Subject Numbers Regarding Health Provider Authorizations
April 13, 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 |
|---|---|---|---|
| Ferrazzo-Weller, Marissa Gabrie | Pearl River | 264928-3B | February 6, 2018 |
| Amabile, Anthony | Buffalo | C03781-4W | February 12, 2018 |
| Apone, Joseph | Auburn | 171805-5W | February 12, 2018 |
| Balla, Somasekhara R. | Roanoke Rapids | 139672-0W | February 12, 2018 |
| Baltsas, John Marios | Surfside Beach | C08524-3B | February 12, 2018 |
| Barbezat, Maurice | Yonkers | 085144-4W | February 12, 2018 |
| Barone, Robert Michael | Orchard Park | 087975-9B | February 12, 2018 |
| Battaglia, Catherine Foos | Honeoye Falls | 170715-7W | February 12, 2018 |
| Bershader, Mitchel Harris | Highland | C03694-9W | February 12, 2018 |
| Bloch, Raphael S. | Stamford | 101808-4W | February 12, 2018 |
| Boynton, James R. | Rochester | 119749-0B | February 12, 2018 |
| Bufton, Kelly Anne | New York | 264546-3W | February 12, 2018 |
| Caporaso, Gregg Louis | Mount Kisco | 202300-0B | February 12, 2018 |
| D'Anna, Robert William | Niagara Falls | C12581-7B | February 12, 2018 |
| Degiacomo, Marie Elaina | Brooklyn | C03327-6W | February 12, 2018 |
| Delbalso, Angelo M. | East Amherst | 139638-1W | February 12, 2018 |
| Dinh, Vu | Lowville | 255566-2W | February 12, 2018 |
| Douglas, Montgomery Bernard | Farmington | 171089-6W | February 12, 2018 |
| Dow, Christopher Conron | Hampden | 240113-1W | February 12, 2018 |
| Felsenstein, Sidney | Port Washington | P02037-1B | February 12, 2018 |
| Fernando, Leonides T. | Schenectady | 132926-7W | February 12, 2018 |
| Frishman, Jack Jonathan | White Plains | 075174-3W | February 12, 2018 |
| Fuertes, Diego Durana | Utica | 109229-5W | February 12, 2018 |
| Ventura, Charlanne | Alington | C09599-4B | February 12, 2018 |
| Goldenberg, William D. | Stony Brook | 253213-3W | February 13, 2018 |
| Grabo, Frederick Harrison | Rome | 072903-8W | February 12, 2018 |
| Greenwald, Bob | Englewood | 124078-7W | February 12, 2018 |
| Gussoff, Bernard David | Brooklyn | 076691-5W | February 12, 2018 |
| Hatti, Vikram Mysore | Fullerton | 233427-4I | February 12, 2018 |
| Hyderally, Hatim | Kinnelon | 108193-4W | February 12, 2018 |
| Kang, Cheng-An | Staten Island | 161328-0W | February 12, 2018 |
| Kanth, Pooja Madisetty | East Northport | 276409-0W | February 12, 2018 |
| Kantor, Howard L. | Huntington Station | 070315-7B | February 12, 2018 |
| Khanna, Anish Kumar | Ocala | 225438-1W | February 12, 2018 |
| King, Steven J. | Roslyn Harbor | 133039-8W | February 12, 2018 |
| Kolanko, Nicholas Michael | Stony Brook | 273784-9W | February 12, 2018 |
| Kreps, Sidney I. | New York | 036935-5W | February 12, 2018 |
| Kumar, Anubhav | Stony Brook | 281999-3W | February 12, 2018 |
| Lane, Bernard Joshua | Jersey City | 275753-2W | February 12, 2018 |
| Lemay, Linda Jean | Cazenonia | 166976-1W | February 12, 2018 |
| Lentini, Salvatore | Forest Hills | C07614-3W | February 12, 2018 |
| Leone, Richard Arnold | Allegany | 091050-5W | February 12, 2018 |
| Levine, Todd Michael | New York | C07704-2B | February 12, 2018 |
| Lew, Ewa Maria | West Pittston | 217014-0W | February 12, 2018 |
| Lopez Del Castillo, Alfredo N. | Staten Island | 113575-5W | February 12, 2018 |
| Lopez Ovejero, Jorge A. | New York | 111408-1W | February 12, 2018 |
