Subject Numbers Regarding Health Provider Authorizations
March 8, 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 |
|---|---|---|---|---|
| Anca, Diana | Anesthesiology | New York | 243958-6W | February 15, 2018 |
| Jensen, Mark Robert | Anesthesiology | Rochester | 276356-3W | February 6, 2018 |
| Ricanor, Rainier Jude | Anesthesiology, Pain Management | Pelham | 285337-2B | February 5, 2018 |
| Shoemaker, Mark Charles | Anesthesiology | Albany | 225483-7B | February 23, 2018 |
| Straub, Benjamin Joseph | Anesthesiology | New Rochelle | 276045-2W | February 22, 2018 |
| Cohen, Randy Edward | Cardiovascular | Middletown | 239884-0W | February 22, 2018 |
| Bau, Jennifer Lynn | Diagnostic Radiology | Corning | 285394-3W | February 13, 2018 |
| Lee, Cindy | Diagnostic Radiology | Garden City | 286719-0B | February 22, 2018 |
| Lee, Susan Catherine | Diagnostic Radiology | New York | 282850-7B | February 23, 2018 |
| Park, James | Diagnostic Radiology | New York | 282661-8B | February 22, 2018 |
| Qiu, William Weiguang | Diagnostic Radiology | New York | 228377-8W | February 8, 2018 |
| Ravi, Ananth Kumar | Diagnostic Radiology | Corning | 284688-9W | February 1, 2018 |
| Campbell, Christina L. | Emergency Medicine | Johnson City | 291037-0W | February 1, 2018 |
| Huynh, Quang Nhut | Family Practice | Bronx | 290912-5W | February 14, 2018 |
| Mathews, Premila Maria | Family Practice | Mt Kisco | 267709-4B | February 14, 2018 |
| Morcos, David | Family Practice | Monticello | 289774-2W | February 22, 2018 |
| Ni, Kimberly | Family Practice | Vestal | 290771-5W | February 14, 2018 |
| Peaden, Taylen Clay | Family Practice | Little Falls | 291018-0W | February 1, 2018 |
| Taufik, Mireille | Family Practice | Corning | 285213-5W | February 14, 2018 |
| Abidi, Mohammad Ali | Internal Medicine | Johnson City | 291049-5W | February 14, 2018 |
| Churchill, Todd Thomas | Internal Medicine | Oneonta | 234237-6W | February 8, 2018 |
| Kalil, Marissa Z. | Internal Medicine | New Hartford | 244545-0W | February 7, 2018 |
| Parikh, Leslie Russell | Internal Medicine, Cardiovascular Disease | Rumford | 288411-2I | February 8, 2018 |
| Raza, Khadija | Internal Medicine | Vestal | 290153-6W | February 6, 2018 |
| Soussan, Louisette Lise | Internal Medicine, Nephrology | Cooperstown | 287524-3W | February 13, 2018 |
| Insinga, Salvatore Anthony | Neurological Surgery | West Islip | 201754-9W | February 6, 2018 |
| Wu, Yaojie | Neurology | Middletown | 273658-5W | February 14, 2018 |
| Angelilli, Allison | Ophthalmology | Bethpage | 237377-7B | February 22, 2018 |
| Hayes, Daniel Donald | Ophthalmology | Bethpage | 245893-3B | February 22, 2018 |
| Weiner, Asher | Ophthalmology | Orchard Park | 217420-9B | February 22, 2018 |
| Banwar, Nitin S. | Orthopedic Surgery | Clifton Springs | 148060-7I | February 15, 2018 |
| Levitt, Richard L. | Orthopedic Surgery | Brooklyn | 291679-9B | February 12, 2018 |
| Sutton, Karen Michelle | Orthopedic Surgery | New York | 291091-7W | February 5, 2018 |
| Thompson, Willie Edward | Orthopedic Surgery | Brooklyn | 288000-3B | February 12, 2018 |
| Wetzel, Franklin Todd | Orthopedic Surgery | Cooperstown | 291444-8W | February 1, 2018 |
| Gore, Mitchell Ray | Otolaryngology | Liverpool | 278482-5B | February 22, 2018 |
| Lee, Heather Eunjoo | Otolaryngology | Rochester | 283340-8W | February 22, 2018 |
