Subject Numbers Regarding Health Provider Authorizations
August 3, 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 |
|---|---|---|---|
| Abraham, Jacob Cherutharayil | Norcross | 240241-0W | May 14, 2020 |
| Argentieri, Mario Angelo | Hornell | 047589-7W | May 14, 2020 |
| Basileo, Santo | Corona | 184113-9W | May 14, 2020 |
| Battaglia, Michele | Nokomis | C12051-1W | May 14, 2020 |
| Bibi, Robert R. | Modena | 140790-7B | May 14, 2020 |
| Bowman, Kimberly Cherise | San Francisco | 277981-7B | May 14, 2020 |
| Brown, Kristy M. | Depew | C11553-7B | May 14, 2020 |
| Chowdhury, Waled H. | Jericho | 126227-8W | May 14, 2020 |
| Colombo, Caryn Joan | New Rochelle | 205124-1W | May 14, 2020 |
| Davila-Rivera, Alfredo | St. Petersburg | 247818-8W | May 14, 2020 |
| Desai Girish Nanubhai | Valley Stream | 166869-8W | May 14, 2020 |
| Dipietro, Joseph A. | Bronxville | 120656-4W | May 14, 2020 |
| Dolin, Bernard | White Plains | 078384-5B | May 14, 2020 |
| Draves, Kathryn Ann | Woodbury | 166671-8W | May 14, 2020 |
| Fayda, Yury | Washington | 172367-5W | May 14, 2020 |
| Gilbert, Kimberly | Syracuse | 264717-0W | May 14, 2020 |
| Golub, Stephen | Port Jefferson | 142187-4W | May 14, 2020 |
| Gordon, Beverly | Wellington | C02785-6W | May 14, 2020 |
| Green, Rupert Nathaniel | Yonkers | 046744-9W | May 14, 2020 |
| Gupta, Neha | Cobleskill | 276105-4W | May 14, 2020 |
| Hannan, David Thomas | Marion | 156845-0W | May 14, 2020 |
| Herbert, Steven George | Webster | 135540-3B | May 14, 2020 |
| Hernandez, Cristina Tate | Stony Brook | 283421-6W | May 14, 2020 |
| Hirose, Teruo | Bronx | 094244-1W | May 14, 2020 |
| Inaganti, Venkateswara Rao | Tavares | 170115-0W | May 14, 2020 |
| Jimenez, Rueda Carlos Alberto | Webster | 093236-8W | May 14, 2020 |
| Kang, Baik Hyun | Kings Point | 113483-2W | May 14, 2020 |
| Kessler, Joseph | North Tarrytown | 090661-0W | May 14, 2020 |
| Khan, Faiz Ullah | Bath | 114805-5W | May 14, 2020 |
| Khanuja, Ajit K. | Troy | 115191-9W | May 14, 2020 |
| Kreienberg, Suzanne Elizabeth | Delmar | 198409-5W | May 14, 2020 |
| Kremen, Oran James Ali | Melville | 283565-0W | May 14, 2020 |
| Latino, Ronald J. | South Salem | C02523-1W | May 14, 2020 |
| Laughlin, Lance J. | Tampa | C03228-6W | May 14, 2020 |
| Lee, Tae Young | Albany | 273575-1W | May 14, 2020 |
| Leka, Agim | New York | 083060-4W | May 14, 2020 |
| Lepore, Domenick V. | Brooklyn | 082165-2W | May 14, 2020 |
| Losito, Francis Charles | Manhasset | 094832-3W | May 14, 2020 |
| Maduram, David Thomas | Purchase | 275558-5W | May 14, 2020 |
| Masone, James Vincent | Miller Place | C08311-5B | May 14, 2020 |
| Mathews, John Francis | Athens | 184057-8W | May 14, 2020 |
| McVey, Brian Joseph | Elmira | 160792-8W | May 14, 2020 |
| Mollura, Joseph L. | Great Neck | 086666-5W | May 14, 2020 |
| Mulligan, Thomas | Bellerose | PT016222-2W | May 14, 2020 |
| Oh, Chong Keo | Scarsdale | 227715-0W | May 14, 2020 |
| Patel, Rohit | Goshen | 111691-2W | May 14, 2020 |
| Perotto, Aldo Oscar | East Hampton | 098307-2W | May 14, 2020 |
| Podell, David L. | Fort Lauderdale | 086959-4W | May 14, 2020 |
| Rao, Nagaveni | Yonkers | 141334-3W | May 14, 2020 |
| Richman, Ronald | New York | 083120-6B | May 14, 2020 |
| Rothstein, Daniel | Millburn | 274814-3B | May 14, 2020 |
| Sacolick, Benzion | Brooklyn | 153532-7W | May 14, 2020 |
| Sandhu, Jujhar Kaur | Malone | 273500-9W | May 14, 2020 |
| Schachner, Sandy Michael | Belle Terre | 141400-2W | May 14, 2020 |
| Schick, David | Boynton Beach | 099323-8W | May 14, 2020 |
| Schwartz, Julian | West Palm Beach | 097590-4W | May 14, 2020 |
| Sherwood, Donald Thomas | Walton | 109197-4W | May 14, 2020 |
| Silva, Gerard | Lloyd Harbor | 243193-0W | May 14, 2020 |
| Thurston, Denise Marie | Tonawanda | C10400-2B | May 14, 2020 |
| Tun, Than | Staten Island | 150194-9W | May 14, 2020 |
| Volozin, Felix Z. | Scarsdale | 179277-9W | May 14, 2020 |
| Whalen, Timothy Earl | Chandler | 212151-5W | May 14, 2020 |
| Yaukoolbodi, Samret | Amherst | 137351-3W | May 14, 2020 |
| Zimmerman, Marc S. | Pomona | 134846-5W | May 14, 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