Subject Numbers Regarding Health Provider Authorizations
August 11, 2022
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 |
|---|---|---|---|
| An, Huanlin | Bronxville | 218665-8W | June 15, 2022 |
| Anderson, Heather Elise | Northport | OT017994-5W | June 15, 2022 |
| Basler, Adam Joseph | Rochester | 295188-7W | June 15, 2022 |
| Benveniste, Paul Samuel | Garner | S12638-3W | June 15, 2022 |
| Bernhardt, Michael Nicholas | Glenville | C03206-0B | June 15, 2022 |
| Bierdumpfel-Bihari, Linda Ida | Orangeburg | 169613-7W | June 15, 2022 |
| Boccia, Raphael Joseph | Flushing | 096254-8W | June 15, 2022 |
| Bossert, Ronald Patrick | Rochester | 264592-7W | June 15, 2022 |
| Canfield, David Charles | Syracuse | 156011-9W | June 15, 2022 |
| Cantor, Richard Martin | Syracuse | 135054-5W | June 15, 2022 |
| Chapados, Gilles | Schenectady | 165443-3W | June 15, 2022 |
| Chisena, Ernest C. | Fort Salonga | 132029-0W | June 15, 2022 |
| Cline, William B. | Grand Island | 134269-0W | June 15, 2022 |
| Cohen, Randy E. | Staten Island | P02790-4W | June 15, 2022 |
| Cohen, Shimon L. | Bergenfield | 266251-8W | June 15, 2022 |
| Cohn, Lawrence Jerome | New York | 089480-8W | June 15, 2022 |
| Collins, Susan Marie | Florida | PT044173-3W | June 15, 2022 |
| Conheeney, Lauren Elizabeth | New York | OT017928-3W | June 15, 2022 |
| Connolly, Robert Edward | Suffern | AC000621-3W | June 15, 2022 |
| Conschafter, Gary W. | Grand Island | C02333-3B | June 15, 2022 |
| Conwell, Morgan John | Elmira | PA020133-5W | June 15, 2022 |
| Cooley, John H. | Dundee | 121291-9W | June 15, 2022 |
| D'Angelo, Mark Salvatore | Brooklyn | 259287-1B | June 15, 2022 |
| Davies, John Aloysius | Endwell | 163515-0W | June 15, 2022 |
| Devincentis, Joseph | Orchard Park | P02646-8B | June 15, 2022 |
| Doherty, Daisy Anne | Buffalo | PT044088-3W | June 15, 2022 |
| Drennon, Shannen Marie | Rochester | PT044407-5W | June 15, 2022 |
| Dunn, Emily Grace | Johnson City | PA023239-7W | June 15, 2022 |
| Fitzmaurice, Susan | Rockfield Centre | 160278-8W | June 15, 2022 |
| Forde, Cathy J. | Apalachin | OT008980-5W | June 15, 2022 |
| Frank, Doreen Kane | East Greenbush | PT007056-5W | June 15, 2022 |
| Freeman, Aloysius George | New Hartford | 158109-9W | June 15, 2022 |
| Frizzell, Sarah M. | Ballston Spa | PT044067-7W | June 15, 2022 |
| Gitlitz, Elliot Myles | East Meadow | P03465-2W | June 15, 2022 |
| Godec, Ciril J. | Brooklyn | 154270-3B | June 15, 2022 |
| Gorbal, Mayya | Florham Park | 295999-7W | June 15, 2022 |
| Gottsegen, Monroe G. | Brooklyn | S00095-0W | June 15, 2022 |
| Greydinger, David | Hallandale Beach | C09225-4W | June 15, 2022 |
| Grimshaw, Robert Stephenson, Jr. | Somers | 143759-9W | June 15, 2022 |
| Halpin, Dennis Patrick | Sauquoit | PT041316-1W | June 15, 2022 |
| Hannigan-White, Patricia A. | Brooklyn | S11325-8W | June 15, 2022 |
| Harrison, Neil | Latham | 302987-3W | June 15, 2022 |
| Hogan, Martin Patrick | Linwood | PT012985-8W | June 15, 2022 |
| Insler, Harvey Philip | Erie | 145724-1W | June 15, 2022 |
| Jacob, Donald James | Southport | 176605-4B | June 15, 2022 |
| Johnson, Ruth Ann | Alden | 165174-4W | June 15, 2022 |
| Jorgenson, Daniel Scott | Lancaster | 228554-2W | June 15, 2022 |
