Subject Numbers Regarding Health Provider Authorizations
January 9, 2018
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 |
|---|---|---|---|
| Harrison, Raymond | Larchmont | 083769-0W | November 2, 2017 |
| Buckwalter, Lawrence Ernest | Loudonville | 091444-0W | November 2, 2017 |
| Abebe, Mekdess Asamnew | Buffalo | 264601-6W | November 20, 2017 |
| Ahmadjian, Jonathan Michael | Kingston | 192100-6W | November 20, 2017 |
| Amorosi, Edward Lawrence | New York | 085147-7W | November 20, 2017 |
| Amundson, Gary Mark | Syracuse | 263159-6W | November 20, 2017 |
| Anuvat, Kevin Jukarin | Syracuse | 281075-2W | November 20, 2017 |
| Baladandapani, Parameshwari | Bakersfield | 252927-9W | November 20, 2017 |
| Bhargava, Dinesh | Land O Lakes | 128944-6W | November 20, 2017 |
| Birnbaum, Allan Miller | Fayetteville | 108997-8W | November 20, 2017 |
| Blackman, Noel E. | St Albans | 141896-1W | November 20, 2017 |
| Boka, Suzanna P. | Bonita Springs | 216489-5W | November 20, 2017 |
| Challa, Chaitanya K | Melville | 257926-6W | November 20, 2017 |
| Chang, Han Kyo | North Tonawanda | 125005-9W | November 20, 2017 |
| Cirelli, John Joseph | S Glens Falls | 082998-6W | November 20, 2017 |
| Corkill, Guy L. | Webster | 223709-7B | November 20, 2017 |
| Davis, George Fabyan | Hudson | 140596-8W | November 20, 2017 |
| Davuluri, Chaudhury | Fayetteville | 231420-1W | November 20, 2017 |
| Dehorn, Stephen John | Norwhich | 257974-6W | November 20, 2017 |
| Dobushak, Walter S. | Honesdale | 131740-3W | November 20, 2017 |
| Duval, Jacqueline | Riverdale | 107664-5W | November 20, 2017 |
| Elson, Clifford M. | Niskayuna | 121152-3W | November 20, 2017 |
| Farcon, Eduardo M. | Paramus | 121472-5W | November 20, 2017 |
| Finley, David H. | White Plains | 134276-5W | November 20, 2017 |
| Fischbein, Jeffrey Earl | New York | 173760-0B | November 20, 2017 |
| Fleeman, Jennifer Anne | Rochester | S15572-1B | November 20, 2017 |
| Gajwani, Bhagwan W. | Vestal | 113418-8W | November 20, 2017 |
| Gemelas, Alaina | Huntington | C12543-7W | November 20, 2017 |
| Ginsburg, Richard M | Shrewsbury | 134282-3W | November 20, 2017 |
| Ginsburg, Selig Moses | New York | 074846-7W | November 20, 2017 |
| Grant, Adam Peter | Hewlett | 274782-2W | November 20, 2017 |
| Green, Donald Robert | Seminole | 209854-9W | November 20, 2017 |
| Hixson, Frederick Peter | Syracuse | 144531-1B | November 20, 2017 |
| Huang, Su Ying | Great Neck | 144726-7W | November 20, 2017 |
| Jones, Vann Kinckle | Chappaqua | 100270-8W | November 20, 2017 |
| Kaplan, Larry Paul | Cornwall | 258110-6W | November 20, 2017 |
| Kaur, Kanwal Jit | Syosset | 147379-2W | November 20, 2017 |
| Kermani, Sirus Asky | Delmar | 197882-4W | November 20, 2017 |
| Khanuja, Ajit S. | Troy | 111344-8B | November 20, 2017 |
| Laplante, Justin Kyle | Corning | 273359-0W | November 20, 2017 |
| Lemberskiy, Liya | Brooklyn | 153170-6W | November 20, 2017 |
| Loturco, Jacob P. | Pittsford | C12063-6W | November 20, 2017 |
| Malone, William J. | Saratoga Springs | 248618-1W | November 20, 2017 |
| Markarian, Bedros | Hilton Head Island | 091981-1W | November 20, 2017 |
| Mastroianni, Anthony P. | Schenectady | 143679-9W | November 20, 2017 |
| Menegaz, Robert John | New York | 095923-9W | November 20, 2017 |
| Miller, Faith Anne | Franklin | C09472-4W | November 20, 2017 |
| Miller, Susan Gene | Ithaca | 201726-7W | November 20, 2017 |
| Mills, Christopher A. | Midland | 255829-4W | November 20, 2017 |
| Mirza, Adnan | Johnson City | 263090-3W | November 20, 2017 |
| Moriarty Diane Marie | Huntington Station | 189307-2W | November 20, 2017 |
| Murthy, Radhakrishna | Plains | 110241-7W | November 20, 2017 |
| Obeid, Nabeel Robert | Ann Arbor | 268605-3W | November 20, 2017 |
| Opam, Danielle Registre | Little Neck | 181627-1W | November 20, 2017 |
| Projansky, Dolores E. | New Paltz | S12028-7W | November 20, 2017 |
| Rahn, Elsa Kertesz | Rockville Centre | 095841-3B | November 20, 2017 |
| Raphael, Paul S. | Bethlehem | 111530-2W | November 20, 2017 |
| Rieder, Ronald Frederic | Manhasset | 083278-2B | November 20, 2017 |
| Ross, Lawrence R. | Tucson | 079632-6W | November 20, 2017 |
| Scanlon, Thomas Stephen | Buffalo | 106997-0W | November 20, 2017 |
| Schildkraut, Harvey S. | Little Neck | 084896-0W | November 20, 2017 |
| Schulman, Gerald | Nashville | 138197-9W | November 20, 2017 |
| Shapiro, Leonard Zelig | Monsey | 101096-6B | November 20, 2017 |
| Sheth, Mahendra R. | Port Saint Lucie | 113790-0W | November 20, 2017 |
| Smith, Gary C. | Batavia | 103968-4W | November 20, 2017 |
| Smith, Lawrence Homer Elliott | Green Valley | 076287-2W | November 20, 2017 |
| Spigel, G. Thomas | Olean | 135235-0W | November 20, 2017 |
| Talenti, David Anthony | Sayre | 194300-0W | November 20, 2017 |
| Talorico, Anthony P. | Staten Island | 128782-0W | November 20, 2017 |
| Thorne, Robert Bruce | North Bergen | 161429-6B | November 20, 2017 |
| Tropeano, Vincent Charles | Staten Island | 161156-5W | November 20, 2017 |
| Tula, Julio C. | Middle Village | 128788-7W | November 20, 2017 |
| Tuladhar, Pavitra Man | Scottsdale | 118207-0W | November 20, 2017 |
| Vibooshanan, Pandian Paul | El Paso | 186395-0W | November 20, 2017 |
| Weinstein, David Brian | Melville | C04877-9W | November 20, 2017 |
| Weyer, Allison | Williamsville | 280948-1W | November 20, 2017 |
| Witanowski, Stephen John | Commack | 159457-1W | November 20, 2017 |
| Wittstein, Jocelyn Ross | Cooperstown | 256053-0W | November 20, 2017 |
| Yadanza, James Michael | Punta Gorda | C09601-8W | November 20, 2017 |
| Yeon, Hyung Je | Hopewell Junction | 107596-9W | November 20, 2017 |
| Youn, Hyung Joong | Huntington Beach | 108298-1W | November 20, 2017 |
| Yusaf, Nadia Fatima | Rochester | 265135-4W | November 20, 2017 |
| Zechnowitz, Hal M. | Dix Hills | C01954-9B | November 20, 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.
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