Subject Numbers Regarding Health Provider Authorizations
November 14, 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 |
|---|---|---|---|---|
| Barcohana, Mark | Anesthesiology | New York | 226484-4W | October 22, 2019 |
| Benhacene, Assia | Anesthesiology | Syracuse | 247868-3B | October 21, 2019 |
| Choudry, Muhammad Ibrahim | Anesthesiology | Rocky Point | 286600-2W | October 28, 2019 |
| Davydov, Yuriy | Anesthesiology | Forest Hills | 299264-2W | October 23, 2019 |
| Dixon, Duane Edward | Anesthesiology, Pain Management | Plattsburgh | 299525-6W | October 1, 2019 |
| Donovan, Jacqueline Erin | Anesthesiology | Delmar | 279116-8W | October 15, 2019 |
| Ford, Samantha Lena | Anesthesiology | Rochester | 300018-9W | October 15, 2019 |
| Keith, Jack Patterson | Anesthesiology | Cooperstown | 292722-6W | October 30, 2019 |
| Levine, Kushner Phoebe Caren | Anesthesiology | Woodbury | 297148-9W | October 22, 2019 |
| Li-A-Ping, Chan Allister | Anesthesiology | N Baldwin | 298101-7W | October 30, 2019 |
| Nisimov, Emmanuel | Anesthesiology | Forest Hills | 290588-3W | October 22, 2019 |
| Noll, Kathleen R. | Anesthesiology | Binghamton | 285837-1W | October 28, 2019 |
| Rangavajjula, Ashwin Vilas | Anesthesiology | Middletown | 298545-5B | October 30, 2019 |
| Ross, Joshua E. | Anesthesiology | Saratoga Springs | 298843-4B | October 29, 2019 |
| Stewart, Camille Andrea | Anesthesiology | Stony Point | 246197-8W | October 10, 2019 |
| Toma, Grigore | Anesthesiology | Syracuse | 300968-5B | October 22, 2019 |
| Toor, Jaspreet S. | Anesthesiology | West Islip | 298303-9W | October 15, 2019 |
| Dayan, Etan | Diagnostic Radiology | Harrison | 282517-2W | October 15, 2019 |
| Siatras, Anastasia Karabatsos | Diagnostic Radiology | Williamsville | 299385-5W | October 1, 2019 |
| Thomas, Matthew Howard | Diagnostic Radiology | Westfield | 245351-2W | October 22, 2019 |
| Bracey, Alexander | Emergency Medicine | Stony Brook | 298129-8W | October 15, 2019 |
| Hunt, John Edward, III | Emergency Medicine | Riverhead | 213393-2W | October 17, 2019 |
| Isnar, Hagop Aydin | Emergency Medicine | Syracuse | 219426-4W | October 21, 2019 |
| Kim, Martin Minwoo | Emergency Medicine | Syracuse | 299039-8W | October 22, 2019 |
| Maloney, Lauren Marie | Emergency Medicine | Setauket | 297507-6W | October 28, 2019 |
| Stillman, Mark C. | Emergency Medicine | Lagrangeville | 223749-3B | October 21, 2019 |
| Stimson, Kevin Thomas | Emergency Medicine | Syracuse | 287711-6W | October 21, 2019 |
| Chung, Matthew H. | Family Practice | Cooperstown | 297761-9W | October 28, 2019 |
| Elman, Dylan Peter | Family Practice | Staten Island | 292663-2W | October 15, 2019 |
| Harding, Kurt Robert | Family Practice | Norwich | 166045-5W | October 15, 2019 |
| Jafojo, Olayemi Racheal | Family Practice | Cooperstown | 299872-2W | October 30, 2019 |
| Jones, Christina Keith | Family Practice | Yonkers | 283160-0W | October 22, 2019 |
| Lamington, Rajat Eshan | Family Practice | New York | 300867-9W | October 15, 2019 |
| Lowenstein, Michael Aaron | Family Practice | Staten Island | 285999-9W | October 17, 2019 |
| Maqsood, Syed Asim | Family Practice | Rocky Point | 293001-4W | October 30, 2019 |
| Park, Gloria Katherine | Family Practice | Jamaica | 298847-5W | October 21, 2019 |
| Ali, Shaheer | Internal Medicine | Lindenhurst | 294420-5W | October 28, 2019 |
| Alom, MD Saiful | Internal Medicine | Johnson City | 299833-4W | October 30, 2019 |
| Bopp, James Thomas | Internal Medicine, Emergency Medicine | Sayville | 180716-3W | October 11, 2019 |
| Erbay, Celal Gurol | Internal Medicine | New York | 239658-8B | October 28, 2019 |
| Franco, Stephen Albert | Internal Medicine | Johnson City | 299805-2W | October 30, 2019 |
| Kaul, Viren | Internal Medicine | Syracuse | 287117-6W | October 22, 2019 |
| Kulina, Georgia Rose | Internal Medicine, Endocrinology, Diabetes and Metabolism | Port Jefferson | 270727-1W | October 22, 2019 |
| Leader, Isaac | Internal Medicine | Purchase | 275229-3W | October 22, 2019 |
