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Subject Number 046-954 Newly Authorized Health Care Providers Approved to Render Services to Injured Workers Under the Workers' Compensation Law

Subject Numbers Regarding Health Provider Authorizations

June 23, 2017

The following have been added to the list of providers authorized to treat injured workers and/or perform independent medical examinations within the New York State workers’ compensation system.

NAME SPECIALTY AREA OF PRACTICE CITY OF PRACTICE AUTHORIZATION NUMBER* EFFECTIVE DATE
Alasio, Teresa Marie Anatomic Pathology, Cytopathology Mount Kisco 221179-5B May 23, 2017
Bishai, Adel R. Anesthesiology Syracuse 228710-0W May 23, 2017
Bok, Sean Seongjou Anesthesiology New York 273560-3W May 19, 2017
Caldwell, William Michael Anesthesiology, Pain Management Stony Brook 269486-7W May 3, 2017
Cruz, Julissa Anesthesiology New York 244251-5W May 31, 2017
Gaultier, Ryan Todd Anesthesiology, Pain Management Brooklyn 275596-5W May 19, 2017
Liu, Jiabin Anesthesiology New York 287055-8W May 19, 2017
Wetmore, Douglas Scott Anesthesiology New York 277930-4W May 19, 2017
Agnello, Jaela Elvera Chiropractic Elma C12887-8W May 12, 2017
Bath, Christopher Michael Chiropractic Clifton Park C12272-3W May 12, 2017
Conrad, D. Jordan Chiropractic Buffalo C11453-0B May 12, 2017
Dauria, Michael Cody Chiropractic New York C11750-9W May 12, 2017
Grover, Oliver Chiropractic New York C12652-6W May 12, 2017
Hagen, Keven Eric Chiropractic Pittsford C12925-6I May 12, 2017
Kosterich, Jordan Benjamin Chiropractic New Rochelle C12930-6W May 12, 2017
Muto, Michael Chiropractic Amherst C08019-4W May 12, 2017
Pervaiz, Waqas Chiropractic Malta C12859-7W May 12, 2017
Turner, Shawn Michael Chiropractic Rego Park C12323-4W May 12, 2017
Lambert, Emily Micham Dermatology Geneva 247814-7W May 5, 2017
Mandell, Jennifer Anne Dermatology Yonkers 279856-9W May 2, 2017
Dunst, Diane Melissa Diagnostic Radiology Melville 270845-1W May 31, 2017
Grubin, Jeremy Diagnostic Radiology New York 274607-1W May 11, 2017
Gupta, Mohit Diagnostic Radiology Cooperstown 268357-1W May 17, 2017
Blyth, Brian James Emergency Medicine Fairport 225624-6W May 17, 2017
Bodkin, Ryan Patrick Emergency Medicine Rochester 256630-5W May 17, 2017
Ready, Katherine Fitzpatrick Emergency Medicine Rochester 278447-8W May 17, 2017
Schueckler, John Theodore, IV Emergency Medicine Fairport 266509-9W May 17, 2017
Soha, Walter James Emergency Medicine Wappingers Falls 227407-4W May 19, 2017
Spencer, Matthew Taylor Emergency Medicine Rochester 214039-0W May 17, 2017
Spillane, Linda L. Emergency Medicine Rochester 185507-1W May 17, 2017
Sultan, Leon Isaac Emergency Medicine New York 262839-4W May 19, 2017
Wolf, Kristin Marie Emergency Medicine Rhinebeck 213259-5W May 26, 2017
Yang, Kauh Christine Emergency Medicine New York 233624-6W May 19, 2017
Zimmerman, Steven Joseph Emergency Medicine Commack 210527-8W May 31, 2017
Chien, Felix Nien-Tsung Family Practice New York 223210-6B May 17, 2017
Ciolac, Candice Michelle Family Practice Champlain 283262-4W May 19, 2017
King, Jessica Sheri Family Practice Champlain 279899-9W May 31, 2017
Kvetnyy, Gennadiy Family Practice Middle Village 208977-9B May 19, 2017
Redeye, Vivien Leah Family Practice Mayville 276182-3W May 25, 2017
Riley, Bernadette Ann Family Practice Long Beach 251808-2W May 19, 2017
Wood, Emily Louise Family Practice Potsdam 286244-9W May 17, 2017
