Subject Numbers Regarding Health Provider Authorizations
April 22, 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 |
|---|---|---|---|
| Mydosh Thomas Francis | Canandaigua | 173340-1W | February 5, 2016 |
| Adar, Shalva | Forest Hills | 193766-3W | February 8, 2016 |
| Aglietti, Karen Marie | Whitestone | P05171-5W | February 8, 2016 |
| Albis, Peter Daniel | Yonkers | C08837-9W | February 8, 2016 |
| Avila, Vincent | Hicksville | 085392-9W | February 8, 2016 |
| Balaghi, Mesbaheddin | Fishkill | 203371-0W | February 8, 2016 |
| Baras, Irving | New York | 046961-9W | February 8, 2016 |
| Barthold, Harold Joseph, II | Scituate | 180404-6W | February 8, 2016 |
| Beaudette, Charles Ives | Fredericksburg | 265337-6W | February 8, 2016 |
| Benatar, Benzion | Bellmore | 086503-0B | February 8, 2016 |
| Bentivegna, Sebastian | Skaneateles | P02120-5W | February 8, 2016 |
| Bloom, Karen Elizabeth | Haddonfield | 233616-2W | February 8, 2016 |
| Brown, David Lloyd | Stony Brook | 210134-3B | February 8, 2016 |
| Brown, John Francis | New York | C09786-7B | February 8, 2016 |
| Cadet, Fredrick | Manhasset | 145377-8W | February 8, 2016 |
| Clopper, Todd D. | Wellesley Island | 119853-0W | February 8, 2016 |
| Cochrane, Kenneth James | Mount Dora | S09300-5B | February 8, 2016 |
| Cohen, Arthur | Syosset | P03148-5W | February 8, 2016 |
| Cooper, Kathy Lynn | New York | 238647-2W | February 8, 2016 |
| Corpora Cara Lyn | Owego | 259184-0W | February 8, 2016 |
| Damianos, Herodotos | Port Jefferson | 093151-9W | February 8, 2016 |
| Davis, Joseph Edward | New York | 075506-6B | February 8, 2016 |
| De La Cancela, Victor | Bronx | S10361-4B | February 8, 2016 |
| Dorf, Milton | Shrub Oak | 101192-3W | February 8, 2016 |
| Ebbrecht, Elaine Marie | Commack | C10078-6W | February 8, 2016 |
| Favini, Jospehine Louise | Rochester | 150024-8W | February 8, 2016 |
| Finigan, Michael M. | Rochester | 090215-5W | February 8, 2016 |
| Flamm, H. Erik | Byram Twp | C02895-3W | February 8, 2016 |
| Fleming, William A. | Buffalo | 094748-1W | February 8, 2016 |
| Giron, Fabio | East Setauket | 108179-3B | February 8, 2016 |
| Goldberg, Emanuel | New York | 075975-3W | February 8, 2016 |
| Gregoire, James P., Sr. | Romulus | 123952-4W | February 8, 2016 |
| Grossbarth, David Flier | Coral Springs | 160288-7W | February 8, 2016 |
| Grumet, Gerald W | Rochester | 092644-4W | February 8, 2016 |
| Guttikonda, Lakshminarayana | Staten Island | 253940-1W | February 8, 2016 |
| Hannan, Cheryl Marie | N. Massapequa | C07143-3W | February 8, 2016 |
| Herman, Barry David | Edison | 128190-6W | February 8, 2016 |
| Herzog, Joshua Paul | Auburn | 272826-9W | February 8, 2016 |
| Hesham, Hashim Mohammad | Albany | 216951-4W | February 8, 2016 |
| Hudes, Marc Jay | Monticello | P02431-6B | February 8, 2016 |
| Hutton, Lykling Elizabeth Anne | Waterville | 249191-8W | February 8, 2016 |
| Iannacone, Alphonse J. | Staten Island | 087261-4W | February 8, 2016 |
