Subject Numbers Regarding Health Provider Authorizations
December 13, 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 |
|---|---|---|---|---|
| Go, Ramon Christopher Vallanuev | Anesthesiology | New York | 279377-6W | November 13, 2017 |
| Huang, Yolanda Ya-Chin | Anesthesiology | New York | 274340-9W | November 10, 2017 |
| Iskander, Andrew John | Anesthesiology | Stony Brook | 256187-6W | November 10, 2017 |
| Milord, Patrick Jo | Anesthesiology | Hollis | 274088-4W | November 24, 2017 |
| Natale, Michael Angelo | Anesthesiology | Syracuse | 281749-2W | November 24, 2017 |
| Nguyen, Diemthuy Nancy | Anesthesiology | Watertown | 279314-9W | November 6, 2017 |
| Schaff, Jacob Elliott | Anesthesiology | New York | 273666-8W | November 13, 2017 |
| Schieble, Thomas Martin | Anesthesiology | Mount Kisco | 212750-4W | November 6, 2017 |
| Agyakwah, Michelle A. | Chiropractic | New York | C12857-1W | November 20, 2017 |
| Collins, Stephen J. | Chiropractic | Brooklyn | C04692-2W | November 20, 2017 |
| Geller, Brian Travis | Chiropractic | Kenmore | C12969-4W | November 20, 2017 |
| Grantis, Tom Anastasis | Chiropractic | East Islip | C12407-5B | November 20, 2017 |
| Lee, Robert Seungmin | Chiropractic | Syosset | C12933-0B | November 20, 2017 |
| Marini, Justine Michelle | Chiropractic | Glen Cove | C12761-5W | November 1, 2017 |
| Owen, Andrew James | Chiropractic | Clinton Corners | C12984-3W | November 20, 2017 |
| Francescone, Mark Albert | Diagnostic Radiology | New York | 245686-1B | November 10, 2017 |
| Garwood, Elisabeth | Diagnostic Radiology | New York | 278729-9W | November 6, 2017 |
| Kline, Mitchell Jay | Diagnostic Radiology | New York | 221732-1B | November 21, 2017 |
| Stancato-Pasik, Agata | Diagnostic Radiology | New York | 170053-3B | November 13, 2017 |
| Howell, Gregory Allen | Emergency Medicine | Johnson City | 279996-3W | November 10, 2017 |
| Orlando, Edward | Emergency Medicine | Port Jervis | 230131-5B | November 10, 2017 |
| Schemel, Sue Ann | Emergency Medicine | Highland | 220646-4W | November 6, 2017 |
| Weaver, Jacqueline | Emergency Medicine | Glenville | 237968-3W | November 21, 2017 |
| Baumet, Krishna | Family Practice | New York | 278896-6W | November 16, 2017 |
| Brownell, Brandon James | Family Practice, Sports Medicine | West Seneca | 287359-4W | November 10, 2017 |
| Carle, Christine Marie | Family Practice | Mechanicville | 286195-3B | November 10, 2017 |
| Conway, Justin Johnson | Family Practice, Sports Medicine | Middletown | 284699-6B | November 10, 2017 |
| Esteban-Galindo, Manuel Rodrigo | Family Practice | West Harrison | 247836-0B | November 6, 2017 |
| Farooqi, Mushahid Ahmed | Family Practice | Richmond Hill | 281958-9B | November 21, 2017 |
| Garfield, Robert J. | Family Practice | Stamford | 209421-7W | November 21, 2017 |
| Kranthi, Bhavana | Family Practice | New York | 287857-7B | November 21, 2017 |
| Mayes-Beasly, Wendy Deloris | Family Practice | Galway | 289513-4W | November 21, 2017 |
| Nave, Dennis John | Family Practice | Cicero | 150777-1W | November 21, 2017 |
| Neilsen, Susan Aery | Family Practice | Buffalo | 290869-7W | November 6, 2017 |
| Ross, Valerie Howarth | Family Practice | Vestal | 180337-8W | November 10, 2017 |
| Martinez, Manuel | Gastroenterology | New York | 217099-1I | November 10, 2017 |
| Mendelsohn, Robert Alan | Gastroenterology | Carmel | 172727-0B | November 6, 2017 |
| Stein, Elizabeth M. | General Preventive Medicine, Preventive Medicine-Public Health | Ithaca | 288565-5W | November 10, 2017 |
| Rehman, Syed Inam-Ur | Geriatric Medicine | Troy | 241532-1W | November 21, 2017 |
| Abreu, Arlene Maria | Internal Medicine | Corning | 196538-3W | November 13, 2017 |
