W January 13, 2016
Youngwirth, Lewis D. Saratoga Springs 134841-6W January 13, 2016
Zvereva, Galina G. New York 163771-9W January 13, 2016
Halper, Brett David Rockville Centre 228964-3W January 19, 2016

* 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