Subject Numbers Regarding Health Provider Authorizations
May 2, 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 |
|---|---|---|---|
| Khariton, Aleksandr Lvovich | Forrest Hills | 210625-0W | March 1, 2018 |
| Arcaya, Jose Manuel | New York | S07907-9B | March 5, 2018 |
| Amler, David Harris | White Plains | 108414-4W | March 13, 2018 |
| Asa, Benedicto L. | Mount Vernon | 137926-2W | March 13, 2018 |
| Bancroft, Kari Kopko | Williamsville | 283434-9W | March 13, 2018 |
| Beauboeuf, Alix | White Plains | 119031-3W | March 13, 2018 |
| Beer, Paul Marius | Slingerlands | 154500-3W | March 13, 2018 |
| Bergquist, Kaaren Nyhus | Rancho Santa Fe | 136431-4W | March 13, 2018 |
| Betit, Steven Kyle | Pittsburgh | 278752-1W | March 13, 2018 |
| Bitter, J. Jason | Melville | 132142-1W | March 13, 2018 |
| Blasczak, David Daniel | Clyde | 142005-8W | March 13, 2018 |
| Bleifer, Stanley Walter | Long Beach | 091407-7B | March 13, 2018 |
| Bochkarev, Bela Y. | Framingham | 156487-1W | March 13, 2018 |
| Boyle, Shelly Ann | Cheektowaga | C08554-0W | March 13, 2018 |
| Busch, Linda Ellen | Mount Arlington | S12048-5B | March 13, 2018 |
| Camarda, Jack, Jr. | Franklin Square | C00041-6W | March 13, 2018 |
| Chang, Joann | Littleton | 267568-4W | March 13, 2018 |
| Cunningham, J. Richard | Binghamton | 122053-2W | March 13, 2018 |
| Davidowitz, Robert Andrew | New York | C11138-7W | March 13, 2018 |
| Delbroccolo, Jennifer Mazurkiew | Melville | 231702-2W | March 13, 2018 |
| Deoquino, Rodolfo D. | Holtsville | 112835-4W | March 13, 2018 |
| Dhamoon, Satwant K. | New York | 123489-7W | March 13, 2018 |
| Easley, Robert M., Jr. | Webster | 089608-4W | March 13, 2018 |
| Esposito, Russell J. | Latham | 180794-0W | March 13, 2018 |
| Falkson, Eric Jacob Julius | New York | 081664-5W | March 13, 2018 |
| Farrell, Timothy Paul | MC Lean | 175050-4W | March 13, 2018 |
| Friedman, Gary Ross | New Hyde Park | 142901-8W | March 13, 2018 |
| Geehr, Robert B. | Albany | 232315-2W | March 13, 2018 |
| Giraldo, Jaime A. | Fort Lee | 102517-0W | March 13, 2018 |
| Glickman, Samuel Reuben | Rochester | 265576-9W | March 13, 2018 |
| Greenberg, I. Melbourne | Roslyn Estates | 049906-1I | March 13, 2018 |
| Grodin, Elizabeth Renee | New York | C12589-0W | March 13, 2018 |
| Haake, P. William | Scottsville | 097375-0B | March 13, 2018 |
| Hallman, Randy | Baltimore | C11638-6W | March 13, 2018 |
| Harnes, Jack Russell | Pawling | 044950-4W | March 13, 2018 |
| Harris, Jay Evans | Princeton | 093440-6W | March 13, 2018 |
| Hermann, Luke Kennan | New York | 224526-4W | March 13, 2018 |
| Hilty, Denice Genevieve | New York | C09937-6W | March 13, 2018 |
| Hussain, Ahmed | Kennett | 140962-2W | March 13, 2018 |
| Irwin, Robert W. | Troy | 129548-4B | March 13, 2018 |
| Jones, Thelma | Scarsdale | 092234-4W | March 13, 2018 |
| Karnik, Ashok Manohar | Davenport | 189952-5W | March 13, 2018 |
