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Subject Number 046-1324 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

September 1, 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
Alacha, Nabil Staten Island 197160-5W June 10, 2020
Baquero, Javier Manhasset 103619-3W June 11, 2020
Barodawala, Farida Williamsville 125970-4W June 11, 2020
Barshay, Oleg Brooklyn C07419-7B June 11, 2020
Benton, Louis J., Jr. Latham 103551-8B June 11, 2020
Blum, Richard Steven Glen Cove 092198-1W June 11, 2020
Bock, George Herbert Long Island 185051-0W June 11, 2020
Brereton, John R. Newport 131008-5W June 11, 2020
Brodman, Richard F. Mount Desert 124991-1W June 11, 2020
Cala, Noriega Jose Antonio Houston 275168-3W June 11, 2020
Caputo, Salvatore Frank Plainview C02838-3W June 11, 2020
Cardoso, Norbert Joe East Amherst 251785-2W June 11, 2020
Caveda, Otto E. Bronx 096110-2W June 11, 2020
Caviness, Craig Thomas Dix Hills C10557-9B June 11, 2020
Chen, Hua Chin Brooklyn 097449-3W June 11, 2020
Chiappetta, Donald Anthony West Babylon C08458-4W June 11, 2020
Chikoti, Shailaja Cooperstown 266303-7W June 11, 2020
Colucci, Alphonso Peter Millbrook C12566-8W June 11, 2020
Cuthbert, David Anthony Jamestown 266407-6W June 11, 2020
David, Oliver J. Ossining 090920-0W June 11, 2020
Dever, David Paul Las Cruces 146560-8B June 11, 2020
Flores, Ofelia R. Hartsdale 107550-6W June 11, 2020
Green, Richard Michael New York 108803-8W June 11, 2020
Greenberg, Gary Lee Dix Hills C03474-6W June 11, 2020
Groff, Gerald D. Cooperstown 135606-2W June 11, 2020
Holsaeter, Thomas Michael Johnson City 283790-4W June 11, 2020
Hussain, Anwar Ahmed Fremont 249566-1W June 11, 2020
Iorio, Richard New York 185642-6W June 11, 2020
Jones, Lee Andrews Fayetteville 172379-0W June 11, 2020
Keno, Deborah Denise East Orange 143721-9W June 11, 2020
Kim, Soo Yeon New York 265871-4B June 11, 2020
Kim, Wan C. Oceanside 135349-9W June 11, 2020
Lakritz, Alan Jay New York C06906-4W June 11, 2020
Levine, Morton W. Brooklyn 087365-3W June 11, 2020
McCall, David Scott Massena 205755-2W June 11, 2020
Meltzer, Francis Joseph New York 093998-3W June 11, 2020
Miller, Robert S. Stony Brook 287688-6W June 11, 2020
Mongia, Satish K. Jamestown 123791-6W June 11, 2020
Moxley, Richard T., 3D Cockeysville 120854-5W June 11, 2020
Nicholson, Nancy Lennox Latham S12019-6B June 12, 2020
Ong, Eric Seen Han Cooperstown 292432-2W June 12, 2020
Orron, Abraham Bronxville 083823-5W June 12, 2020
Parnes, Leo Brooklyn 105517-7B June 12, 2020
Potluri, Sudhir Choudary Clinton 185337-3W June 12, 2020
Presberg, Saul Lloyd Rochester 090588-5W June 12, 2020
Pujji, Anjoulie Rochester 286329-8W June 12, 2020
Quirk, J. Gerald, Jr. Little Rock 124654-5B June 12, 2020
Richard, Jack New York 076226-0W June 12, 2020
Roessler, Alan B. Burdett 130308-0W June 12, 2020
Schenker, Howard I. Rochester 129161-6B June 12, 2020
Schick, Robert Hauppauge 074877-2W June 12, 2020
Slippen, Michael Elmwood 110058-5B June 12, 2020
Stringfellow, Charles Andre Southold 092976-0W June 12, 2020
Sturm, Walter H. Lake Worth 144461-1W June 12, 2020
Subin, Diane Cusumano Pinehurst 155145-6W June 12, 2020
Sunenblick, Robert E. Champlain 141901-9W June 12, 2020
Surapaneni, Rajani Kanth Houston 125115-6B June 12, 2020
Swapceinski, Patricia Anne Bergen C08421-2W June 12, 2020
Swick, Todd J. Houston 125775-7W June 12, 2020
Taheri, Hamed Temecula 274616-2B June 12, 2020
Tovar, Winfred Scilla Brooklyn 241588-3W June 12, 2020
Tsatskis, Boris Brooklyn 150858-9W June 12, 2020
Vick, Dana James Englewood 228315-8W June 12, 2020
Waters, Michael Keith Watertown 190029-9W June 12, 2020
Weir, Edward H. W. Islip C03777-2W June 12, 2020
Williams, Robert Walter Orchard Park 166690-8B June 12, 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