| Miraglia, Janeen Theresa | Internal Medicine, Pediatrics | Staten Island | 257127-1W | October 11, 2019 |
| Mousa, Tarek Mohamed | Internal Medicine, Cardiovascular Disease, Interventional Cardiology | Astoria | 259363-0W | October 15, 2019 |
| Nelligan, Maureen | Internal Medicine | Yonkers | 203015-3W | October 21, 2019 |
| O’Brien, Michael Robert | Internal Medicine | Middletown | 273132-1W | October 4, 2019 |
| Patel, Bhargav | Internal Medicine | Bellerose | 280820-2B | October 21, 2019 |
| Rager, Christina Ann | Internal Medicine, Pulmonary Disease, Critical Care Medicine, Emergency Medicine | Rochester | 272399-7W | October 16, 2019 |
| Rahman, Hammad Ur | Internal Medicine | Syracuse | 299488-7W | October 21, 2019 |
| Saldivar, Miguel Angel | Internal Medicine, Infectious Diseases | Stony Brook | 278235-7W | October 15, 2019 |
| Samih, Mohammad Abdelrahof | Internal Medicine, Nephrology | Ithaca | 299687-4W | October 30, 2019 |
| Yao, Yuan | Internal Medicine | Stony Brook | 300733-3W | October 1, 2019 |
| Eller, Jorge Luis | Neurological Surgery | Syracuse | 258352-4W | October 21, 2019 |
| Yanamadala, Vijay | Neurological Surgery | Bronx | 296182-9W | October 23, 2019 |
| Reid, Derrece Kaliesha | Neurology | West Islip | 279921-1W | October 28, 2019 |
| El, Kareh Adele | Obstetrics/Gynecology | Poughkeepsie | 177429-8B | October 16, 2019 |
| Kim, Sara Ka Rham | Obstetrics/Gynecology | Stony Brook | 299291-5W | October 30, 2019 |
| Magneson, Amy Tye | Obstetrics/Gynecology | Mount Kisco | 239899-8B | October 21, 2019 |
| Roberts, Nikki L. | Obstetrics/Gynecology | Poughkeepsie | 231015-9B | October 16, 2019 |
| Greenberg, Scott Harlan | Ophthalmology | Slingerlands | 297639-7W | October 28, 2019 |
| Scofield-Kaplan, Stacy Marie | Ophthalmology | East Setauket | 276997-4B | October 28, 2019 |
| Whigham, Benjamin Thomas | Ophthalmology | New York | 287412-1W | October 15, 2019 |
| Berchuck, Matthew | Orthopedic Surgery | East Setauket | 264986-1W | October 28, 2019 |
| Carr, James Bradley, II | Orthopedic Surgery | New York | 292022-1W | October 22, 2019 |
| Doughty, Kathryn Suzanne | Orthopedic Surgery | Cooperstown | 300277-1W | October 22, 2019 |
| Korbin, Seth Brian | Orthopedic Surgery | Stony Brook | 278367-8W | October 28, 2019 |
| Rosenbaum, Joseph Aryeh | Orthopedic Surgery, Hand Surgery | Purchase | 296150-6W | October 15, 2019 |
| Schairer, William | Orthopedic Surgery | New York | 275651-8W | October 15, 2019 |
| Scher, Danielle Lauren | Orthopedic Surgery | Bronx | 291217-8B | October 29, 2019 |
| Snyder, Ronald David | Orthopedic Surgery | New York | 300922-2I | October 22, 2019 |
| Spohn, Peter John | Orthopedic Surgery | Hicksville | 183007-4B | October 31, 2019 |
| Vredenburgh, Zachary Donald | Orthopedic Surgery | East Syracuse | 300286-2W | October 22, 2019 |
| Feldman, Jacob Stephen | Otolaryngology | Syracuse | 286751-3W | October 21, 2019 |
| Raoofi, William Seyed Reza | Physical Medicine/Rehabilitation | Syracuse | 299015-8W | October 15, 2019 |
| Aramian, Ludmila | Psychiatry | Stony Brook | 293162-4W | October 15, 2019 |
| Gulati, Shawn | Psychiatry | Cooperstown | 295936-9W | October 30, 2019 |
| Fickes, Michael Glenn | Radiology – Diagnostic Radiology | Latham | 299471-3W | October 15, 2019 |
| Goodman, Sarah | Radiology – Diagnostic Radiology | West Harrison | 294274-6W | October 22, 2019 |
| Liu, Bo | Radiology – Diagnostic Radiology | Plattsburgh | 298867-3W | October 15, 2019 |
| Martynov, Alexander | Radiology – Diagnostic Radiology | Middletown | 298409-4W | October 3, 2019 |
| Wang, Benjamin | Radiology – Diagnostic Radiology | New York | 297103-4W | October 15, 2019 |
| Grucela, Alexis L. | Surgery, Colon/Rectal Surgery | Mount Kisco | 243598-0B | October 21, 2019 |
| Harris, Philip Lee | Surgery | Bath | 177949-5W | October 22, 2019 |
| Reavey, Patrick Lambert | Surgery, Plastic Surgery, Hand Surgery | Pittsford | 245073-2W | October 15, 2019 |
| Reavis, Tiffany Brook | Surgery, Surgical Critical Care | New York | 259626-0W | October 4, 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