| Kelly, Jennifer J. | Syracuse | 216420-0W | March 13, 2018 |
| Kessler, Debra K. | New York | C04535-3W | March 13, 2018 |
| Kim, Zungwan | Rye | 111355-4W | March 13, 2018 |
| Koczman, Jacob John | Hudson | 274908-3W | March 13, 2018 |
| Kotkin, Irvin Lee | Roslyn | 153431-2W | March 13, 2018 |
| Lajam, Fouad E A | New York | 113542-5W | March 13, 2018 |
| Lateiner, Lloyd W. | Lake Worth | 123827-8W | March 13, 2018 |
| Lazar, Paul Alan | New York | P05355-4W | March 13, 2018 |
| Lempert, Neil | Delmar | 084228-6W | March 13, 2018 |
| Lesh, Ryan Edwin | Melville | 213522-6W | March 13, 2018 |
| Lessinger, Eric | Trumansburg | 116788-1W | March 13, 2018 |
| Malkin, Spencer Jason | Boca Raton | C08635-7W | March 13, 2018 |
| Malkin, Steven A. | Vestal | 127643-5W | March 13, 2018 |
| Marin, Edgar L. | Melville | 131675-1B | March 13, 2018 |
| Mathur, Tej S. | Bronx | 133170-1W | March 13, 2018 |
| Mayer, Theodor Karl | Pittsford | 139022-8W | March 13, 2018 |
| Mehar, Gurinder Singh | Cornwall | 167546-1W | March 13, 2018 |
| Menneg, Wendy Jean | Cranford | C096547W | March 13, 2018 |
| Miller, Ruth A. | Valley Stream | 045301-9W | March 13, 2018 |
| O'Dwyer, Rebecca | Syracuse | 275696-3W | March 13, 2018 |
| Padula, Guido | Brooklyn | 085614-6W | March 13, 2018 |
| Pandya, Yagnik Krishnakant | Natick | 274567-7W | March 13, 2018 |
| Parekh, Harshad | Staten Island | 109536-3W | March 13, 2018 |
| Pearl, Robert M. | Briarcliff Manor | C02811-0B | March 13, 2018 |
| Petro, Rita S. | Spencerport | S12833-0B | March 13, 2018 |
| Pismarov, Michael Thomas | Orchard Park | C12141-0B | March 13, 2018 |
| Rachlin, Stephen Leonard | New Rochelle | 092255-9W | March 13, 2018 |
| Rich, Sharon | Bronx | C08734-8B | March 13, 2018 |
| Rizk, Christine Rida | Stony Brook | 239988-9W | March 13, 2018 |
| Rockwell, Bruce H. | Lakewood | 187875-0W | March 13, 2018 |
| Rodnick, Alexander Henry | Elmsford | C12593-2W | March 13, 2018 |
| Rubano, Angelo R. | Brooklyn | 126664-2W | March 13, 2018 |
| Ruoff, Michael | New York | 092388-8W | March 13, 2018 |
| Sampathkumaran, Rajyashree | Sebring | 137326-5W | March 13, 2018 |
| Shamaskin, Ann R. | Rochester | 150509-8W | March 13, 2018 |
| Shragowitz, Jacob | Monsey | 047548-3W | March 13, 2018 |
| Silverberg, J. William | White Plains | 074295-7W | March 13, 2018 |
| Sirota, David King | Alpine | 086294-6W | March 13, 2018 |
| Starecki, Liza | Melville | 273945-6W | March 13, 2018 |
| Sumner, Philip | New York | 075820-1W | March 13, 2018 |
| Taffuri, Vincent M., Jr. | Airmont | C03022-3W | March 13, 2018 |
| Van Damme, Alexander Juliaan | Rochester | 226927-2W | March 13, 2018 |
| Vinsel, Paul Joseph | West Bathe | 188269-5W | March 13, 2018 |
| Weiss, Jerome A. | Penfield | 134580-0W | March 13, 2018 |
| Wieder, Sheldon Lewis | New York | 101867-0W | March 13, 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