Subject Numbers Regarding Health Provider Authorizations
December 17, 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 |
|---|---|---|---|---|
| Atkinson, Derek | Anesthesiology | Stony Brook | 293226-7W | November 6, 2018 |
| Bansal, Itisha | Anesthesiology | Cooperstown | 291299-6W | November 20, 2018 |
| Chon, Boeu Mune | Anesthesiology | Mount Kisco | 262847-7B | November 20, 2018 |
| Greenberg, Brian Geoffrey | Anesthesiology | White Plains | 287250-5W | November 20, 2018 |
| Haddad, Fareed Farhan | Anesthesiology | Albany | 294235-7W | November 8, 2018 |
| Knuth, Jennifer Hamilton | Anesthesiology | Delmar | 257020-8W | November 7, 2018 |
| Pitta, Gabriel Eduardo | Anesthesiology | Mount Kisco | 267465-3B | November 20, 2018 |
| Rogel, Daniel Joseph | Anesthesiology | Westbury | 292880-2W | November 8, 2018 |
| Abdella, Ahmad Magdy | Chiropractic | Brooklyn | C13150-0B | November 23, 2018 |
| Bringley, Elizabeth Mary | Chiropractic | Binghamton | C12998-3B | November 23, 2018 |
| Brockhuizen, Jenna Dawn | Chiropractic | Newark | C13147-6W | November 23, 2018 |
| De Sousa, Jerslin | Chiropractic | Rockaway Beach | C12739-1I | November 23, 2018 |
| Fernandez, Jenaro | Chiropractic | Richmond Hill | C13057-7W | November 23, 2018 |
| Gilliam, Trainer Kimberly Joy | Chiropractic | New York | C12974-4W | November 23, 2018 |
| Heyert, Holley | Chiropractic | Phoenix | C13090-8I | November 23, 2018 |
| Jagbandhansingh, Darrick K. | Chiropractic | Richmond Hill | C09524-2W | November 23, 2018 |
| Mercogliano, Carla Ann | Chiropractic | Deer Park | C09270-2W | November 23, 2018 |
| Moseson, Nicole Ashley | Chiropractic | Brooklyn | C12950-4B | November 23, 2018 |
| Southerst, Danielle | Chiropractic | New York | C12871-2W | November 23, 2018 |
| Wlodarczyk, Weronika | Chiropractic | Maspeth | C13004-9W | November 23, 2018 |
| Hoffman, Jason Charles | Diagnostic Radiology | Mineola | 239707-3B | November 7, 2018 |
| Kochkine, Sergey | Diagnostic Radiology | New York | 286933-7B | November 27, 2018 |
| Marks, Natalia Malgorzata | Diagnostic Radiology | Mineola | 290264-1W | November 7, 2018 |
| Rapoport, Irina | Diagnostic Radiology | Merrick | 255899-7B | November 7, 2018 |
| Saboeiro, Gregory Roy | Diagnostic Radiology | New York | 231021-7B | November 27, 2018 |
| Anderson, Ferdinand F., Jr. | Emergency Medicine | Hopewell Junction | 155348-6W | November 29, 2018 |
| Dyson, Duane Joseph | Emergency Medicine | Johnson City | 174648-6W | November 20, 2018 |
| Hojnowski, Eric Edward | Emergency Medicine | Camillus | 281299-8W | November 8, 2018 |
| Ko, Patrick Pom-Jin | Emergency Medicine | Flushing | 205420-3B | November 6, 2018 |
| Litvak, Ilya | Emergency Medicine | Johnson City | 290986-9W | November 20, 2018 |
| Amin, Osman | Family Practice | Horseheads | 295009-5B | November 6, 2018 |
| Boes, Tanner William | Family Practice | Liverpool | 295278-6W | November 29, 2018 |
| Elnaggar, Dina | Family Practice, Sports Medicine | Cortlandt Manor | 295752-0B | November 20, 2018 |
| Hegland, Erika Marie | Family Practice | Syracuse | 271536-5W | November 28, 2018 |
| Koda, Emi Amy | Family Practice | Orchard Park | 290892-9W | November 6, 2018 |
| Luke, Christopher Jamaal | Family Practice | White Plains | 289269-3W | November 20, 2018 |
| Planer, Ryan Gere | Family Practice | Baldwinsville | 294296-9W | November 8, 2018 |
| Margolis, Justin | General Vascular Surgery | Commack | 277254-9W | November 20, 2018 |
| Amin, Noor Ul | Internal Medicine | Syracuse | 289653-8W | November 27, 2018 |
| Bella, Sama | Internal Medicine | Johnson City | 296019-3W | November 20, 2018 |
| Ewida, Ahmed H. | Internal Medicine | Cortland | 294638-2W | November 20, 2018 |
