Subject Numbers Regarding Health Provider Authorizations
October 10, 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 |
|---|---|---|---|---|
| Fawole, Chiagozie Oluchi | Anesthesiology | Syracuse | 288171-2W | September 26, 2017 |
| Haque, Sabrina | Anesthesiology | Albany | 275422-4W | September 6, 2017 |
| Latzman, Jessica Anne | Anesthesiology | Syracuse | 274292-2W | September 21, 2017 |
| Nayaz, Sakina | Anesthesiology | Rochester | 289682-7W | September 22, 2017 |
| Palvia, Tanuj P. | Anesthesiology, Pain Management | New York | 263710-6W | September 6, 2017 |
| Suler, Alexander | Anesthesiology | Brooklyn | 230387-3W | September 6, 2017 |
| Wyrobek, Julie Anne | Anesthesiology | Rochester | 288689-3W | September 22, 2017 |
| Kandala, Jagdesh | Cardiovascular | Cooperstown | 290180-9W | September 25, 2017 |
| Cooper, William Chandler | Chiropractic | Beacon | C12667-4W | September 25, 2017 |
| Dritschel, Justin Alan | Chiropractic | Ransomville | C12979-3W | September 25, 2017 |
| Ebbrecht, Elaine Marie | Chiropractic | Ozone Park | C10078-6B | September 25, 2017 |
| Hall, Nelson | Chiropractic | Bronx | C12986-8B | September 25, 2017 |
| Peshkin, Lawrence Charles | Chiropractic | Rochester | C12996-7B | September 25, 2017 |
| Swimelar, Matthew Carl | Chiropractic | Horseheads | C12874-6B | September 25, 2017 |
| Urben, Zachary Roland | Chiropractic | Rego Park | C12611-2W | September 25, 2017 |
| Awal, Divya | Diagnostic Radiology | New York | 284102-1W | September 15, 2017 |
| Buffo, Gerard Charles | Diagnostic Radiology | Elmira | 160330-7W | September 14, 2017 |
| Giuliano, Vincenzo | Diagnostic Radiology | Harris | 289441-8W | September 21, 2017 |
| Loflin, Robert Donald | Emergency Medicine | Rochester | 285980-9W | September 22, 2017 |
| Orlando, Edward | Emergency Medicine | Port Jervis | 230131-5I | September 21, 2017 |
| Kindt, Jason Haines | Family Practice | New York | 273980-3W | September 15, 2017 |
| Laurent, Yvenalie | Family Practice | Saugerties | 271847-6W | September 26, 2017 |
| Reyes, John Michael | Family Practice | Smithtown | 271879-9B | September 26, 2017 |
| Riaz, Miriam | Family Practice | Smithtown | 267717-7B | September 26, 2017 |
| Roberts, Melissa Ann | Family Practice | Schenectady | 289898-9W | September 18, 2017 |
| Telonis, James Dimitrios | Family Practice | Cicero | 150525-4W | September 13, 2017 |
| Vaca, Michele | Family Practice | Yonkers | 237612-7W | September 6, 2017 |
| Vengal, Sarah Ann | Family Practice | Rochester | 282091-8W | September 22, 2017 |
| Adams, Alexandra Claire | Internal Medicine, Critical Care Medicine, Pulmonary Disease | Pittsford | 253267-9W | September 22, 2017 |
| Arora, Neha | Internal Medicine | Stony Brook | 286784-4W | September 15, 2017 |
| Auguste, Uschi Chantal | Internal Medicine | West Islip | 274642-8W | September 15, 2017 |
| Baghban, Adam Salim | Internal Medicine | Rochester | 272616-4W | September 22, 2017 |
| Boddhula, Sowmya | Internal Medicine | Cooperstown | 288270-2W | September 14, 2017 |
| Cheong, Janice | Internal Medicine | Rochester | 283607-0W | September 22, 2017 |
| Croft, Daniel Patrick | Internal Medicine, Pulmonary Disease | Rochester | 275034-7W | September 22, 2017 |
| Doran, Jesse Alan | Internal Medicine | Rochester | 287413-9W | September 22, 2017 |
| Gluck-Shats, Maya | Internal Medicine | Pomona | 181139-7W | September 14, 2017 |
| Gross, Michal | Internal Medicine | Johnson City | 279103-6W | September 26, 2017 |
