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Subject Number 046-1302 Changes to the List of Health Care Providers Authorized to Render Services to Injured Workers Under the Workers' Compensation Law

Subject Numbers Regarding Health Provider Authorizations

June 2, 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
William Carroll, MD Trumansburg 195710-9W March 10, 2020
Sujit Chakrabarti, MD Staten Island 111181-4W March 10, 2020
Lucy Cheng, MD Middletown 274531-3W March 10, 2020
George Chiu, MD Binghamton 174038-0W March 10, 2020
Yan Chou, DPM Geneva P06826-3B March 10, 2020
John Conboy, MD Getzville 077230-1W March 10, 2020
Richard Curran, MD Buffalo 139621-7B March 10, 2020
Carol Van Rossum Decosta, MD Brooklyn 183780-6B March 10, 2020
Ruben Delgado, MD Poughkeepsie 137847-0W March 10, 2020
David Dobies, MD Brooktondale 160961-9W March 10, 2020
Mohammed El-Dakkak, MD Brooklyn 141621-3W March 10, 2020
Carl Englebardt, MD Schenectady 116555-4B March 10, 2020
Alan Folsom, MD Plattsburgh 096360-3W March 10, 2020
Michael Franklin, MD Jericho 147096-2W March 10, 2020
Robert Frisenda, MD Poughkeepsie 140446-6W March 10, 2020
Rosana Gnanajothy, MD Cooperstown 283306-9W March 10, 2020
Gabriel Goodwin, MD Huntington 267173-3W March 10, 2020
Urbano Gutierrez Guarin Jr., MD New York 185434-8B March 10, 2020
Sudarshan Gulati, MD Williamsville 122047-4W March 10, 2020
Timothy Hessert, MD Rochester 181721-2W March 10, 2020
Edward George Hixson Jr., MD Saranac Lake 118905-9W March 10, 2020
Stephen Hughes, MD Albany 177289-6W March 10, 2020
Soo Hurh, MD Syracuse 142040-5W March 10, 2020
Samah Jan, MD New York 258580-0B March 10, 2020
Jarred Johnson Ithaca 274233-6W March 10, 2020
Paul Kensicki, MD Louisville 150570-0W March 10, 2020
Justine Krawczyk, MD Williamsville 131443-4W March 10, 2020
Charles Krieger, DC Astoria C04117-0W March 10, 2020
Joseph Lin, MD New Rochelle 103402-4W March 10, 2020
Lixin Liu, MD Stony Brook 233167-6W March 10, 2020
John Lopes, MD Oakdale 145997-3W March 10, 2020
John Meagher, MD Greenlawn 078545-1W March 10, 2020
Taesun Moon, MD Windber 240499-4W March 10, 2020
Thomas Moore, MD New York 137110-3W March 10, 2020
Mary Napoleon, MD Fairport 145955-1B March 11, 2020
Christopher Nash, MD Poughkeepsie 094783-8B March 10, 2020
Samson Pachikara, MD Ithaca 203801-6W March 10, 2020
Kamal Pathak, MD Corning 123673-6W March 10, 2020
Arne Pedersen, MD Naples 172267-7B March 10, 2020
Fred Atkins Phillips Jr., MD Greenfield Center 085815-9W March 10, 2020
Gracia Pierre-Pierre, MD Binghamton 286652-3W March 10, 2020
Oscar Pineda, MD Sodus 102990-9W March 10, 2020
Marvin Prince, MD Danbury 087862-9W March 10, 2020
Robert Rakov, MD Maybrook 071444-4W March 10, 2020
Donald Robinson, MD Eden 129854-6W March 10, 2020
William Rogers, MD Jupiter 149162-0B March 10, 2020
Angela Rufa, DC Ogdensburg C07286-0B March 10, 2020
Mark Scelza, DC Commack C10516-5B March 10, 2020
Charles Schaeffer, MD Cooperstown 164193-5W March 10, 2020
Norman Scott, MD Harrisville 218380-4W March 10, 2020
Peter Sears, MD Sun City Center 075011-7W March 10, 2020
Alan Seymour, MD Bay Shore 178262-2W March 10, 2020
Edward Shekhter, DC Manalapan C12935-5W March 10, 2020
Frank Sherman, DC Huntington Station C06704-3B March 10, 2020
William Simmons, MD Wexford 203351-2W March 10, 2020
Jose Wong Siu, MD Brooklyn 117889-6W March 10, 2020
Alan Snart, MD Westmont 091881-3W March 10, 2020
Maria Spinak, MD Pearl River 121835-3W March 10, 2020
Martin Szafran, MD Stony Brook 266000-9W March 10, 2020
Jennifer Thompson, DC Montgomery C10556-1B March 10, 2020
James Traver, MD Syracuse 174448-1W March 10, 2020
Salvador Udagawa, MD Lakeview 117941-5W March 10, 2020
Nicolas Uzcategui, MD Mesa 250432-2B March 10, 2020
Ronald Van Heertum, MD Pennington 099012-7W March 10, 2020
Nicholas Waslyn, DC Lakeland C05637-6B March 10, 2020
Martin Watsky, MD Lindenhurst 108641-2W March 10, 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