| Keller, Jodee S. | Kingston | C08860-9W | June 15, 2022 |
| Kim, Kyung Ho | Stony Brook | 235372-0B | June 15, 2022 |
| Kim, Tai Sik | Melville | 172223-0W | June 15, 2022 |
| Kulla, Michael | Poughkeepsie | S03413-2W | June 15, 2022 |
| Land, Jay M. | Syracuse | S03554-3W | June 15, 2022 |
| Lee, Jungeun Jay | Niskayuna | 108212-2W | June 15, 2022 |
| Leeds, Melvin | New York | 109477-0W | June 15, 2022 |
| Lifshutz, Harold I. | New Rochelle | S08003-6B | June 15, 2022 |
| Lim-Germano, Joon | Voorhees | C11489-2W | June 15, 2022 |
| Lipson, Stewart B. | Sarasota | 178296-0W | June 15, 2022 |
| Logan, Jonathan | Canandaigua | 089645-6W | June 15, 2022 |
| Longston, Stephanie Lyn | Rock Island | OT020918-9W | June 15, 2022 |
| Maquine, Melanie M. | Bradenton | 198062-2W | June 15, 2022 |
| Matloff, Mark A. | Syracuse | S06829-6B | June 15, 2022 |
| Mccullough, Timothy John | Cornelius | 149086-1W | June 15, 2022 |
| Mian, Tariq Mohammad | Lodi | 250155-9W | June 15, 2022 |
| Mockler, Daniel Christopher | Reno | 268255-7W | June 15, 2022 |
| Morris, Malik | New Hyde Park | PT044119-6W | June 15, 2022 |
| Nani, Frank G. | Garnerville | PT011225-0W | June 15, 2022 |
| Ovodenko, Boris | Brooklyn | 235346-4W | June 15, 2022 |
| Parvu, Mihaela Elena | Niskayuna | 277178-0W | June 15, 2022 |
| Poje, Christopher Peter | Amherst | 168537-9W | June 15, 2022 |
| Relation, Catharine Marie | Ithaca | PT040915-1W | June 15, 2022 |
| Richeson, John F. | Honeoye Falls | 127737-5W | June 15, 2022 |
| Richter, Richard J. | West Hempstead | P02975-1W | June 15, 2022 |
| Rothbart, Gary E. | Rye | 197267-8W | June 15, 2022 |
| Rudewicz, Robert J. | Lancaster | P02795-3W | June 15, 2022 |
| Saini, Satinder Pal Singh | Apex | 228790-2W | June 15, 2022 |
| Sanchez-Catanese, Betty | Madison | 159284-9W | June 15, 2022 |
| Schattner, Gerald E. | Roslyn Heights | 086286-2W | June 15, 2022 |
| Schechter, Naomi | New York | S06165-5W | June 15, 2022 |
| Sepulveda, Martin-Jose | Saint Augustine | 163043-3W | June 15, 2022 |
| Shah, Padmakan M. | Albertson | 120709-1W | June 15, 2022 |
| Singer, Carol Frances | New York | 118153-6W | June 15, 2022 |
| Snyder, Philip Michael | Brooklyn | OT023544-0W | June 15, 2022 |
| Soliman, Ahmed Said | Brooklyn | PT036280-6W | June 15, 2022 |
| Stadt, Samantha Katherine | Ardsley | PT044125-3W | June 15, 2022 |
| Stein, Nathan | Great Neck | 110178-1W | June 15, 2022 |
| Strickland, Robert G. | Syracuse | S05158-1B | June 15, 2022 |
| Sugalski, Matthew Thomas | Franklin | 219380-3W | June 15, 2022 |
| Tierney, James P. | Southampton | 093099-0W | June 15, 2022 |
| Tsai, Chao-Wei | Redmond | 298699-0W | June 15, 2022 |
| Vachna, Jerome Charles | Thornwood | C04067-5W | June 15, 2022 |
| Wang, William Cheng | Flushing | 220245-5W | June 15, 2022 |
| Weiner, Laurence A. | Slingerlands | 123991-2W | June 15, 2022 |
| Weinstein, Martin | Jackson Heights | PT001502-4W | June 15, 2022 |
| Weintrob, Alexander | New York | 086965-1W | June 15, 2022 |
| Witkop, Nathan Harry | Massena | C11523-8W | June 15, 2022 |
| Zaborowski, Joseph S. | Amsterdam | P02803-5B | June 15, 2022 |
*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.
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.
Clarissa M. Rodriguez
Chair