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Subject Number 046-1147 Newly Authorized Health Care Providers Approved to Render Services to Injured Workers Under the Workers' Compensation Law

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