Subject Numbers Regarding Health Provider Authorizations
September 21, 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 |
|---|---|---|---|
| Addarich, Josette Marie | Kingston | C10580-1W | July 14, 2020 |
| Addes, Alvin David | Brooklyn | 152956-9W | July 14, 2020 |
| Ahmed, Fakhiuddin | Great Neck | 116505-9W | July 14, 2020 |
| Ali, Irshad | East Amherst | 133793-0W | July 14, 2020 |
| Bagley, Bruce A. | Leawood | 120529-3W | July 15, 2020 |
| Barr, David | New York | 071404-8W | July 14, 2020 |
| Binder, Michael | Park Ridge | 233664-2W | July 14, 2020 |
| Carrera, Gumersindo Peta | New York | 097442-8W | July 14, 2020 |
| Cherry, Sheldon H. | Miami Beach | 082516-6W | July 15, 2020 |
| Conahan, Rebecca Louise | Encinitas | 244924-7W | July 15, 2020 |
| Conezio, Gerald J. | Victor | 125874-8W | July 15, 2020 |
| Cooley, John Andrew | East Freetown | 253363-6W | July 15, 2020 |
| Dashnaw, Matthew Lawrence | Rochester | 284994-1W | July 15, 2020 |
| Dimancescu, Mihai D. | Huntington | 129054-3B | July 15, 2020 |
| Droesch, Kathleen Elizabeth | Melville | 158316-0W | July 15, 2020 |
| Eisenberg, Selig | Bronx | 085040-4W | July 15, 2020 |
| Fleischer, Arie | Hurleyville | 136615-2B | July 15, 2020 |
| Francis, Charles | Rochester | 125523-1W | July 15, 2020 |
| Frank, Irwin Norman | Pittsford | 076801-0W | July 15, 2020 |
| Geller, Martin Robert | Brooklyn | 081276-8W | July 15, 2020 |
| German, George G. | Manlius | 128559-2W | July 15, 2020 |
| Hall, Michael H. | Manhasset | 121237-2W | July 15, 2020 |
| Imam, Syed M. Z. | Valley Stream | 118334-2W | July 15, 2020 |
| Iwai, Junichi | Bellport | 113473-3W | July 15, 2020 |
| Khan, Tahir Hasan | Boca Raton | 107371-7W | July 15, 2020 |
| Kirpekar, Madhuri | Edgewater | 139545-8W | July 15, 2020 |
| Korn, Melanie Bacal | New York | 123663-7W | July 15, 2020 |
| Krauthamer, Sandra | Roslyn | 284316-7W | July 15, 2020 |
| Lee, Nam Soo | Schenectady | 133102-4W | July 15, 2020 |
| Levin, Serle Kevin | Shaker Heights | 183065-2W | July 15, 2020 |
| Lieblich, Jonathan Allan | Pomona | 213763-6B | July 15, 2020 |
| Lobrutto, P. Clifford | Astoria | C02979-5W | July 15, 2020 |
| Manzi, Gaetano | Sarasota | 144329-0W | July 14, 2020 |
| Meneses, Robert Peter | Corning | 197892-3W | July 14, 2020 |
| Moudy, Philip C. | Buffalo | 126843-2W | July 14, 2020 |
| Muhlbauer, Helen Gertrude | New York | 135252-5W | July 14, 2020 |
| Mulligan, Stephane | Plattsburgh | 205618-2W | July 14, 2020 |
| Noel, Marcus Smith | Rochester | 257169-3W | July 14, 2020 |
| Parrinello, Salvatore A. | Riverhead | 217936-4W | July 15, 2020 |
| Patel, Narendrakumar P. | Odessa | 142346-6W | July 14, 2020 |
| Plosker, Harvey | Boca Raton | 145515-3W | July 14, 2020 |
| Pompo, Rebecca Anne | Cortland | 278200-1W | July 14, 2020 |
| Potluri, Mohandas | Latham | 134947-1W | July 14, 2020 |
| Racela, Isaac G. | Loudonville | 121743-9W | July 15, 2020 |
| Racitano, Frank James | Jamestown | C03637-8B | July 14, 2020 |
| Rakoff, Saul J. | White Plains | 079779-5W | July 14, 2020 |
| Rapisarda, Sergio Vito | Troy | 185027-0W | July 14, 2020 |
| Reed, Dwight T. | Fulton | C10545-4W | July 15, 2020 |
| Rhee, Jai-Jeen | Jackson Heights | 110023-9W | July 15, 2020 |
| Sacks, Maury E. | Irvington | 125494-5W | July 15, 2020 |
| Sarantakos, Stavros | Bronxville | 129466-9W | July 15, 2020 |
| Scott, William C. | Santa Monica | 181481-3W | July 15, 2020 |
| Shah, Bharti J. | New Rochelle | 132705-5W | July 15, 2020 |
| Snitovsky, Peter Alexander | Glenview | 190371-5W | July 15, 2020 |
| Spata, Natale F. | Manorville | C04436-4W | July 15, 2020 |
| Tejero, Jose A. | Rhinebeck | 113841-1W | July 15, 2020 |
| Terepka, Raymond Harris | Ithaca | 153278-7W | July 15, 2020 |
| Trilling, Jeffrey S. | Rocky Point | 120453-6W | July 15, 2020 |
| Trope, Leslie | Fort Lauderdale | 140822-8W | July 15, 2020 |
| Vera, Chido Dorothy | Pittsburgh | 265342-6W | July 15, 2020 |
| Ward, Abraham Francis | Atlantic Beach | 080189-4W | July 15, 2020 |
| Weinstein, Gilbert Ernest | Hewlett | 084339-1W | July 15, 2020 |
| Winnicki, Michael S. | Eden | 155345-2W | July 15, 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