Subject Numbers Regarding Health Provider Authorizations
April 15, 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 |
|---|---|---|---|
| Abrahamson, Ivan Philip | Rego Park | P02007-4W | February 12, 2019 |
| Anand, Satish K. | Dix Hills | 124963-0W | February 12, 2019 |
| Anderson, Eldridge Thomas | Ithaca | 173533-1W | February 12, 2019 |
| Bandler, Martin | Brooklyn | 080420-3W | February 12, 2019 |
| Brady, Brendan C. | Canandaigua | 134486-0W | February 12, 2019 |
| Campbell, Timothy John | Williamsburg | 236997-3W | February 12, 2019 |
| Capote, Eddy, Jr. | Miami | 251634-2W | February 12, 2019 |
| Capuana, Nicholas J. | Sauquoit | 112705-9W | February 12, 2019 |
| Cervi, Joseph W. | Winter Springs | 103914-8W | February 12, 2019 |
| Chece, Stephen David | Middletown | S12341-4W | February 12, 2019 |
| Cincotta, Onofrio | Bronxville | 095053-5W | February 12, 2019 |
| Cintron, Nathan Daniel | Clifton Park | C11837-4W | February 12, 2019 |
| Claps, Francis Xavier | New York | 070944-4W | February 12, 2019 |
| Collier, Bryan John | Bradley Beach | C02332-7W | February 12, 2019 |
| Conschafter, David Scott | Cheektowaga | C06171-5B | February 12, 2019 |
| Cristian, Adrian | Miami | 192152-7W | February 12, 2019 |
| David, Dennis Rivera | Schenectady | 116158-7W | February 12, 2019 |
| Decarlo, Robert L. | Herkimer | P02568-5W | February 12, 2019 |
| Detschelt, Elizabeth Legnard | North Huntington | 259432-3B | February 12, 2019 |
| Eckert, Bertram | Brooklyn | 087237-4W | February 12, 2019 |
| Engelsher, Charles Joseph | Prospect | 127859-7W | February 12, 2019 |
| Fishel, Steven J. | Merrick | C09138-1B | February 12, 2019 |
| Fundaro, Frank Leo | Monroe Township | C06597-1W | February 12, 2019 |
| Galante, Michele Bruno | Suffern | 152652-4W | February 12, 2019 |
| Gelber, Jonathan David | Bronx | 281024-0W | February 12, 2019 |
| Giannaris, Theodore | Astoria | 123093-7W | February 12, 2019 |
| Gifaldi, Amy S. | Madison | 192577-5W | February 12, 2019 |
| Goldberg, Mark S. | Aberdeen | P04739-0W | February 12, 2019 |
| Greenstein, Adrian Joseph | New York | 098520-0W | February 12, 2019 |
| Grosack, Marc A. | Fulton | P02906-7W | February 12, 2019 |
| Hali, Theodore | New Rochelle | P02329-2W | February 12, 2019 |
| Hanzly, Michael I. | Lake View | P02793-9W | February 12, 2019 |
| Hardy, Anton Gysberti | Albany | S10744-1B | February 12, 2019 |
| Hatton, Paul Damien | Scottsdale | 207904-4W | February 12, 2019 |
| Hines, Jerod L. | Oswego | 268213-6W | February 12, 2019 |
| Hodge, Charles Joseph, Jr. | Edgartown | 108474-8W | February 12, 2019 |
| Hopens, Theodore | Temple | 107009-3W | February 12, 2019 |
| Hunter, John Robert | Victor | P06587-1W | February 12, 2019 |
| Isaacs, Fredrick A. | Silver Spring | 131103-4W | February 12, 2019 |
| Kahn, Lloyd M. | Cliffside Park | P02746-7W | February 12, 2019 |
| Kashan, Faiz | New York | 102385-2B | February 12, 2019 |
| Khanna, Apurv | Fayetteville | 251964-3W | February 12, 2019 |
| Klein, Maurice | Roslyn Heights | 086510-5B | February 12, 2019 |
| Kornfeld, Herbert Robert | Beverly Hills | 092876-2W | February 12, 2019 |
| Kranthi, Bhavana | Colonia | 287857-7B | February 12, 2019 |
| Kwah, Henry Hunjoo | Muttontown | 119194-9W | February 12, 2019 |
| Maloney, Brian A. | Staten Island | 128904-0W | February 12, 2019 |
| Meacham, Marc Andrew | Queensbury | 207891-3W | February 12, 2019 |
| Menaldino, Ernest | New York | 083805-2W | February 12, 2019 |
| Mentis, Sue Wayne | Okatie | 209011-6W | February 12, 2019 |
| Miller, Merrily O'Connor | Saratoga Springs | S08835-1W | February 12, 2019 |
| Mills, Shawn Paul | South Dartmouth | 262235-5W | February 12, 2019 |
| Mohan, Krishna M. | New York | 126596-6W | February 12, 2019 |
| Mustafa, Ali | Jersey City | C11422-5B | February 12, 2019 |
| Nadel, Lester | Montreal | 124159-5W | February 12, 2019 |
| Nahar, Rajesh | Plains | 221022-7W | February 12, 2019 |
| Orencia, Carrie Anne | Oceanside | C10489-5W | February 12, 2019 |
| Ostrum, Arthur George, Jr. | East Amherst | 186766-2W | February 12, 2019 |
| Parikh, Stuti | Norfolk | 263085-3W | February 12, 2019 |
| Parisien, Christine J. | Houston | 228852-0W | February 12, 2019 |
| Peimer, Clayton Austin | North Kingstown | 112453-6I | February 12, 2019 |
| Philippou, Soterios | West Hempstead | 130214-0W | February 12, 2019 |
| Ploutz, James Dean | Vestal | C07961-8W | February 12, 2019 |
| Porter, John Alfred | Clifton Springs | 146697-8W | February 12, 2019 |
| Raia, Anthony M. | Ridgewood | 082210-6W | February 12, 2019 |
| Rampton, Joshua William | Bismarck | 263250-3W | February 12, 2019 |
| Rose, T | Freehold | 186041-0B | February 12, 2019 |
| Salei, Inesa | Clifton Park | 270930-1B | February 12, 2019 |
| Schrank, W. Winslow | Canandaigua | 108038-1W | February 12, 2019 |
| Sewell, Nicholas Louis | Jackson Heights | 152192-1W | February 12, 2019 |
| Shaderowfsky, Lawrence | New York | 086517-0W | February 12, 2019 |
| Shen, Edward Yeong Tai | Roslyn | 132459-9W | February 12, 2019 |
| Sher, Irene | Mineola | 245867-7W | February 12, 2019 |
| Spak, Mary C. S. | Huntington | 120056-7W | February 12, 2019 |
| Spinosa, Frank A. | Sandia Park | P03131-1I | February 12, 2019 |
| Van Eenenaam, David Owen | Watertown | 101008-1B | February 12, 2019 |
| Victoriano, Virgilio C. | Albany | 115869-0W | February 12, 2019 |
| Warren, Fred | Bardonia | P03300-2W | February 12, 2019 |
| Weinberg, Steven Jay | Rye Brook | P02522-2W | February 12, 2019 |
| Winnick, Stanley | Lake Worth | 096258-9W | February 12, 2019 |
| Winter, Eugene H. | East Northport | P02115-5W | February 12, 2019 |
| Yan, Chau W. | Windermere | 115664-5W | February 12, 2019 |
| Zaky, Dawlat | Rochester | 111660-7W | February 12, 2019 |
| Zhong, Chizheng | Smithtown | 201312-6W | February 12, 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.
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