Chabra, Vikram Internal Medicine, Pulmonary Disease Bethpage 266760-8W May 2, 2017
Ganz-Lord, Fran Alexandra Internal Medicine Mount Kisco 218893-6B May 5, 2017
Han, Young Ho Internal Medicine Jefferson Valley 254041-7B May 2, 2017
Hunter, Christina Joy Internal Medicine Brooklyn 286559-0W May 22, 2017
Isihos, Despina N. Internal Medicine Rochester 282911-7W May 17, 2017
Kaul, Nita Internal Medicine, Geriatric Medicine Stony Brook 258024-9W May 31, 2017
McNeal, Marisa Internal Medicine Johnson City 272423-5W May 17, 2017
Midelton, Gary Todd Internal Medicine White Plains 225873-9B May 2, 2017
Pecoraro, Philip John Internal Medicine, Psychiatry Stony Brook 164172-9W May 3, 2017
Santos, Ray Ryan Crisostomo Internal Medicine, Pediatrics Staten Island 284676-4W May 30, 2017
Seecharan, Tina Internal Medicine South Richmond Hill 282029-8W May 22, 2017
Sher, Amna Falak Internal Medicine, Hematology, Medical Oncology Stony Brook 266721-0B May 3, 2017
Schimler, Michael Edward Internal Medicine Johnson City 270658-8W May 17, 2017
Wind, Benjamin Daniel Internal Medicine, Critical Care Medicine, Pulmonary Diseases West Nyack 245290-2W May 22, 2017
Bekelis, Kimon Neurological Surgery West Islip 287522-7W May 31, 2017
Belle, Vaijayantee Kumar Neurology Woburn 282750-9I May 26, 2017
Purushotham, Archana Neurology Stony Brook 287261-2B May 3, 2017
Tollefson, Trenton James Neurology Rochester 278292-8W May 17, 2017
Tomcik, Colleen Bevevino Neurology Rochester 285315-8W May 17, 2017
Bakas, Constantine Obstetrics/Gynecology Southampton 184658-3W May 3, 2017
Barsi, James Michael Orthopedic Surgery Stony Brook 242454-7B May 10, 2017
Iannolo, Maria Theresa Orthopedic Surgery East Syracuse 257969-6B May 3, 2017
Klein, Guy Orthopedic Surgery Geneva 282557-8W May 5, 2017
Cavalier, Yefim Nerri Yushvayev Pain Management Rego Park 274176-7B May 2, 2017
Jean, Felix Pierre Carousse Physical Medicine/Rehabilitation Brooklyn 152032-9I May 25, 2017
Ebrahimi-Fard, Behrooz Psychiatry Glens Falls 220273-7W May 22, 2017
Gorecki, Amanda Andrea Psychiatry, Child and Adolescent Psychiatry Stony Brook 281069-5W May 31, 2017
Cain, Jennifer Lynn Psychology Buffalo S21450-2W May 11, 2017
Frances, Erika Psychology Latham S15500-2I May 11, 2017
Kragness, Miriam Elizabeth Psychology Brooklyn S15596-0B May 11, 2017
Lyden, Ashley Ann Psychology New York S21467-6W May 11, 2017
Sasson-Gelman, Edie Joy Psychology New York S21599-6W May 11, 2017
Cherukuri, Pallavi Radiology – Diagnostic Radiology New York 283471-1W May 2, 2017
Sahr, Meghan Elizabeth Radiology – Diagnostic Radiology Latham 282191-6W May 31, 2017
Applewhite, Megan Kunz Surgery Albany 284351-4W May 5, 2017
Caliste, Xzabia Annette Surgery – General Vascular Surgery Albany 267098-2W May 31, 2017
Choi, Lynn Young Surgery Albany 282247-6W May 31, 2017
Chismark, Anthony David Surgery, Colon/Rectal Surgery Albany 265038-0W May 22, 2017
Giuffrida, Michael Joseph Surgery Greenvale 257065-3W May 2, 2017
Shahani, Rohit Bhojo Surgery, Thoracic Surgery Poughkeepsie 220150-7W May 19, 2017
Zaman, Jessica Afrose Surgery Albany 285827-2W May 31, 2017
Capello, Seth Alexander Urology Saratoga Springs 238890-8W May 5, 2017
Wachterman, Jared Behn Urology Fairport 285619-3W May 17, 2017

*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"


Any questions regarding the authorized lists should be referred to the Medical Director’s Office at 1 (800) 781-2362.

Kenneth J. Munnelly
Chair