Subject Numbers Regarding Health Provider Authorizations
February 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 |
---|---|---|---|
Ambrosino, John Joseph | Hermitage | 278100-3W | December 10, 2018 |
Archer, Joel Strom | New York | 078365-4W | December 10, 2018 |
Aversa, Alphonse Rocco | Mount Kisco | 137745-6B | December 10, 2018 |
Baff, Steven Earl | New York | P02398-7W | December 10, 2018 |
Bahk, Benedictus Soo Il | Daytona Beach | 121339-6W | December 10, 2018 |
Bailey, Kathryn A. | Rochester | 213700-8W | December 10, 2018 |
Balti, Mohamad A. | North Tonawanda | 139264-6W | December 10, 2018 |
Becker, Melvin Harry | Manhasset | 078485-0W | December 10, 2018 |
Berkowitz, Sharon Gail | Iowa City | 235652-5W | December 10, 2018 |
Blake, Robert V. | Garden City | 132947-3W | December 10, 2018 |
Bock, Jay Lawrence | North Hills | 150696-3W | December 10, 2018 |
Boyle, Thomas Patrick | Boca Raton | 158549-6W | December 10, 2018 |
Brody, Robert Allan | New York | P02488-6W | December 10, 2018 |
Caracci, V. William | West Islip | 082924-2W | December 10, 2018 |
Cardillo, Leo Robert | Hartsdale | 078595-6W | December 10, 2018 |
Chang, Jin Yol | Batavia | 135857-1W | December 10, 2018 |
Dawoud, Rabah | Brooklyn | C08009-5B | December 10, 2018 |
De, Elise J B | Albany | 236214-3W | December 10, 2018 |
De Jesus, Diana Dela Cruz | Yonkers | 268919-8B | December 10, 2018 |
Demarco, Joseph Christopher | Latham | 285936-1W | December 10, 2018 |
Dubner, Stuart I. | Delray beach | 093171-7W | December 10, 2018 |
Fierro, Louis Edward | Somers | 086835-6W | December 11, 2018 |
Finster, Mieczyslaw | New York | 085433-1W | December 11, 2018 |
Gohil, Kartik Narendra | West Caldwell | 270952-5W | December 11, 2018 |
Gordon, Eric | Brooklyn | 234113-9W | December 11, 2018 |
Hecht, Howard | Port Jefferson | S04430-5B | December 11, 2018 |
Huckabee, Carol B. | Danbury | S08595-1B | December 11, 2018 |
Humphries, Leah Virginia | Seneca Falls | C12709-4W | December 11, 2018 |
Keller, Charles J. | Yonkers | C00183-6B | December 11, 2018 |
Kohn, Joseph | Wailuku | 155403-9I | December 11, 2018 |
Konrad, Sean Paul | Farmington | C11800-2W | December 11, 2018 |
Lei, Biao | Schenectady | 267933-0W | December 11, 2018 |
Loflin, Robert Donald | Rochester | 285980-9W | December 11, 2018 |
Mahadevia, Surendrakumar D. | Richmond Hill | 111411-5W | December 11, 2018 |
Martino, Denise Anne | Long Island City | C06868-6B | December 11, 2018 |
McKay, Douglas James | Staten Island | P05453-7B | December 11, 2018 |
Mehta, Ila Navinchandra | North Woodmere | 156517-5W | December 11, 2018 |
Mehta, Rashi I. | Falls Church | 261558-1W | December 11, 2018 |
Mortazav, Alan | Lakewood | 097402-2W | December 11, 2018 |
Nandi, Kumarie Sesnarine | Scarsdale | 215589-3W | December 11, 2018 |
Neira, Luis E. | Emerson | 104975-8W | December 11, 2018 |
Nguyen, Don | Stony Brook | 280393-0W | December 11, 2018 |
Nielsen, Noelle B. | Silver Bay | 146970-9W | December 11, 2018 |
Paschalidis, Maria | New York | 285933-8B | December 11, 2018 |
Plotkin, Stuart | Port Jefferson Station | P02970-3B | December 11, 2018 |
Primis, Ronald Alan | Westbury | 094624-4W | December 11, 2018 |
Purpera, Frank Craig, Jr. | Blacksburg | 259054-5W | December 11, 2018 |
Quatrano, Arthur James | Central Islip | S07088-8W | December 11, 2018 |
Riddell, John Mark | Boxford | 228118-6W | December 11, 2018 |
Rosenberg, Alan S. | New York | 090590-1W | December 11, 2018 |
Sainnoval, Gregory | Port St Lucie | 252285-2W | December 11, 2018 |
Shahani, Saira Kate | Poughkeepsie | 235890-1W | December 11, 2018 |
Sheahan, Timothy | Horseheads | P02989-3W | December 11, 2018 |
Sherman, Maurice E. | New York | 080940-0W | December 11, 2018 |
Shik, Mikhail Borisovich | Syracuse | 220992-2B | December 11, 2018 |
Sordi, Peter J. | Hicksville | 138638-2B | December 11, 2018 |
Sorin, Sergey | Henrietta | 229335-5W | December 11, 2018 |
Stone, Philip M. | Roslyn Heights | S01243-5B | December 11, 2018 |
Stornelli, Kathleen Marie | New Hartford | 260457-7B | December 11, 2018 |
Torrents, Mario E. | Palm Beach Gardens | 157774-1B | December 11, 2018 |
Turner, Shawn Michael | Rego Park | C12323-4W | December 11, 2018 |
Vashi, Anita | San Fancisco | 252766-1W | December 11, 2018 |
Ventrudo, Steven L. | Tappan | 166157-8W | December 11, 2018 |
Venugopal, Thummakkundu KrishnaRao | Estero | 186060-0W | December 11, 2018 |
Wadsworth, Rebecca Woodruff | Wolcott | 159069-4W | December 11, 2018 |
Walrath, David Langdon | Denver | 109412-7W | December 11, 2018 |
West, Jaclyn Sue | Honeoye Falls | C11786-3B | December 11, 2018 |
Widger, Charles David | Edwards | 080996-2W | December 11, 2018 |
Willner, Gary Stephen | New York | C03779-8B | December 11, 2019 |
Yerys, Paul | Commack | 090195-9B | December 11, 2018 |
Zeleny, Betka | Tenafly | 134073-6W | December 11, 2018 |
Rosoff, Jennifer | New Hyde Park | C07039-3B | December 31, 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