Subject Numbers Regarding Health Provider Authorizations
March 11, 2019
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 |
|---|---|---|---|---|
| Cohen, Marc Samuel | Anesthesiology, Pain Management | Long Island City | 281424-2W | February 15, 2019 |
| Forbes, Annekay Loceila | Anesthesiology | Binghamton | 296920-2W | February 25, 2019 |
| Huang, Julie Hy | Anesthesiology, Pain Management | New York | 274383-9W | February 15, 2019 |
| Kelly, Tara Leigh | Anesthesiology | Purchase | 280761-8W | February 6, 2019 |
| Narvaez, Francisco Alberto | Anesthesiology | Flushing | 295040-0W | February 21, 2019 |
| Samuelson, Stefan T. | Anesthesiology, Pain Management | New York | 254600-0B | February 19, 2019 |
| Sims, Rochelle | Anesthesiology | Cohoes | 259345-7W | February 13, 2019 |
| Smit, James Henry | Anesthesiology | Holmes | 155340-3W | February 6, 2019 |
| Suchy, Thomas Charles, III | Anesthesiology, Pain Management | Buffalo | 292176-5W | February 13, 2019 |
| Wijesinghe, Isuru Udayanga | Anesthesiology | Johnson City | 293869-4W | February 19, 2019 |
| Wong, Stanley | Anesthesiology | Brooklyn | 295787-6W | February 7, 2019 |
| Yang, Neil Chia Chan | Anesthesiology | Melville | 292228-4W | February 15, 2019 |
| Fancher, Kyle Patrick | Chiropractic | Buffalo | C13172-4W | February 6, 2019 |
| Harada, Yoshinari | Chiropractic | New York | C11125-4W | February 6, 2019 |
| Marmanillo, Diego Antonio | Chiropractic | Brooklyn | C11789-7W | February 6, 2019 |
| McDonald, Nicole M. | Chiropractic | Kingston | C10524-9B | February 6, 2019 |
| Milioto, Christian Alfonso | Chiropractic | Buffalo | C13016-3B | February 6, 2019 |
| Sakeni, Shervin | Chiropractic | Old Westbury | C13169-0W | February 6, 2019 |
| Seeley, Brittany Rose | Chiropractic | Bath | C13164-1W | February 6, 2019 |
| Suwak, Natalie Kay | Chiropractic | Vestal | C13193-0I | February 6, 2019 |
| Swanson, Christopher Allen | Chiropractic | Rochester | C13200-3W | February 6, 2019 |
| Tarr, Mate | Chiropractic | Buffalo | C13135-1B | February 6, 2019 |
| Zimmer, Andrew | Chiropractic | Williamsville | C13114-6W | February 6, 2019 |
| Altman, Erik Joshua | Clinical Cardiac Electrophysiology, Cardiovascular Disease | Garden City | 226280-6W | February 6, 2019 |
| Stephens, Diana Marie | Dermatology | Ithaca | 294045-0W | February 27, 2019 |
| Reinking, Greg F. | Diagnostic Radiology, Neuroradiology | Bronxville | 252149-0B | February 7, 2019 |
| Tobin, Kathy Jayne | Diagnostic Radiology | New York | 167309-4W | February 15, 2019 |
| Rutman, Matthew Charles | Emergency Medicine | Miller Place | 230661-1I | February 19, 2019 |
| Blydenburgh, Jessica | Family Practice | Stony Brook | 270049-0W | February 19, 2019 |
| Haas, Robert Richard | Family Practice | Olean | 296814-7W | February 19, 2019 |
| Jean-Jacques, Marie Laure | Family Practice | Vestal | 272841-8W | February 25, 2019 |
| Mathai, Boncy | Family Practice | White Plains | 291250-9W | February 27, 2019 |
| Patel, Nileshkumar Gokal | Family Practice | Patchogue | 189692-7B | February 19, 2019 |
| Toresdahl, Brett Gregory | Family Practice, Sports Medicine | New York | 275396-0W | February 27, 2019 |
| Whyte-Connell, Stacey Elizabeth | Family Practice | Middletown | 230621-5B | February 27, 2019 |
| McCalla, Carlo Clarence | Infectious Diseases | Purchase | 235946-1W | February 6, 2019 |
| Assa, Andrej | Internal Medicine | Bronx | 288440-1W | February 13, 2019 |
| Dalmacy, Dolcine | Internal Medicine | Johnson City | 215877-2W | February 25, 2019 |
| Farooq, Fahad | Internal Medicine, Pulmonary Disease, Critical Care Medicine | Albany | 294116-9B | February 25, 2019 |
| Harkin, Nicole E. | Internal Medicine, Cardiovascular Disease | New York | 262495-5W | February 27, 2019 |
| Khan, Sobia N. | Internal Medicine, Nephrology | Stony Brook | 291551-0W | February 13, 2019 |
| Kuliyeva, Soltandjamal | Internal Medicine | Hewlett | 289984-7W | February 19, 2019 |
