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Subject Number 046-1166 Newly Authorized Health Care Providers Approved to Render Services to Injured Worker Under the Workers' Compensation Law

Subject Numbers Regarding Health Provider Authorizations

May 7, 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
Bogatyryova, Oksana Anesthesiology Roslyn Heights 239759-4W April 10, 2019
Herrmann, Simcha Anesthesiology, Pain Management Valley Stream 262792-5W April 18, 2019
Levin, Serle Kevin Anesthesiology Scarsdale 183065-2W April 18, 2019
Noel, Sophonie Anesthesiology Brooklyn 295190-3W April 8, 2019
Wallace, Camari H. Anesthesiology Bronx 279402-2W April 17, 2019
Chusid, Jesse Diagnostic Radiology Jericho 244215-0B April 8, 2019
Corcuera-Solano, Idoia Diagnostic Radiology New York 284118-7W April 3, 2019
Jacobs, Stacy Lynn Diagnostic Radiology New York 225209-6W April 3, 2019
Kim, David Young Diagnostic Radiology, Neuroradiology Mineola 250951-1B April 10, 2019
Weber, Brian Louis Diagnostic Radiology New York 295574-8W April 3, 2019
Yang, Daniel Tien Diagnostic Radiology New York 292275-5W April 3, 2019
Ferrari, Andrea Beth Emergency Medicine Syracuse 284081-7W April 3, 2019
Bui, Anh Family Practice Rochester 257843-3W April 17, 2019
Ceus, McKirven Family Practice, Sports Medicine Fishkill 293059-2B April 15, 2019
Corwin, James Edward Family Practice Saratoga Springs 282337-5I April 10, 2019
Mateus, Diana Family Practice White Plains 255767-6W April 18, 2019
Moses, Ayo Ifetayo Family Practice Croton on Hudson 294911-3B April 18, 2019
Udekwu, Adaora Shirley Family Practice Syracuse 282451-4W April 3, 2019
Bain, Tuvana Louise Internal Medicine Yonkers 210750-6W April 18, 2019
Brennan, Peter Terence Internal Medicine, Gastroenterology Ithaca 161989-9W April 29, 2019
Dushaj, Kola Internal Medicine Cortlandt Manor 275777-1B April 17, 2019
Jacques, Yamilee Aparecida Internal Medicine Plattsburgh 271053-1W April 17, 2019
Joshi, Sumendra Internal Medicine, Pulmonary Disease, Critical Care Medicine Syracuse 294836-2W April 3, 2019
Linga, Karthika Raya Internal Medicine, Pulmonary Disease, Critical Care Medicine Middletown 294149-0W April 18, 2019
Ortiz, Martin Diego Internal Medicine, Pediatrics New Rochelle 216918-3W April 18, 2019
Rudin, Andrew Scott Internal Medicine, Cardiovascular Disease, Clinical Cardiac Electrophysiology Syracuse 207786-5W April 3, 2019
Suarez, Orlando Rafael Internal Medicine Bellmore 267209-5W April 8, 2019
Koeppen, Arnulf H. W. Neurology, Neuropathology Albany 103535-1W April 18, 2019
McLaughlin, Erin Lindsay Occupational Medicine Poughkeepsie 273392-1W April 15, 2019
Pascoe, Adam Joseph Occupational Medicine Horseheads 295623-3W April 4, 2019
Bronson, Wesley Harris Orthopedic Surgery New York 282275-7W April 3, 2019
Sardar, Zeeshan Mohammad Orthopedic Surgery New York 280620-6W April 2, 2019
Tatka, Jakub Orthopedic Surgery New York 274416-7W April 18, 2019
Terhaar, Peter James Orthopedic Surgery Olean 169205-2B April 22, 2019
Yeon, Howard Bok Orthopedic Surgery Tarrytown 242377-0B April 9, 2019
Hrubes, Melody Rose Physical Medicine/Rehabilitation Tarrytown 297354-3B April 26, 2019
Kumar, Ashish Physical Medicine/Rehabilitation Pain Management Glen Oaks 277814-0B April 26, 2019
Peacock, Jacob Robert Physical Medicine/Rehabilitation Brooklyn 293819-9W April 4, 2019
Ates, Meltem Podiatry Brooklyn P06922-0I April 5, 2019
El Bashir, Sara Ragaii Podiatry East Patchogue P06665-5B April 5, 2019
Hercules, Zara Podiatry White Plains P06776-0W April 5, 2019
Karlic, Kristina Adriana Podiatry East Patchogue P06297-7B April 5, 2019
Nowland, Adam Christopher Podiatry West Nyack P06933-7W April 5, 2019
Park, Innjea Samuel Podiatry Brooklyn P06887-5B April 5, 2019
Schulman, Aryeh L. Podiatry Far Rockaway P06285-2W April 5, 2019
Wang, Chen-An Podiatry Flushing P06907-1W April 5, 2019
Dancel, Paula Margaret Psychology New York S22975-7W April 22, 2019
Feldman, Amy J. Psychology Jericho S16139-8W April 22, 2019
Giardino, Joseph Black Psychology New York S21753-9W April 22, 2019
Hershman, Allen Lee Psychology Chester S10666-6I April 22, 2019
Higham, Jane Ellen Psychology Fayetteville S19483-7W April 22, 2019
McKinley, Mark Bradshaw Psychology New York S22043-4W April 22, 2019
Zali, Gina Marie Psychology Williamsville S21233-2I April 22, 2019
Adil, Khaled Radiation Oncology Albany 293471-9W April 3, 2019
Joseph, D’Andrea Krista Surgery, Surgical Critical Care Mineola 261213-3W April 8, 2019
Tannenbaum, Jonathan Ethan Surgery Jamestown 275818-3I April 3, 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