| Harish, Abha | Internal Medicine, Nephrology | Syracuse | 269473-5W | September 21, 2017 |
| Johri, Geetanjali | Internal Medicine | Syracuse | 289991-2W | September 21, 2017 |
| Kulina, Robert Andrew | Internal Medicine, Cardiovascular Disease | East Setauket | 270734-7W | September 15, 2017 |
| Lee, Bryan Eric | Internal Medicine, Hematology, Medical Oncology | Cooperstown | 288996-2W | September 26, 2017 |
| Lee, Junho Bok | Internal Medicine | Flushing | 166634-6W | September 18, 2017 |
| Maramara, Bennadette Cabaltica | Internal Medicine, Infectious Disease | Stony Brook | 287294-3B | September 15, 2017 |
| Monaco, Michael David | Internal Medicine | Rochester | 288819-6W | September 22, 2017 |
| Moore, Russell Montgomery | Internal Medicine, Pediatrics | Cooperstown | 279681-1W | September 25, 2017 |
| Rayancha, Sheetal | Internal Medicine, Rheumatology | Syracuse | 289382-4W | September 21, 2017 |
| Saks, Benjamin Joseph | Internal Medicine | Burdett | 260591-3W | September 14, 2017 |
| Shah-Sekhon, Sarika Natavarlal | Internal Medicine | Ogdensburg | 274419-1W | September 14, 2017 |
| Short, Cynthia Larrabee | Internal Medicine, Hospice and Palliative Medicine | Granville | 171757-8W | September 25, 2017 |
| Tesini, Brenda Lane | Internal Medicine, Infectious Disease, Pediatrics | Rochester | 265222-0W | September 22, 2017 |
| Veras, Wellington | Internal Medicine | Mount Kisco | 241512-3B | September 14, 2017 |
| Whitman, Daniel Scott | Internal Medicine | Rochester | 288282-7W | September 22, 2017 |
| Reddy, Gaddum Duemani | Neurological Surgery | Syracuse | 289515-9W | September 13, 2017 |
| Goel, Sweta | Neurology | Suffern | 285256-4W | September 14, 2017 |
| Mathew, Jason | Neurology | Stony Brook | 289020-0W | September 27, 2017 |
| Zhivotenko, Vitaliy | Neurology, Pain Management | Brooklyn | 282150-2W | September 6, 2017 |
| Chen, Valerie Hsinyen | Ophthalmology | Slingerlands | 286818-0W | September 26, 2017 |
| Hochfelder, Jason Patrick | Orthopedic Surgery | Hawthorne | 269059-2B | September 14, 2017 |
| Pascal, Peter E. | Orthopedic Surgery | Brooklyn | 147841-1I | September 25, 2017 |
| Pazionis, Theresa Julia Christi | Orthopedic Surgery | Westbury | 273479-6W | September 21, 2017 |
| Yip, Michael Cheuk Ming | Orthopedic Surgery | Rochester | 284353-0W | September 25, 2017 |
| Socolof, Elias Andrew | Pediatrics | Queensbury | 201597-2W | September 14, 2017 |
| Gimpelevich, Alexander | Physical Medicine/Rehabilitation | Brooklyn | 243377-9B | September 18, 2017 |
| Kao, Cyrus | Physical Medicine/Rehabilitation, Pain Management | New York | 278489-0I | September 15, 2017 |
| Leung, Eric | Physical Medicine/Rehabilitation, Pain Management | Manhasset | 267257-4B | September 15, 2017 |
| Walker, Neville Earl | Physical Medicine/Rehabilitation | Schenectady | 275484-4W | September 26, 2017 |
| Rice, Samuel Lewis, Jr. | Radiology – Diagnostic Radiology | Forest Hills | 279018-6W | September 27, 2017 |
| Sharma, Salil | Radiology – Diagnostic Radiology | Cooperstown | 286890-9W | September 14, 2017 |
| Bakal, Ron Sharone | Urology | New York | 206016-8W | September 18, 2017 |
* Providers authorized to treat and perform independent medical examinations have an authorization number ending in B. Providers authorized to only treat have an authorization number ending in W. Providers authorized to only perform independent medical examinations 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.
Clarissa M. Rodriguez
Chair