| Pizarro, Emerita A. | Pediatrics | New Hartford | 205704-0W | February 16, 2018 |
| Avolio, Jock Alfred | Physical Medicine/Rehabilitation | Clifton | 195153-2W | February 12, 2018 |
| Hattab, Raed | Physical Medicine/Rehabilitation, Pain Management | Rego Park | 234546-0B | February 22, 2018 |
| Mattei-Gonzalez, Gabriel | Physical Medicine/Rehabilitation | Airmont | 286142-5W | February 15, 2018 |
| Thiyagarajah, Aathirayen | Physical Medicine/Rehabilitation, Pain Management | Binghamton | 288486-4W | February 1, 2018 |
| Arndt, David Henry | Podiatry | N Syracuse | P06434-6W | February 6, 2018 |
| Benitez, Camilo Jose | Podiatry | Fresh Meadows | P06791-9W | February 6, 2018 |
| Berlin, Lance R. | Podiatry | Islip | P04704-4W | February 6, 2018 |
| Chi, Yu-Ching | Podiatry | New Hyde Park | P06799-2B | February 6, 2018 |
| Ellie, Christine M. | Podiatry | New York | P06402-3W | February 6, 2018 |
| Gogna, Anuj | Podiatry | Nesconset | P06890-9B | February 6, 2018 |
| Han, Jungwoo | Podiatry | Pearl River | P06740-6B | February 6, 2018 |
| Harris, Samantha Yvonne | Podiatry | Champlain | P06901-4W | February 6, 2018 |
| Haskin-Cole, Crystal J. | Podiatry | Warwick | P06574-9W | February 6, 2018 |
| Knowles, Allyssa Maria | Podiatry | Brooklyn | P06720-8B | February 6, 2018 |
| Larocca, Alexandra | Podiatry | West Islip | P06843-8W | February 6, 2018 |
| Nowak, Jessica | Podiatry | Williamsville | P06847-9W | February 6, 2018 |
| Prevete, Jacqueline Lee | Podiatry | New Hyde Park | P06846-1B | February 6, 2018 |
| Registre, Edner Franklin | Podiatry | Elmont | P06837-0W | February 6, 2018 |
| Richards, Jonathan Jacob | Podiatry | New York | P06522-8W | February 6, 2018 |
| Rosenfeld, Lonny Roy | Podiatry | Monticello | P06723-2W | February 6, 2018 |
| Sabghir, Arianna | Podiatry | Brooklyn | P06806-5W | February 6, 2018 |
| Shah, Nazia | Podiatry | Brooklyn | P06801-6W | February 6, 2018 |
| Stewart, David John | Podiatry | Flushing | P05255-6W | February 6, 2018 |
| Chaudhri, Mahipal Singh | Psychiatry | Rochester | 196375-0B | February 12, 2018 |
| Bang, Charlene | Psychology | Jackson Heights | S14777-7B | February 9, 2018 |
| Frank, Chiyoko Kobayashi | Psychology | Ithaca | S21554-1W | February 9, 2018 |
| Gonzalez, Annette | Psychology | Elmhurst | S20981-7B | February 9, 2018 |
| Livanos, Elisa Antoinette | Psychology | Rockville Centre | S20922-1W | February 9, 2018 |
| Pierce, Pamela Jo | Psychology | Hauppauge | S20113-7B | February 9, 2018 |
| Tolchin, Nicholas Imre | Psychology | Bayside | S18227-9W | February 9, 2018 |
| Choi, Jennifer Jaehee | Radiology – Diagnostic Radiology | New Hyde Park | 287898-1W | February 15, 2018 |
| Gaur, Sarel | Radiology – Diagnostic Radiology | Corning | 288198-5W | February 13, 2018 |
| Mani, Kartik M. | Radiology – Radiological Oncology | Stony Brook | 273671-8W | February 5, 2018 |
| Chawla, Ankur | Surgery, General Vascular Surgery | Utica | 258725-1W | February 2, 2018 |
| Kalnoki-Kis, Emese | Surgery | Rochester | 287964-1W | February 13, 2018 |
| Rojas, Ortiz Yoel Antonio | Surgery | Garden City | 271900-3W | February 15, 2018 |
| Tamar, Kyron C. | Surgery | Lowville | 132492-0W | February 15, 2018 |
| Larish, Yaniv Moshe | Urology | Glendale | 281709-6W | February 12, 2018 |
* 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