Subject Numbers Regarding Health Provider Authorizations
February 4, 2019
Please be advised that the below-named providers have resigned their authorizations to treat injured workers and to perform independent medical examinations in the New York State workers’ compensation system as follows:
| NAME | LAST KNOWN ADDRESS | AUTHORIZATION NUMBER | EFFECTIVE DATE |
|---|---|---|---|
| Ron Amidror | 175 Memorial Highway, Suite 1-5 New Rochelle, New York 10801 |
C11183-3B | January 25, 2019 |
| Gurvansh Anand | 248 Walnut Road, Glen Cove New York 11542 |
C12615-3I | January 25, 2019 |
| Nicholas Charles Bavaro | 422-C Great East Neck Road West Babylon, New York 11704 |
C08794-2B | January 28, 2019 |
| Stephen L. Brenner | 222 West 80th Street, Suite 5C New York, New York 10024 |
128480-1B | January 30, 2019 |
| John Roe Denton | 170 Wiliam St. New York, NY 10038 |
102038-7B | January 26, 2019 |
| Joseph C. Elfenbein | 30 Talcott Road, Rye Brook, New York 10573 | 092557-8B | January 29, 2019 |
| Christopher Steven Ferrante | 2120 Hempstead Turnpike East Meadow, New York 11554 |
C07385-0B | January 29, 2019 |
| Pierce J. Ferriter | 1421 3rd Avenue, 5th Floor New York, New York 10028 |
145930-4B | January 30, 2019 |
| Milton P. Groelinger | 180 Great East Neck Road West Babylon, New York 11704 |
C03475-3B | January 25, 2019 |
| James Anthony Jones | 8540 Seneca Turnpike, New Hartford, New York 13413 | C09470-8B | January 25, 2019 |
| Ronald Alan Light | 410 Lakeville Road, Suite 303 New Hyde Park, New York 11042 |
160081-6B | January 25, 2019 |
| Dana Annabelee Mannor | 607 Park Avenue New York, New York 10065 |
197496-3B | January 26, 2019 |
| Edward L. Mills | 10 Medical Plaza, Suite 208 Glen Cove, New York 11542 |
207769-1B | January 30, 2019 |
| Kumar S. Reddy | 86-11 Lefferts Boulevard Richmond Hill, New York 11418 |
104996-4B | January 28, 2019 |
| Steven Alex Renzoni | 86-11 Lefferts Boulevard Richmond Hill, New York 11418 |
212885-8B | January 30, 2019 |
| Raymond A. Shebairo | 1575 Hillside Avenue, Suite 303 New Hyde Park, New York 11040 |
122681-0B | January 30, 2019 |
| Warren K. Slaten | 89 N Maple Avenue Ridgewood, New Jersey 07450 |
235899-2B | January 30, 2019 |
| Catherine Tortorella | 18 Hinsdale Ave. Floral Park, NY 11001 |
C02754-2B | January 28, 2019 |
| William J. Walsh, Jr. | 384 Harris Road Bedford Hills, New York 10507 |
097304-0B | January 28, 2019 |
| Neil Farrell Watnik | 410 Lakeville Road, Suite 303 New Hyde Park, New York 11042 |
174669-2B | January 28, 2019 |
| Julio Victor Westerband | 86-11 Lefferts Boulevard Richmond Hill, New York 11418 |
213270-2B | January 29, 2019 |
The above providers are prohibited from rendering treatment and care to injured workers, from performing independent medical examinations, and from conducting reviews of records regarding variance requests pursuant to 12 NYCRR § 324.3(b)(2)(ii)(a). Reports submitted by the above providers for services rendered prior to the date of their resignation are valid, but are invalid for any services rendered on or after that date. Requests to cross-examine the above providers for services rendered prior to the date of their resignation should not be denied due to the resignation 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