| Laud, Geeta G. | Internal Medicine | New York | 260469-2B | February 19, 2019 |
| Park, Hang Kyu | Internal Medicine | Poughkeepsie | 255923-5W | February 28, 2019 |
| Patnaik, Arani Dabbiru | Internal Medicine | Stony Brook | 294504-6W | February 4, 2019 |
| Pettigrew-Duffield, Pamela Susa | Internal Medicine | Albany | 252085-6W | February 13, 2019 |
| Prodromou, Michael Loizos | Internal Medicine, Pulmonary Disease | Greenlawn | 294025-2W | February 4, 2019 |
| Rojas, Rhadames | Internal Medicine, Cardiovascular Disease | Suffern | 259857-1W | February 4, 2019 |
| Sawas, Ahmed | Internal Medicine, Medical Oncology | New York | 253997-1B | February 27, 2019 |
| Schachter, Lindsey Fae | Internal Medicine | Stony Brook | 291769-8W | February 19, 2019 |
| Tolis, Arthur Frederick | Internal Medicine | Middletown | 203563-2W | February 27, 2019 |
| Viray, Alvin Ko | Internal Medicine, Geriatric Medicine | Middletown | 219002-3B | February 27, 2019 |
| Woodson, Kevin Andrew | Internal Medicine | Johnson City | 285051-9W | February 25, 2019 |
| McNulty, John F. | Neurological Surgery | Rhinebeck | 206911-0B | February 28, 2019 |
| Colligan, Erica Ann | Neurology, Clinical Neurophysiology | Amherst | 282500-8W | February 27, 2019 |
| Gundy, Deirdre Jane | Obstetrics/Gynecology | East Setauket | 295249-7W | February 15, 2019 |
| Fargione, Robert Allen | Ophthalmology | West Harrison | 283442-2W | February 27, 2019 |
| Katzman, Scott S. | Orthopedic Surgery | Palm Bch Gdns | 265913-4W | February 19, 2019 |
| Roberts, Timothy Tian | Orthopedic Surgery | Brooklyn | 273122-2W | February 26, 2019 |
| Rosenthal, Joshua Michael | Otolaryngology | East Setauket | 235220-1W | February 15, 2019 |
| Andrews, Robert Miles | Physical Medicine/Rehabilitation | Brooklyn | 295281-0W | February 15, 2019 |
| Erenburg, Rodion | Physical Medicine/Rehabilitation | Airmont | 292785-3W | February 25, 2019 |
| Erosa, Stephen Anthony | Physical Medicine/Rehabilitation | Bronx | 293785-2B | February 19, 2019 |
| Patel, Ravi Arvind | Physical Medicine/Rehabilitation, Pain Management | New York | 278753-9B | February 19, 2019 |
| Dent, Briar Lea | Plastic Surgery | Purchase | 273704-7W | February 6, 2019 |
| Monaco, Casian Joseph | Plastic Surgery | Albany | 279462-6W | February 28, 2019 |
| Naidoo, Shivana Devi | Psychiatry, Child and Adolescent Psychiatry | Queens Vlg | 271265-1W | February 15, 2019 |
| Bascetta, Brittany Lynn | Psychology | Port Jefferson Stat | S22927-8B | February 7, 2019 |
| Bhagwat, Ranjit | Psychology | Saratoga Springs | S20594-8W | February 7, 2019 |
| Columbo, Jenna T. | Psychology | Stony Brook | S22787-6W | February 7, 2019 |
| Deluty, Marvin Zev | Psychology | Hillcrest | S08155-4W | February 7, 2019 |
| Dziedzic, Michelle | Psychology | Mount Sinai | S22963-3W | February 7, 2019 |
| Juriga, Michael J. | Psychology | Binghamton | S17829-3W | February 7, 2019 |
| Madathil, Renee Lisa | Psychology | Rochester | S22028-5W | February 7, 2019 |
| Martinez, Amy Pacos | Psychology | Pittsford | S20977-5W | February 7, 2019 |
| Neumann, Hannah Theodora | Psychology | Bronx | S22033-5W | February 7, 2019 |
| Rakipi, Sefedin | Psychology | Brooklyn | S22572-2W | February 7, 2019 |
| Shah, Ami V. | Psychology | New Hyde Park | S23026-8W | February 7, 2019 |
| Wallerstein, Jessica | Psychology | New York | S22717-3W | February 7, 2019 |
| Desai, Amit Bipin | Radiology – Diagnostic Radiology | New York | 289199-2W | February 15, 2019 |
| Basler, Adam Joseph | Surgery | Rochester | 295188-7W | February 15, 2019 |
| Levine, Jun Li | Surgery | Garden City | 253278-6W | February 6, 2019 |
| Maurer, James | Surgery | Mineola | 177730-9W | February 7, 2019 |
| Miner, Jean Fung | Surgery | Ithaca | 290989-3W | February 25, 2019 |
| Castello, Michael Do | Urology | Johnson City | 281091-9W | February 25, 2019 |
| Walker, Charles Nathan | Urology | Middletown | 294066-6W | February 27, 2019 |
* 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