Subject Numbers Regarding Health Provider Authorizations
March 12, 2020
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 |
|---|---|---|---|
| Aponte-Cipriani, Sandra L. | Miami | 183386-2W | January 15, 2020 |
| Arandia, Hernando Y. | Liverpool | 117293-1W | January 15, 2020 |
| Bates, Paul Emerson | Ithaca | 105132-5W | January 15, 2020 |
| Berroya, Renato B. | Port Washington | 107925-0W | January 15, 2020 |
| Boles, James Irwin | Cody | 147559-9W | January 15, 2020 |
| Bossart, Peter Albert | Saddle River | 072896-4W | January 15, 2020 |
| Burstein, Alan G. | Las Vegas | 124993-7W | January 15, 2020 |
| Chan, Rose | Philadelphia | 165155-3W | January 15, 2020 |
| Cichocki, Kevin Edmund | Elma | C04588-2W | January 15, 2020 |
| Clironomos, Andreas I. | Astoria | C11589-1W | January 15, 2020 |
| Cornwall, John W. | New York | 124680-0W | January 15, 2020 |
| Fazzari, Patrick Joseph | Washington | 101816-7W | January 15, 2020 |
| Ferraro, John A. | Albany | 124358-3W | January 15, 2020 |
| Fish, Rowan | Montreal | 134131-2W | January 15, 2020 |
| Frank, Kristen Lianne | Port Matilda | 274971-1W | January 15, 2020 |
| Gauthier, Ronald Thomas, Jr. | Binghamton | 161807-3W | January 15, 2020 |
| Ghimire, Anil Kumar | Fresno | 272936-6W | January 15, 2020 |
| Haddad, Heskel M. | New York | 092153-6W | January 15, 2020 |
| Hastings, Brent W. | Plattsburgh | 125877-1W | January 15, 2020 |
| Herman, Barry J. | Williamsville | 083480-4W | January 15, 2020 |
| Hernandez, Ivan Aurelio | Schenectady | 093218-6W | January 15, 2020 |
| Hirokawa, Theodore I. | Scottsville | 135439-8W | January 15, 2020 |
| Holder, Donovan O'Neil | Coral Springs | 165662-8W | January 15, 2020 |
| Hsu, John Tseng Tung | New York | 099809-6W | January 15, 2020 |
| Iglehart, Robyn Christyl | Hershey | 257790-6W | January 15, 2020 |
| Jayaswamy, Asha | Williamsville | 231290-8W | January 15, 2020 |
| Joshi, Nandini P. | Rochester | 155401-3W | January 15, 2020 |
| Kabasakalian, Anahid | Stony Brook | 266960-4W | January 15, 2020 |
| Kanter, Allan Irwin | Syracuse | 108604-0W | January 15, 2020 |
| Kayastha, Manharlal N. | Hurley | 127973-6W | January 15, 2020 |
| Kayastha, Veena | Niskayuna | 138852-9W | January 15, 2020 |
| Khovidhunkit, Pakawadee | Medina | 248186-9W | January 15, 2020 |
| Kumar, Kishore | Farmington | 277200-2W | January 15, 2020 |
| Labar, Douglas R. | New York | 158231-1W | January 15, 2020 |
| Landman, Fevus | New York | 104952-7W | January 15, 2020 |
| Langdon, Christina Terese | Palo Alto | 214942-5W | January 16, 2020 |
| Lee, Jennifer N. | Albany | 282188-2W | January 16, 2020 |
| Lynn-Ong, Elizabeth Tiffany | Sacramento | 276382-9W | January 16, 2020 |
| Mahoney, William Dunbar | Rye | 105396-6W | January 16, 2020 |
| Manasan-Greenberg, Milagros Costa | New York | 093991-8W | January 16, 2020 |
| Mandalaywala, Vijaykumar | Massena | 157002-7W | January 16, 2020 |
| Mir, Nilofar | Loudonville | 107488-9W | January 16, 2020 |
| Ngeow, Jeffrey Yinfoh | New York | 169617-8W | January 16, 2020 |
| Nickerson, Christopher J. | New York | 141740-1W | January 16, 2020 |
| Pant, Shradha | Syracuse | 285887-6W | January 16, 2020 |
| Pascual, Margarita C. | Brentwood | 111490-9W | January 16, 2020 |
| Pazionis, Theresa Julia Christi | Westbury | 273479-6W | January 16, 2020 |
| Pottanat, Rose J. | Amityville | 126643-6W | January 16, 2020 |
| Prescott, Ian Dalton | Valley Stream | 185071-8W | January 16, 2020 |
| Przybyla, Adrian | Troy | 256381-5W | January 16, 2020 |
| Raza, Syed Mohsin | Montyville | 224737-7W | January 16, 2020 |
| Redding, David Gregory | Lima | C07233-2W | January 16, 2020 |
| Reddy, Rajashaker Pullagurram | Roswell | 217018-1W | January 16, 2020 |
| Reger, Mark J. | Jamesville | 145191-3W | January 16, 2020 |
| Reytblat, Zinaida | Kingston | 227191-4W | January 16, 2020 |
| Shapiro, Barry Michael | Yonkers | 138918-8W | January 16, 2020 |
| Sher, Aaron Emanuel | Albany | 110167-4W | January 16, 2020 |
| Sinha, Hirendra Pratap | Center Moriches | 142253-4W | January 16, 2020 |
| Speller, Philip J. | Syracuse | 081695-9W | January 16, 2020 |
| Stabile, Nicholas | Dix Hills | 087935-3W | January 16, 2020 |
| Suchnicki, James Edward | Westerly | 196723-1W | January 16, 2020 |
| Swoboda, Thomas Kevin | Henderson | 213528-3W | January 16, 2020 |
| Tanowitz, Herbert Bernard | Larchmont | 101779-7W | January 16, 2020 |
| Tinklepaugh, Mark Scott | North Hero | 185859-6W | January 16, 2020 |
| Torre, Joseph John | Marriottsville | 121131-7W | January 16, 2020 |
| Turro, James Joseph | Mount Kisco | 155574-7W | January 16, 2020 |
| Wang, Yumei | Greenwich | 224388-9W | January 16, 2020 |
| Weissman, William | Lake Hill | C04498-4W | January 16, 2020 |
| Wiles, Charles E 3d | Baltimore | 120903-0W | January 16, 2020 |
* 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