| Baatarkhuu, Badamkhand | Internal Medicine | Cooperstown | 287614-2W | November 10, 2017 |
| Chelagiri, Mariamma George | Internal Medicine, Hospice and Palliative Medicine | Stony Brook | 234125-3W | November 10, 2017 |
| Dave, Vinnidhy | Internal Medicine | New York | 275556-9W | November 13, 2017 |
| Kashif, Khawaja Muhammad | Internal Medicine | Johnson City | 278620-0W | November 10, 2017 |
| Lu, Andrew Hong | Internal Medicine | Stony Brook | 289954-0W | November 10, 2017 |
| Luthra, Monica | Internal Medicine | Snyder | 285403-2B | November 6, 2017 |
| Savino, John Anthony, III | Internal Medicine, Cardiovascular Disease | East Setauket | 263571-2W | November 10, 2017 |
| Albright, Karen Cretsinger | Neurology | Syracuse | 291104-8W | November 24, 2017 |
| Maurer, Carine Waase | Neurology | Stony Brook | 290294-8B | November 10, 2017 |
| Dominguez, Espaillat Anna Prisc | Obstetrics/Gynecology | Stony Brook | 274919-0W | November 21, 2017 |
| Gossner, Gabrielle | Obstetrics/Gynecology, Gynecologic Oncology | Stony Brook | 245647-3W | November 10, 2017 |
| Hamlet, Yonah J. | Ophthalmology | Far Rockaway | 134709-5I | November 16, 2017 |
| Manns, Jack Eugene | Ophthalmology | Cooperstown | 287947-6W | November 6, 2017 |
| Burzynski, Adam Olgierd | Orthopedic Surgery | Buffalo | 285325-7W | November 6, 2017 |
| Campbell, Kirk Anthony | Orthopedic Surgery | New York | 260400-7W | November 22, 2017 |
| Gitlin, Adam Wayne | Orthopedic Surgery | Middletown | 267426-5W | November 22, 2017 |
| Halsey, June Chanyasulkit | Orthopedic Surgery | Bridgehampton | 287463-4W | November 24, 2017 |
| Jegede, Kolawole | Orthopedic Surgery | New York | 290224-5W | November 10, 2017 |
| Menga, Emmanuel Nganku | Orthopedic Surgery | Rochester | 288799-0W | November 21, 2017 |
| Naik, Amish Atulbhai | Orthopedic Surgery | Middletown | 273305-3W | November 10, 2017 |
| Schwarzkopf, Ran | Orthopedic Surgery | New York | 253979-9B | November 13, 2017 |
| Shein, Daniel | Orthopedic Surgery | New York | 279158-0W | November 10, 2017 |
| Tayag, Daniel Lim | Orthopedic Surgery | Corning | 283309-3W | November 10, 2017 |
| Virk, Mandeep Singh | Orthopedic Surgery | New York | 279569-8W | November 22, 2017 |
| Kraus, Dennis H. | Otolaryngology | New York | 181635-4B | November 10, 2017 |
| McClain, Albert Austin, Jr. | Otolaryngology | Watertown | 288937-6W | November 10, 2017 |
| Callahan, Margaret Hart | Pediatrics | Pittsford | 285313-3W | November 10, 2017 |
| Sonagere, Matthew Bradley | Physical Medicine/Rehabilitation | Schenectady | 286856-0W | November 13, 2017 |
| Vairavamurthy, Darshan Wimal | Physical Medicine/Rehabilitation | Middletown | 269329-9W | November 21, 2017 |
| Tidd, Christopher Mark | Psychiatry | Rochester | 220307-3W | November 10, 2017 |
| Hu, Bing | Radiology – Diagnostic Radiology | New York | 289422-8W | November 21, 2017 |
| Latzman, Jonathan Marc | Radiology – Diagnostic Radiology | Syracuse | 288219-9W | November 24, 2017 |
| Mohammed, Mujtaba | Radiology – Diagnostic Radiology | Syracuse | 285360-4W | November 24, 2017 |
| Walter, William Roccos | Radiology – Diagnostic Radiology | New York | 282912-5W | November 21, 2017 |
| Bannazadeh, Mohsen | Surgery, General Vascular Surgery | Stony Brook | 279236-4W | November 10, 2017 |
| Cohn, Tyler David | Surgery | Stony Brook | 287478-2W | November 10, 2017 |
| Dhir, Mashaal | Surgery | Syracuse | 288292-6W | November 24, 2017 |
| Georgakis, Georgios V. | Surgery | Stony Brook | 289527-4B | November 10, 2017 |
| Bodkin, John Joseph, III | Urology | Buffalo | 263225-5W | November 6, 2017 |
| Peters, David L. | Urology | Stony Brook | 290239-3W | November 10, 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