Subject Numbers Regarding Health Provider Authorizations
December 17, 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 |
|---|---|---|---|
| Aleksandrova, Olga | Windermere | 291406-7W | October 24, 2019 |
| Barker, Stephen L. | Jamesville | 162403-0W | October 24, 2019 |
| Carroll, William Joseph | Stony Brook | 290008-2W | October 24, 2019 |
| Castro, Garcia Jose Luis | Edgewater | 145792-8W | October 25, 2019 |
| Chapman, Terence Neil | Columbia | 239651-3W | October 25, 2019 |
| Chi, Yu-Ching | New Hyde Park | P06799-2W | October 25, 2019 |
| Chikkappa, Gundabhaktha | Watervliet | 108781-6W | October 25, 2019 |
| Clark, Julian J. | Brooklyn | 086115-3W | October 25, 2019 |
| Cyriac, Ignatius | New Port Richie | 126456-3W | October 25, 2019 |
| D'Alessandro, Thomas | Northport | 185417-3W | October 25, 2019 |
| De Vincentis, Anthony Francis | Orchard Park | P02275-7W | October 25, 2019 |
| Demarco, Charles L. | New York | C01098-5W | October 25, 2019 |
| Fan, Rung Tan | Great Neck | 140881-4W | October 25, 2019 |
| Farley, Timothy John | Clarks Summit | 166572-8W | October 25, 2019 |
| Farnad, Shahbaz A. | New York | 274946-3W | October 25, 2019 |
| Fox, Paul J. | Brooklyn | 129977-5W | October 25, 2019 |
| Freilich, Dennis Byron | New York | 082694-1W | October 25, 2019 |
| Gelfand, Samuel Marvin | Arlington | 048128-3W | October 25, 2019 |
| Gentile, Mario | Pocomoke City | 168027-1W | October 25, 2019 |
| Gerardi, Robert | Atlanta | S10889-4W | October 25, 2019 |
| Givre, Sheree Dawn | Raleigh | 165255-1W | October 25, 2019 |
| Goldman, Harold S. | Rye | 086362-1W | October 25, 2019 |
| Goldman, Steven L. | Northport | 106700-8W | October 25, 2019 |
| Hamid, Muhammad | East Meadow | 192776-3W | October 25, 2019 |
| Heilbraun, Martin L. | Tucson | 087651-6W | October 25, 2019 |
| Howard, George M. | Dobb Ferry | 084254-2W | October 25, 2019 |
| Hurd, Beverly White | New York | 138511-1W | October 25, 2019 |
| Hyman, Frederic Evan | Mount Kisco | 110986-7W | October 25, 2019 |
| James, Stephen Bruce | Cumming | 202617-7B | October 25, 2019 |
| Kandiyil, Prabhna Naveen | Fort Worth | 241672-5W | October 25, 2019 |
| Khatib, Reza | Palm City | 098762-8W | October 25, 2019 |
| Kim, Jin Bai | Binghamton | 179395-9W | October 25, 2019 |
| Kim, Sung Uk | New Hyde Park | 105860-1W | October 25, 2019 |
| Klein, Steven E. | Bozeman | 162359-4W | October 25, 2019 |
| Kurian, Leslie David | Pound Ridge | 106389-0W | October 30, 2019 |
| Lane, Bernard Paul | Setauket | 092416-7W | October 30, 2019 |
| Lanyi, Valery Fenyvesi | New York | 087272-1W | October 30, 2019 |
| Larocca, Albert W. | Bethpage | P02918-2W | October 30, 2019 |
| Lee, Marvin Soon Mook | Painted Post | 113108-5W | October 30, 2019 |
| Lee, Se Won | Bronx | 254769-3W | October 30, 2019 |
| Lee, Shin Ok | Forest Hills | 123546-4W | October 30, 2019 |
| Lewy, Robert M. | Blauvelt | 124623-0W | October 30, 2019 |
| Lucak, Basil K. | New York | 124568-7W | October 30, 2019 |
| Mansouri, Hormoz | Syosset | 111418-0W | October 30, 2019 |
| Mason, Robert A. | Buskirk | 140924-2W | October 30, 2019 |
| Merlino, John A. | Staten Island | P02642-8W | October 30, 2019 |
| Miner, George W. | Great Neck | 130819-6W | October 30, 2019 |
| Moffat, Douglas Howard | Buffalo | 142675-8W | October 30, 2019 |
| Nydick, Irwin | Bronxville | 074776-6W | October 30, 2019 |
| Panahon, Alvin M. | Niagara Falls | 115312-1W | October 30, 2019 |
| Pernier, Jean Pierre Claude | Brooklyn | 157407-8W | October 30, 2019 |
| Pinard, Brian Edward | Glen Cove | 169702-8W | October 30, 2019 |
| Reid-Thornton, Ruth Anne | Long Beach | 197816-2W | October 29, 2019 |
| Richman, Drew Ames | Newburgh | P02356-5W | October 29, 2019 |
| Rus, Krzysztof Andrzej | Stony Brook | 289704-9W | October 29, 2019 |
| Saroli, Stephen Joseph | Woodstock | C05861-2W | October 29, 2019 |
| Scotti, Pasquale John | Bayside | 101507-2W | October 31, 2019 |
| Sears, Kendrick Alan | Jamesville | 087062-6W | October 31, 2019 |
| Sheikh, Umair | Medford | 290113-0W | October 30, 2019 |
| Shorofsky, Morris Aaron | New York | 086723-4W | October 30, 2019 |
| Sierecki, Mitchell Robert | Cold Springs Harbor | 254407-0W | October 31, 2019 |
| Skalski, James | Cheektowaga | P03488-4W | October 31, 2019 |
| Sloan, Douglas Edward | Midvale | 163386-6W | October 31, 2019 |
| Smith, David N. | Fairport | 128352-2W | October 31, 2019 |
| Solanki, Shalini | Valley Stream | 284418-1W | October 30, 2019 |
| Steiger, Norman | Mamaroneck | 097603-5W | October 31, 2019 |
| Struck, Kent Darrow | Vestal | 158126-3W | October 31, 2019 |
| Takita, Hiroshi | Buffalo | 097606-8W | October 31, 2019 |
| Tashman John Spencer | Longmont | 201675-6W | October 30, 2019 |
| Teeter, Jennifer Marie | Jeffersonville | 250143-5W | October 31, 2019 |
| Trager, Donald Roger | Boca Raton | C01237-9W | October 31, 2019 |
| Wilber, Monte Dean | Friendswood | 249059-7W | October 31, 2019 |
| Wolsh, Loren | Vestal | 114918-6W | October 31, 2019 |
| Yui, Cheung B. | Bayside | 125373-1W | October 31, 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