Subject Numbers Regarding Health Provider Authorizations
May 7, 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 |
|---|---|---|---|
| Alimohammad, Lubbna | Latham | 255012-7W | March 11, 2019 |
| Argyros, Thomas | New York | 080373-4 W | March 11, 2019 |
| Attkiss, Michael | Manhasset | 116016-7W | March 11, 2019 |
| Baboumian, Norayr | New York | 163715-6W | March 11, 2019 |
| Belopolsky, Leonid | New York | 141969-6W | March 11, 2019 |
| Blando, Thomas | Deerfield | C02835-9W | March 11, 2019 |
| Blankfein, Robert | New York | 083295-6W | March 11, 2019 |
| Blum, Morton | New York | 087078-2W | March 11, 2019 |
| Botash, Robert | Manlius | 170002-0W | March 11, 2019 |
| Britton, Leon | Mount Ulla | 206449-1W | March 11, 2019 |
| Brooks, Donald | Elmira | 075383-0W | March 11, 2019 |
| Camp, Rodney | Kingston | 167756-6W | March 11, 2019 |
| Carrel, Jeffrey | Williamsville | P02175-9W | March 11, 2019 |
| Chalhoub, Elie | Brooklyn | P03899-3W | March 11, 2019 |
| Chang, Kyong | Short Hills | 138084-9W | March 11, 2019 |
| Chayes, Jeff | New York | 091169-3W | March 11, 2019 |
| Choi, Jeanne | Cincinnati | 202129-3W | March 11, 2019 |
| Christos, Constantine | New City | S04172-3W | March 11, 2019 |
| Costantino, Michael | West Palm Beach | P04375-3W | March 11, 2019 |
| Costello, John | Ithaca | 149867-4W | March 11, 2019 |
| Crowe, John | Greenwich | 113115-0W | March 11, 2019 |
| Daoud Magda, George | Dresden | 205978-0W | March 11, 2019 |
| Dimuro, Michael | Jacksonville | P04072-6W | March 11, 2019 |
| Dix, Donald | Horseheads | C00088-7W | March 11, 2019 |
| Domenico, Louis, Jr. | Media | 235601-2W | March 11, 2019 |
| Donela, Vincent | Huntington Station | P02243-5W | March 11, 2019 |
| Duncalf, Deryck | Stamford | 082106-6W | March 11, 2019 |
| Edwards, Joseph | Carmel | 153953-5W | March 11, 2019 |
| Fasuli, Stavrula | East Elmhurst | 138225-8W | March 11, 2019 |
| Fethiere, David | Long Beach | 095323-2B | March 11, 2019 |
| Forelli, Andrew | Huntington | C06484-2W | March 11, 2019 |
| Foster, Joanne | Bronx | 129976-7W | March 11, 2019 |
| Gaary, Elizabeth | Greenwich | 199828-5W | March 11, 2019 |
| Gabay, Richard | Syosset | 156761-9W | March 11, 2019 |
| Garzon, Antonio | Pittstown | 089307-3W | March 11, 2019 |
| Glass, Kenneth | East Setauket | 116939-0B | March 11, 2019 |
| Graham, David | Bayshore | 150097-4W | March 11, 2019 |
| Haag, Ray | Bay Shore | 049736-2W | March 11, 2019 |
| Harrington, Donald | Setauket | 186200-2W | March 11, 2019 |
| Henretta, Melissa | Stony Brook | 261553-2W | March 11, 2019 |
| Hinkle, David | West Newton | 246550-8W | March 11, 2019 |
| Honig, Mark | Croton-on-Hudson | S06318-0W | March 11, 2019 |
| Ioannou, Elena | Whitestone | C10207-1W | March 11, 2019 |
| Irwin, Gerald | Ponte Vedra | 078348-0W | March 11, 2019 |
| Isralow, Calvin | Hauppauge | P02181-7W | March 11, 2019 |
