Subject Numbers Regarding Health Provider Authorizations
January 9, 2018
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 |
|---|---|---|---|---|
| Abrakhimov, Yakub | Anesthesiology | Forest Hills | 264776-6W | December 12, 2017 |
| Dhananjay, Harshini | Anesthesiology, Pain Management | Flushing | 269047-7W | December 13, 2017 |
| Frenkel, Joshua | Anesthesiology, Pain Management | Middletown | 289637-1W | December 7, 2017 |
| Hannan, Paul John | Anesthesiology | Brooklyn | 250782-0W | December 21, 2017 |
| Martinucci, Robert Christopher | Anesthesiology | Lowville | 193476-9W | December 14, 2017 |
| Roman, Horatius | Anesthesiology, Critical Care Medicine | Syracuse | 260317-3W | December 11, 2017 |
| Wong, Andrea Calpurnia | Anesthesiology, Pain Management | Williamsville | 288129-0W | December 21, 2017 |
| Klein, Morey Sol | Cardiovascular | West Islip | 179422-1W | December 19, 2017 |
| Pyo, Robert T. | Cardiovascular Disease, Interventional Cardiology | Stony Brook | 222421-0W | December 12, 2017 |
| Cruz, Ashley Nicole | Chiropractic | Thiells | C12888-6W | December 27, 2017 |
| Lee, Woo Jae | Chiropractic | Flushing | C12805-0W | December 27, 2017 |
| Marcus, Adrian Michael | Chiropractic | Bronx | C07031-0W | December 27, 2017 |
| Mitchell, Roger | Chiropractic | Springfield Gardens | C12994-2W | December 27, 2017 |
| Roney, Michael Allen | Chiropractic | Clifton Park | C12961-1W | December 27, 2017 |
| Melamud, Kira | Diagnostic Radiology | New York | 282880-4W | December 27, 2017 |
| Nicholas, Christopher James | Diagnostic Radiology | Williamsville | 291531-2W | December 21, 2017 |
| Paek, Gina Kyoung Sun | Diagnostic Radiology | Johnson City | 266932-3W | December 6, 2017 |
| Patel, Amish | Diagnostic Radiology, Vascular and Interventional Radiology | New York | 258977-8W | December 27, 2017 |
| Raz, Eytan | Diagnostic Radiology | New York | 274139-5B | December 27, 2017 |
| Soliman, Fatima | Diagnostic Radiology | Albany | 266507-3I | December 6, 2017 |
| Funk, Jaime Sarah | Emergency Medicine | Brewster | 285806-6B | December 21, 2017 |
| Aldea, Diana Lucy | Family Practice | Kings Park | 237768-7W | December 21, 2017 |
| Davydova, Yelena | Family Practice | Forest Hills | 290258-3W | December 13, 2017 |
| Dory, Andrea Christina | Family Practice | Oyster Bay | 232732-8W | December 11, 2017 |
| Fedor, Justin Phillip | Family Practice | Cicero | 265947-2W | December 13, 2017 |
| LaPorta, Jennifer Ann | Family Practice | Mount Kisco | 287545-8B | December 26, 2017 |
| Magalhaes, Carlos Jorge | Family Practice | Westhampton Beach | 227578-2B | December 6, 2017 |
| Medina, Christopher Ariel | Family Practice, Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine | Westhampton Beach | 283559-3B | December 12, 2017 |
| Naik, Chandra Lal | Family Practice | Highland | 278457-7W | December 28, 2017 |
| Shah, Srishti | Family Practice | West Sayville | 289873-2W | December 13, 2017 |
| Pu, Jeffrey Jiayu | Hematology | Syracuse | 241011-6W | December 12, 2017 |
| Aleksandrova, Olga | Internal Medicine | Staten Island | 291406-7W | December 13, 2017 |
| Dinovitser, Jay Daniel | Internal Medicine | Ellenville | 262529-1W | December 13, 2017 |
| Imam, Muneer | Internal Medicine, Pulmonary Disease | Ctr Moriches | 159557-8W | December 11, 2017 |
| Joseph, Shamfa Chrystal | Internal Medicine | Cooperstown | 289815-3W | December 6, 2017 |
| Kumar, Rajesh | Internal Medicine | Johnson City | 284837-2W | December 7, 2017 |
| LaTorre, Grace Natalie | Internal Medicine | Stony Brook | 269540-1W | December 6, 2017 |
| Metzger, Qing Jane | Internal Medicine, Rheumatology | Stony Brook | 243996-6W | December 6, 2017 |
| Oueida, Zaher Mohamed Ali | Internal Medicine | Syracuse | 290165-0W | December 13, 2017 |
| Shelly, Robert Jon | Internal Medicine, Pediatrics | Williamson | 208628-8W | December 26, 2017 |
