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Subject Number 046-1078 Changes to the List of Health Care Providers Authorized to Render Services to Injured Workers Under the Workers' Compensation Law

Subject Numbers Regarding Health Provider Authorizations

July 10, 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
Adzimah, Joseph J. Brooklyn 111106-1W May 14, 2018
Afilaka Aboaba Abiodun Asiokam Turlock 219481-9B May 14, 2018
Ahmad, Shafi East Northport 100869-7W May 14, 2018
Aiello, Thomas John New City S03218-5B May 14, 2018
Annadanam, Varalakshmi Bronx 206470-7B May 14, 2018
Arnitsis, Elias G. Elmsford C11661-8W May 14, 2018
Ball, Stanley M. Brooklyn 073027-5W May 14, 2018
Bitter Marsha Bedford Hills 146892-5W May 14, 2018
Bhattacharyya, Jadab K. Buffalo 111156-6W May 14, 2018
Borenstein, Neal Marshall Portland 167551-1B May 14, 2018
Brooks, Leslie San Rafael 092162-7W May 14, 2018
Brundage, Bart Allen Fairport C09751-1W May 14, 2018
Bulczak, Dariusz Piotr West Pittston 220495-6B May 14, 2018
Chiariello, Cynthia Carol Staten Island 143845-6W May 14, 2018
Chisholm, Joan Winsome Rochester 157500-0W May 14, 2018
Chung, Chung Taik Syracuse 119070-1W May 14, 2018
Das, Pradip Kumar Bellerose 187575-6W May 14, 2018
Di Bella, Agatino Endwell 086582-4W May 14, 2018
Durgin, Francis John Fayetteville 082538-0W May 14, 2018
Farhad, Mina New York 100168-4W May 14, 2018
Fastenberg, William Brooklyn 083746-8B May 14, 2018
Fitzgerald, Thomas Joseph Boca Raton C01892-1W May 14, 2018
Flemister, Peter Bernard White Plains 190404-4W May 14, 2018
Gangat, Yakub M. Port Jefferson 122118-3W May 14, 2018
Gitlow, Stanley Edward Naples 049459-1W May 14, 2018
Goldstein, Allen Flushing 097245-5W May 14, 2018
Gueli, Sarah Louise New Hampton 267072-7W May 14, 2018
Guglielmo, Alyssa Marie Dobbs Ferry C11224-5W May 14, 2018
Hanypsiak, Bryan T. Riverhead 232368-1W May 14, 2018
Hassan Jones, Lynn Bakeerah Latham 264697-4W May 14, 2018
Heller, Marc E. Cooperstown 122543-2W May 14, 2018
Huang, Stephen L. H. Bronx 109898-7W May 14, 2018
Islam, Abu Mohammed R. East Elmhurst 121552-4W May 14, 2018
Johe, David Howard St. Marys 150266-5W May 14, 2018
Kapadia, Samir New York 266593-3W May 14, 2018
Karno, Grant Miki Las Vegas 284400-9W May 14, 2018
Khafif, Rene Suffern 091233-7W May 14, 2018
Khalid, M. Atif Frisco 233108-0B May 14, 2018
Kharabi, Fereidoon Encino 123133-1W May 14, 2018
Kim, Suk Sik Bay Shore 110412-4W May 14, 2018
Labella, Karen Kinna Rome C04565-0W May 14, 2018
Leshner, Mark H. Croton-on-Hudson C03118-9W May 15, 2018
Marmel, Richard Forest Hills 140043-1W May 15, 2018
Meltzer, Murray A. New York 089876-7W May 15, 2018
Menon, Sreedevi N. Kendall Park 117678-3W May 15, 2018
Messing, Michael Lloyd Hornell 255927-6W May 15, 2018
Misra, Neelam Austin 234463-8B May 15, 2018
Moore, Francis Xavier Bayville 049046-6B May 15, 2018
Navarro, Jesus V. Woodside 172815-3W May 15, 2018
Nelson, Yvonne Sue Stamford 250104-7W May 15, 2018
Newhouse, Stanley Brooklyn 083819-3W May 15, 2018
Nolan, James P. Buffalo 090711-3W May 15, 2018
O'Brien, Edward John Mountainside C08943-5B May 15, 2018
Osnos, Robert John Bychowski New York 083978-7W May 15, 2018
Pachmakova, Weiss Ahinora Moorestown 083883-9W May 15, 2018
Pathy, Venkatachala Madison 114601-8W May 15, 2018
Pawlowski, Jadwiga Helena Elmhurst 119256-6W May 15, 2018
Perilli, John F. Ossining 116983-8W May 15, 2018
Peter, Sebastian A. Brooklyn 127078-4W May 15, 2018
Quittman, Stephen Ashley Palm Beach Gardens S03744-0B May 15, 2018
Raja, Muhammad Raqib Naples 107595-1W May 15, 2018
Rosenbluth, Michael Albert New York 079732-4W May 15, 2018
Rubenstein, Herbert Arthur Mount Pleasant 094906-5W May 15, 2018
Sarmiento, Vicente Dominado Staten Island 118802-8W May 15, 2018
Shiu, David Middletown 284420-7B May 15, 2018
Solomon, Sanford P. Great Neck 094295-3W May 15, 2018
Tan, Vivian Chua Getzville 211480-9B May 15, 2018
Torres, Carlos Smithtown 119423-2W May 15, 2018
Turley Baxter, Jesse, III Charlotte 268956-0W May 15, 2018
Volkman, David J. Nissequoque 163507-7W May 15, 2018
Waite, Malcolm Edward Clifton Park 071453-5W May 15, 2018
Woods, Robert E. Youngstown 106819-6W May 15, 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