| Jarrett, Robert | Danbury | 158765-8W | March 11, 2019 |
| Jimenez, Carlos J. | Orchard Park | 126139-5W | March 11, 2019 |
| Kanick, Virginia | New York | 073415-2W | March 11, 2019 |
| Kendall, Leon | Brooklyn | 148268-6W | March 11, 2019 |
| Kim, Duck J. | Peru | 110604-6W | March 11, 2019 |
| King, Charles | Albany | 260412-2B | March 11, 2019 |
| Kingsley, Leonard | Brooklyn | S01511-5W | March 11, 2019 |
| Krishna, Akula | Longboat Key | 121593-8W | March 11, 2019 |
| Lenn, Nicholas | Bronxville | 183671-7W | March 11, 2019 |
| Lichy, Jacob | New York | 122218-1W | March 11, 2019 |
| Lifshitz, Seymour | North Bellmore | 150359-8W | March 11, 2019 |
| Mastrangelo, John | Rome | P02892-9W | March 11, 2019 |
| Mattison, Richard | Hershey | 118940-6W | March 11, 2019 |
| McClosky, Stacy | Fairlawn | C10176-8W | March 11, 2019 |
| McDermott, Sioban Pauline-Lucy | Indialantic | 201799-4W | March 11, 2019 |
| Michel, Frantz | Brooklyn | 200367-1W | March 11, 2019 |
| Morrissey, Kevin | New York | 099143-0W | March 11, 2019 |
| Murphy, Edward | Fairfield | 167185-8W | March 11, 2019 |
| Ormanoski, Margaret | Nicholasville | 199545-5W | March 11, 2019 |
| Patta, Annie | Herkimer | 268822-4W | March 12, 2019 |
| Patton, Kimberley | Greenville | 182260-0W | March 12, 2019 |
| Pelechaty, Michael John, Jr. | West Seneca | 206551-4W | March 12, 2019 |
| Pitman, Mark | New York | 079776-1W | March 12, 2019 |
| Platt, Anne | Eastport | 153509-5W | March 12, 2019 |
| Prasad, N. Heramba | Syracuse | 157203-1W | March 12, 2019 |
| Resnick, Steven | Boulder | 199481-3W | March 12, 2019 |
| Resurreccion, Marilyn | Rockaway Park | 113736-3W | March 12, 2019 |
| Ricciardelli, John | Smithtown | 160146-7W | March 12, 2019 |
| Richart, Ralph | Palo Alto | 089755-3W | March 12, 2019 |
| Rock, Linda | New York | 135422-4W | March 12, 2019 |
| Rosenbaum, Arthur | New York | P02443-1W | March 12, 2019 |
| Ruggiero, Patrick | Vestal | 174398-8W | March 12, 2019 |
| Sabrkesh, Ali | Staten Island | 105266-1W | March 12, 2019 |
| Saluja, Iqbal | Brooklyn | 117843-3W | March 11, 2019 |
| Siegel, Richard | Birmingham | 145338-0W | March 11, 2019 |
| Simon, Michael J. | Washington | S05778-6W | March 11, 2019 |
| Spodek, Irving | Smithtown | 087325-7W | March 12, 2019 |
| Stubenbord, John | East Aurora | 126698-0W | March 12, 2019 |
| Tang, Gloria | Silver Spring | 126707-9W | March 12, 2019 |
| Thio, Anthony | Tarrytown | 133417-6W | March 12, 2019 |
| Thornton, Joan | Syracuse | 169646-7W | March 12, 2019 |
| Tuchman, Marcel | New York | 077490-1W | March 12, 2019 |
| Viscusi, Melinda | Old Westbury | P05818-1W | March 12, 2019 |
| Winiecki, Dennis | East Amherst | P02729-3W | March 12, 2019 |
| Zuckerman, Marvin | New York | 075352-5W | March 11, 2019 |
| Richlin, David | Flanders | 124188-4W | March 18, 2019 |
| Williams, Robert | Troy | S07679-4W | March 25, 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