| Ma, Shui Tung | Middle Village | 123162-0W | February 12, 2018 |
| Marasigan, Antonio V. | Syracuse | 113597-9W | February 12, 2018 |
| Mazer, Cynthia | New York | 191087-6W | February 12, 2018 |
| Meyers, Morton Allen | East Setauket | 084315-1W | February 12, 2018 |
| Mushlin, Alvin I. | New York | 105849-4W | February 12, 2018 |
| Narang, Ravinder M. | Totowa Boro | 112362-9W | February 12, 2018 |
| Narayan, Ramaiyer L. | Upper Saddle River | 132767-5W | February 12, 2018 |
| Nedunchezian, Deeptha | New York | 140066-2W | February 12, 2018 |
| Nuli, Balakrishna | Tucker | 113659-7W | February 12, 2018 |
| Omar, Nayyer | Glenview | 138143-3W | February 12, 2018 |
| Onorato, Anton R. | Mahopac | 125212-1W | February 12, 2018 |
| Overby, M Chris | Great Neck | 147313-1W | February 12, 2018 |
| Pacos, Andrew M. | Wake Forest | 182631-2W | February 12, 2018 |
| Paz, Rafael S. | Garfield | 134108-0W | February 12, 2018 |
| Press, Joseph H. | Rockaway Park | 039477-5W | February 12, 2018 |
| Rainey, Mark Anthony | Clarks Summit | 168540-3B | February 12, 2018 |
| Ralston, Thomas Michael | Urbandale | 211721-6W | February 12, 2018 |
| Reddy, Padmavathi | Englewood Cliffs | 142056-1W | February 12, 2018 |
| Rocco, Peter John | Hicksville | C02540-5B | February 12, 2018 |
| Roggemann, Dennis J. | Mountainside | 131180-2W | February 12, 2018 |
| Roven, Robert B. | Irvington | 081640-5W | February 12, 2018 |
| Ruiz, Armando | New York | 136883-6W | February 12, 2018 |
| Sahukar, Satya P. | Albion | 105951-8W | February 12, 2018 |
| Schmer, Joseph | Yakima | 158885-4W | February 12, 2018 |
| Segal, Barbara A. | Buffalo | 154007-9W | February 12, 2018 |
| Shafran, Morton | Palm Beach Gardens | 073368-3B | February 12, 2018 |
| Shah, Neil Pravin | Chatham | 250791-1B | February 12, 2018 |
| Shah, Rajiv K. | New York | 273890-4W | February 12, 2018 |
| Sirlin, Andrew L. | Plainview | C04492-7W | February 12, 2018 |
| Slaughter, Mary E. | Bronx | C10604-9W | February 12, 2018 |
| Spataro, Robert F. | Naples | 120444-5W | February 12, 2018 |
| Stavola, Frances P. | New York | 071685-2W | February 12, 2018 |
| Storch, Alan E. | Boynton Beach | 124861-6I | February 12, 2018 |
| Subramanian, Valavanur A. | New York | 111604-5W | February 12, 2018 |
| Tardiff, Kenneth J. | New York | 124890-5W | February 12, 2018 |
| Taylor-Kamara, Haja Bambie | Jersey City | C12026-3W | February 13, 2018 |
| Teigman, Michael D. | Hewlett | 136367-0W | February 13, 2018 |
| Thanik, Jaimala | Pittsford | 121860-1W | February 13, 2018 |
| Vadlamudi, Krishna Kumar | Marcy | 111069-1W | February 13, 2018 |
| Verhagen, Margaret Ella | Osprey | C04623-7I | February 13, 2018 |
| Wahl, Gary W. | Rochester | 145159-0W | February 13, 2018 |
| Was, Andrew Richard | New York | C03450-6W | February 13, 2018 |
| Watson, Thomas Jack | Rochester | 204470-9W | February 13, 2018 |
| Wistreich, Peter M. | Nyack | 150164-2W | February 13, 2018 |
| Woo, Chang Woo | Flushing | C10435-8B | February 13, 2018 |
| Yuen, Annie | Flushing | 265279-0W | February 13, 2018 |
| Zipf, Marie Therese | Smithtown | 075298-0W | February 13, 2018 |
| Khavash, Alexander | Hewlett | C10592-6W | February 20, 2018 |
| Riggs, Malcolm McBurney | Palmyra | 194654-0W | February 20, 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.
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