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Subject Number 046-1135 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

January 11, 2019

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
Abraham, Michael Charles Dolgeville 154881-7W November 14, 2018
Alboum, Lionel D. Saratoga Springs 136926-3W November 14, 2018
Ampil, Paulo E. Middletown 115769-2W November 14, 2018
Armstrong, Richard Eugene Bethel 200307-7W November 14, 2018
Asnis, Martin New York 093110-5W November 14, 2018
Bartels, Matthew Francis Buffalo 227896-8I November 14, 2018
Bennett, Joseph Michaelson Brookville 071276-0W November 14, 2018
Benveniste, Helene Drewsen Stony Brook 221877-4W November 14, 2018
Bernstein, Leslie Howard Mamaroneck 084112-2W November 14, 2018
Borowich, Abba Emanuel Hollywood 106255-3W November 14, 2018
Botta, Leslie J. Manteno C07407-2B November 14, 2018
Burns, Murray Brooklyn 084694-9W November 14, 2018
Childress, Cody Lee Dewitt C12698-9W November 14, 2018
Cohen, Daniel Irwin New York S04369-5B November 14, 2018
Cohen, David Lewis Winooski 191084-3W November 14, 2018
Connors, Susan Kay Kingston 155793-3W November 14, 2018
Cranmer, Thomas Scott Bordentown C12700-3W November 14, 2018
Dubov, Spencer F. Naples P02042-1B November 14, 2018
Ducrepin, Nelly Hempstead P06345-4W November 14, 2018
Dwivedi, Jagannath Prasad Brooklyn 149511-8W November 14, 2018
Eaton, Molly Lockport 241709-5W November 14, 2018
Edwin, Scott I. East Norwich S06260-4W November 14, 2018
Ferragamo, Michael A., Jr. Garden City 087955-1W November 14, 2018
Fitzgerald, Stephen K. Mannsville S09685-9B November 14, 2018
Fleming, James Bernard Whitney Point 266833-3W November 14, 2018
Gerber, Glenn J. Poughkeepsie 132095-1W November 14, 2018
Golub, James Robert Larchmont 078599-8W November 14, 2018
Greenberg, Ronald Marc Fayetteville 133698-1W November 14, 2018
Hamo, Carine Evelyn Stony Brook 285561-7W November 14, 2018
Hanlon, Kim Johnstown 277000-6W November 14, 2018
Harmand, William Michael Jamesville 135130-3W November 14, 2018
Henion, William A. Pittsford 110938-8W November 14, 2018
Hirschl, Simon Belmont 098027-6W November 15, 2018
Hyland, James Matthew Town of Tonowanda C09006-0W November 15, 2018
Hyon, Sung Glens Falls 251141-8W November 15, 2018
Josue, Florabelle Arriola Palm Coast 162383-4W November 15, 2018
Karp, Joseph Torrington 087767-0W November 15, 2018
Kommor, David Mitchell Massapequa C07126-8B November 15, 2018
Lazzarino, Anthony Jarrell P03510-6B November 15, 2018
Leone, Anthony James, Jr. Pittsford 087922-1W November 15, 2018
Li, Jianyu Schenectady 269089-9W November 15, 2018
Liu, Kan Manlius 253410-5W November 15, 2018
Lynch, Therese G. Pittsford 081362-6W November 15, 2018
Mangieri, Mario D. Sanibel 084821-8W November 15, 2018
Mason, Daniel Gordon Melville 267726-8W November 15, 2018
Mayron, Jacob New York 083081-0W November 15, 2018
Mulroy, Thomas James New York 285872-8W November 15, 2018
Nadler, Phill Babylon C00253-7B November 15, 2018
Nathan, Jay Brooklyn 162000-4B November 15, 2018
Novak, Sue-Ann Elizabeth Rochester 246614-2W November 15, 2018
Ofole, Obiora Jude Suffolk 261788-4W November 15, 2018
Rizzo, Charles Anthony New Rochelle 075590-0W November 15, 2018
Seddon, Lorraine A. Norwich 135976-9W November 15, 2018
Shafiroff, Bruce B. Jamesville 124408-6B November 15, 2018
Shanmugham, Murugampalayam R P Dix Hills 148473-2W November 15, 2018
Shaw, Jeffrey Stephen New York S09768-3W November 15, 2018
Singh, Meenakshi Denver 251103-8W November 15, 2018
Smith, Monica Ann Stockton S10258-2W November 15, 2018
Sosinsky, Jeffrey H. Brooklyn 144184-9W November 15, 2018
Stevens, Erin Elizabeth Billings 253320-6W November 15, 2018
Sussman, John David Rutland 084180-9B November 15, 2018
Taheri, Syde Abbas Williamsville 085542-9B November 15, 2018
Talarico, Louis J. Carbondale 140185-0W November 15, 2018
Tizol, Luis Commack 153557-4W November 15, 2018
Toporovsky, Juana New Rochelle 094074-2W November 15, 2018
Varsano, Aharon Nora Scarsdale 111747-2W November 15, 2018
Wade, Stephen Utica 242667-4W November 15, 2018
West, Andrew Edmund Champlain C07066-6B November 15, 2018
Wheeler, Renee Ann Atlanta 222295-8W November 15, 2018
White, Bryan Michael Owego C12693-0W November 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