| Jung, Hoon Chang | Buffalo | 233187-4B | February 8, 2016 |
| Kanan, Melvin Herman | Brooklyn | C01763-4W | February 8, 2016 |
| Kessinger, Siskind Donna | Huntington Station | 172687-6W | February 8, 2016 |
| Kim, Chung Eun Park | Rye | 119172-5W | February 9, 2016 |
| King, Steven Alan | Philadelphia | 160666-4B | February 9, 2016 |
| Klein, Larry Harold | Brooklyn | P02382-1B | February 9, 2016 |
| Kottukapally, Nobin Jos | Greece | 266204-7W | February 9, 2016 |
| Laidlaw, Garth O. | Hilton | 134559-4W | February 9, 2016 |
| Lanzone, Francis J. | Garden City | 136219-3W | February 9, 2016 |
| Lipman, Earl Stanley | Rochester | 072784-2W | February 9, 2016 |
| Lubell, Frederick | Bellmore | P02053-8B | February 9, 2016 |
| Lundgren, Paul Haight | Averill Park | 156804-7W | February 9, 2016 |
| Mahajan, Swarn | Brooklyn | 122904-6W | February 9, 2016 |
| Mamdani, Sohail | Swedesboro | 272621-4W | February 9, 2016 |
| Mariniello, Daniel A. | East Aurora | 087279-6W | February 9, 2016 |
| Marshall, Jerry A. | Glen Head | C03427-4B | February 9, 2016 |
| Mayer-Cesiano, Lucien | New York | 106187-8B | February 9, 2016 |
| Melikian, Harrout Earle | New York | 106279-3W | February 9, 2016 |
| Menczelesz, Gabor | Brooklyn | 210461-0B | February 9, 2016 |
| Miller, Patricia A. | Mahopac | 175423-3W | February 9, 2016 |
| Mohanty, Radharani | Binghamton | 145756-3W | February 9, 2016 |
| Narov, David | Brooklyn | S10442-2W | February 9, 2016 |
| Nayeri, Albert Nima | Liverpool | 255462-4W | February 9, 2016 |
| Novak, Steven Michael | Mount Kisco | 245627-5W | February 9, 2016 |
| Pannell, Richard W. | Bronx | P02677-4W | February 9, 2016 |
| Pareek, Natwar K. | Barrington | 125219-6W | February 9, 2016 |
| Paulk, Arunava | Stony Brook | 255361-8W | February 9, 2016 |
| Pecora, Alfred A. | Merrick | C00944-1W | February 9, 2016 |
| Rachleff, Alan Noel | Great Neck | 099100-0W | February 9, 2016 |
| Rand, Artur | Holmes | 174986-0W | February 9, 2016 |
| Rascoff, Joel Herbert | New Rochelle | 108926-7W | February 9, 2016 |
| Rempel, Jacob | Lewiston | 117050-5W | February 9, 2016 |
| Reznikoff, Maria D. | Hollis | 204128-3W | February 9, 2016 |
| Shelton, Ryan R. | Rochester | 257177-6W | February 9, 2016 |
| Shriro, Robert Louis | Woodbury | 087322-4W | February 9, 2016 |
| Singh, Harbans | Manhassett Hills | 102956-0W | February 9, 2016 |
| Sorrentino, Sergio Salvatore | Hornell | 167442-3W | February 9, 2016 |
| Steiner, Joseph George | Congers | P02390-4W | February 9, 2016 |
| Taft, Garo H. | Oswego | 085851-4W | February 9, 2016 |
| Tepper, Clifford M. | Niskayuna | 047531-9W | February 9, 2016 |
| Vidan, Erez | Great Neck | 238696-9W | February 9, 2016 |
| Vogelsberg, Paul Otto | Lindenhurst | 087993-2W | February 9, 2016 |
| Youngquist, Owen Frank, Jr. | Cold Springs Harbor | S03005-6W | February 9, 2016 |
| Zaejian, Jasenn | Bronxville | S11221-9W | February 9, 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
Chair