| Gannot, Sharon | Internal Medicine | White Plains | 284540-2W | November 6, 2018 |
| Gnanasekaran, Jansi | Internal Medicine | Gansevoort | 294792-7W | November 28, 2018 |
| Habib, Nazia | Internal Medicine | Albany | 240535-5B | November 28, 2018 |
| Kabbli, Gangadhara | Internal Medicine, Cardiovascular Disease | East Syracuse | 262909-5W | November 8, 2018 |
| Kapkov, Denis Valentin | Internal Medicine | Johnson City | 241725-1W | November 20, 2018 |
| Khan, Sarah Azim | Internal Medicine | Vestal | 294628-3W | November 20, 2018 |
| Mouriz, Jennifer Lynn | Internal Medicine | Brooklyn | 295037-6W | November 20, 2018 |
| Nwulu, Chika Conrad | Internal Medicine | Brooklyn | 280873-1W | November 27, 2018 |
| Phan, Tramanh Xuan | Internal Medicine | Rochester | 289237-0W | November 28, 2018 |
| Rosenberg, Harvey Joel | Internal Medicine | Mount Kisco | 277902-3B | November 20, 2018 |
| Solomita, Mario | Internal Medicine, Pulmonary Diseases, Critical Care Medicine | East Setauket | 238432-9W | November 8, 2018 |
| Win, Myo Su | Internal Medicine | Massena | 285727-4W | November 27, 2018 |
| Virk, Michael Singh | Neurological Surgery | New York | 268795-2W | November 27, 2018 |
| Neimand, Lindsey Ross | Neurology | Mount Kisco | 283001-6B | November 20, 2018 |
| Karls, Shawn | Nuclear Medicine | New York | 293539-3W | November 6, 2018 |
| Webster, Thomas Andrew | Nuclear Medicine | Middletown | 295776-9W | November 6, 2018 |
| Alam, Pakeeza Andaleeb | Obstetrics/Gynecology | Mount Kisco | 291854-8B | November 20, 2018 |
| Laborde, Elve Elette | Obstetrics/Gynecology | Hudson | 258878-8W | November 7, 2018 |
| Chaudhri, Kamran Imtiaz | Ophthalmology | Vestal | 219404-1B | November 20, 2018 |
| Choudhury, Tahsin | Ophthalmology | Syracuse | 291609-6W | November 8, 2018 |
| Wasylik, Dustin Jeffrey | Ophthalmology | Warsaw | 293780-3W | November 20, 2018 |
| Allen, Deborah Marie | Orthopedic Surgery | Bronx | 266705-3B | November 20, 2018 |
| Arutyunyan, Grigoriy | Orthopedic Surgery | New York | 288526-7W | November 27, 2018 |
| Binkley, Matthew Thomas | Orthopedic Surgery | Buffalo | 292796-0W | November 30, 2018 |
| Elshaar, Rami Mohamad | Orthopedic Surgery | Honeoye Falls | 295163-0W | November 28, 2018 |
| Huang, Ronald C. | Orthopedic Surgery | New York | 288561-4W | November 20, 2018 |
| Mehta, Vishal Arun | Orthopedic Surgery | Yonkers | 272831-9W | November 20, 2018 |
| Ragusa, Paul Salvatore | Orthopedic Surgery | Yonkers | 272563-8W | November 20, 2018 |
| Young, Mae Ewing | Orthopedic Surgery | Middletown | 296135-7W | November 27, 2018 |
| Gold, Daniel | Otolaryngology | White Plains | 244098-0B | November 20, 2018 |
| Shah, Jay M. | Physical Medicine/Rehabilitation |
New York | 291400-0W | November 6, 2018 |
| Blau, Mordcai | Plastic Surgery | White Plains | 135936-3W | November 26, 2018 |
| Harper, Oliver Louis | Psychiatry, Child and Adolescent Psychiatry, Forensic Psychiatry | New York | 269182-2B | November 27, 2018 |
| Winnett, Monique Michelle | Psychology | Dewitt | S18869-8W | November 8, 2018 |
| Golia, Michael Vincent | Radiology – Diagnostic Radiology, Internal Medicine | Plainview | 243115-3W | November 7, 2018 |
| Gupta, Nishant | Radiology – Diagnostic Radiology | Cooperstown | 287481-6W | November 20, 2018 |
| Mavani, Pratik Mansukh | Radiology – Diagnostic Radiology | Jamestown | 293152-5W | November 6, 2018 |
| Edwards, Kurt Daniel | Surgery, Surgical Critical Care | Latham | 296069-8W | November 27, 2018 |
| Lee, Denise | Surgery | Ithaca | 274579-2W | November 20, 2018 |
| Maclaughlin, Brian Winthrop | Surgery | Syracuse | 295939-3W | November 29, 2018 |
| Rossmer, Irene Epelboym | Surgery | Mineola | 269483-4W | November 7, 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