| Yi, Jason | Internal Medicine | Stony Brook | 289702-3W | December 21, 2017 |
| Riley, Jonathan Patrick | Neurological Surgery | Orchard Park | 290543-8W | December 21, 2017 |
| Roonprapunt, Chanland | Neurological Surgery | New York | 232837-5B | December 19, 2017 |
| Tandon, Adesh | Neurological Surgery | Johnson City | 257237-8W | December 21, 2017 |
| Sparman, Anthonette Alicia | Neurology | Brooklyn | 284831-5B | December 13, 2017 |
| Syritsyna, Olga | Neurology | Stony Brook | 291340-8W | December 13, 2017 |
| Xu, Luna | Ophthalmology | Mount Kisco | 271008-5W | December 27, 2017 |
| Cavagnaro, Matthew Aaron | Orthopedic Surgery | Buffalo | 280817-8B | December 21, 2017 |
| Desir, Woodley | Orthopedic Surgery | Vestal | 280159-5W | December 21, 2017 |
| Elguizaoui, Sameh Ashraf | Orthopedic Surgery | New York | 283141-0W | December 27, 2017 |
| Farber, Andrew Eric | Orthopedic Surgery | New York | 238648-0B | December 27, 2017 |
| Gutnick, Jesse Reed | Orthopedic Surgery | Syracuse | 288644-8W | December 6, 2017 |
| Ketonis, Constantinos | Orthopedic Surgery, Hand Surgery | Rochester | 291118-8W | December 26, 2017 |
| McAnany, Steven Joseph | Orthopedic Surgery | New York | 268193-0W | December 11, 2017 |
| Metitiri, Ogheneochuko Ejiro Si | Orthopedic Surgery – Hand Surgery | Poughkeepsie | 289095-2W | December 21, 2017 |
| Vorys, George Christian | Orthopedic Surgery | East Setauket | 273311-1W | December 12, 2017 |
| Bhatia, Nitin | Otolaryngology | White Plains | 262359-3W | December 13, 2017 |
| Engle, Robert David | Otolaryngology | Albany | 283592-4B | December 6, 2017 |
| Rosenberg, Richard Arthur | Otolaryngology | White Plains | 147078-0W | December 13, 2017 |
| Solomon, Joel L. | Pediatrics | Queensbury | 124635-4W | December 7, 2017 |
| Tamburo, Michael | Pediatrics | Bellmore | 253268-7W | December 22, 2017 |
| Casey, Ellen Kathleen | Physical Medicine/Rehabilitation | New York | 291169-1W | December 11, 2017 |
| Dvoskin, Dmitriy | Physical Medicine/Rehabilitation, Pain Management | Brooklyn | 287516-9W | December 14, 2017 |
| Pilly, Vikas Kumar | Physical Medicine/Rehabilitation | Derby | 244731-6W | December 14, 2017 |
| Cohen, Justin Brent | Plastic Surgery | Garden City | 287901-3W | December 11, 2017 |
| Aumiller, Gary S. | Psychology | Hauppauge | S08117-4B | December 14, 2017 |
| Bobulinski, Michelle E. | Psychology | Carmel | S14656-3B | December 14, 2017 |
| Flores-Arman, Angelica Maria | Psychology | Richmond Hill | S22105-1B | December 14, 2017 |
| Glickman, Philip Adrian | Psychology | Brooklyn | S21281-1W | December 14, 2017 |
| Lakin, Michael Jon | Psychology | Ithaca | S12562-5W | December 14, 2017 |
| Lloyd, Scott Emerson | Psychology | New York | S21247-2I | December 14, 2017 |
| McDermott, Rebecca Carol | Psychology | Syracuse | S21940-2W | December 14, 2017 |
| Pierce, Pamela Jo | Psychology | Hauppauge | S20113-7I | December 14, 2017 |
| Sousa, Amber Marie | Psychology | Lindenhurst | S21167-2I | December 14, 2017 |
| Heacock, Laura | Radiology – Diagnostic Radiology | New York | 283186-5W | December 27, 2017 |
| Wysell, Maryanne Carol | Rheumatology | Poughkeepsie | 188510-2B | December 6, 2017 |
| Albright, Jeffrey Burton | Surgery, Colon/Rectal Surgery | Syracuse | 290382-1W | December 26, 2017 |
| Bakoulis, Anastasia | Surgery | Stony Brook | 284277-1W | December 12, 2017 |
| Lee, Kathreen Portia | Surgery, Colon/Rectal Surgery | Stony Brook | 290326-8W | December 6, 2017 |
| Muratore, Christopher Steven | Surgery | Stony Brook | 291165-9W | December 6, 2017 |
| Pinkhas, Joseph | Surgery | Port Jefferson | 289041-6W | December 6, 2017 |
| Zehr, Rachel Beth | Surgery | Oneonta | 272947-3W | December 21, 2017 |
| Golombos, David Michael | Urology | Stony Brook | 283587-4W | December 14, 2017 |
| Herman, Michael Paul | Urology | Valley Stream | 244159-0W | December 11, 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