Subject Numbers Regarding Health Provider Authorizations
October 26, 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 |
|---|---|---|---|
| Aideyan, Emokpolo Enotiemoya | St. Petersburg | 146805-7W | August 20, 2020 |
| Alario, Frank Charles | Delray Beach | 164204-0W | August 20, 2020 |
| Amponsah, Akwasi Peprah | Newark | 266582-6W | August 20, 2020 |
| Asbell, Robert Lewis | New York | 110339-9W | August 20, 2020 |
| Bax, Alfred James | Lockport | 128076-7W | August 20, 2020 |
| Belletti, Dino A. | Manhasset | 081704-9W | August 20, 2020 |
| Beltran, Luis Saura | New York | 251637-5W | August 20, 2020 |
| Briggs, Gabriel Timothy | Camillus | PT026816-9W | August 20, 2020 |
| Cavero, Rafael | Larchmont | 105567-2W | August 20, 2020 |
| Choi, Jennifer Jaehee | Lake Success | 287898-1W | August 20, 2020 |
| Cholakian, Ohanes Kapriel | Rego Park | 183615-4W | August 20, 2020 |
| Cushin, Susan Keene | Bronxville | 183399-5W | August 20, 2020 |
| Dhanoa, Pardeep Paul | West Seneca | 241190-8W | August 20, 2020 |
| Di Blasio, Ferdinand Conrad | Syosset | 102982-6W | August 20, 2020 |
| Donahue, Laurence Austin | Rochester | 169849-7W | August 20, 2020 |
| Duckles, Donald M. | Penfield | 089287-7W | August 20, 2020 |
| Eltman, Jason T. | South Burlington | 218988-4W | August 20, 2020 |
| Endres, Richard F. | Sodus | 126286-4W | August 20, 2020 |
| Fiordalisi, John Joseph | Hampton Bays | 169238-3W | August 20, 2020 |
| Fiore, John Leonard | Warwick | 139294-3W | August 20, 2020 |
| Gardner, Amy | Hauppauge | 143928-0W | August 20, 2020 |
| Garner, Steven C. | Brooklyn | 131074-7W | August 20, 2020 |
| Hantman, Stuart S. | Pittsford | 124087-8W | August 20, 2020 |
| Hawley, Ryan John | Kirkwood | 268891-9W | August 20, 2020 |
| Hughes, Cindy Weiss | Slingerlands | 177230-0W | August 20, 2020 |
| Jacobson, Lenard Eduard | Boca Raton | 096272-0W | August 20, 2020 |
| Jeyapalan, Soosaipillai G. | Naples | 128590-7W | August 20, 2020 |
| Kanterman, Richard Neal | Harriman | C04463-8W | August 20, 2020 |
| Keenan, Stephen R. | Brooklyn | C08327-1B | August 20, 2020 |
| Koganti, Baburao | Manlius | 109803-7W | August 20, 2020 |
| Lucas, Charles Clement, Jr. | Larchmont | 147930-2B | August 20, 2020 |
| Maiorino, William | East Setauket | 083069-5W | August 20, 2020 |
| Maluf, Fued Nazer | Jamaica | 104749-7W | August 20, 2020 |
| Maneyapanda, Bidappa G. | Buffalo | 114710-7W | August 20, 2020 |
| McAulliffe, Thomas Bruce | Watertown | C10867-2B | August 20, 2020 |
| Miller, Jean Deborah | New York | 166662-7W | August 20, 2020 |
| Miller, Lynn E. | Owego | 160299-4W | August 21, 2020 |
| Nayee, Sandip Natvarlal | Robinsville | 268468-6W | August 24, 2020 |
| Nourollah-Zadeh, Emad | Albany | 284685-5W | August 21, 2020 |
| O'Malley, Michael | Calhoun | 184073-5W | August 21, 2020 |
| Paez, Jorge A. | East Setauket | C02599-1W | August 21, 2020 |
| Rahill, Thomas F. | Hicksville | C02451-5W | August 21, 2020 |
| Rodriguez, Anthony J. | Miami Beach | C11645-1W | August 21, 2020 |
| Rosas, Augusto | Monroe | 107325-3W | August 24, 2020 |
| Rosenblum, Charles I. | New York | 090063-9W | August 24, 2020 |
| Roufaiel, David Magdy | Greenlawn | 274935-6W | August 21, 2020 |
| Shaftan, Gerald W. | New York | 071328-9W | August 24, 2020 |
| Shah, Ashokkumar Ratanlal | Farmingdale | 139003-8W | August 21, 2020 |
| Sokolsky, Lawrence T. | New York | 149091-1W | August 21, 2020 |
| Solomon, Scott Eric | Scottsdale | 160179-8W | August 24, 2020 |
| Southerst, Danielle | New York | C12871-2W | August 24, 2020 |
| Strauss, Barry Leslie | Southampton | 116994-5W | August 21, 2020 |
| Susarla, Ahalya | Vestal | 151434-8W | August 21, 2020 |
| Swerdloff, Allan P. | Scarsdale | 144197-1W | August 21, 2020 |
| Tatarian, Talar | Stony Brook | 293675-5W | August 24, 2020 |
| Taylor, Gregory Warwick | Bloomfield | 226502-3W | August 24, 2020 |
| Tysz, Samantha | Uniondale | 267181-6W | August 24, 2020 |
| Warner, Carolyn Hazard | New York | 144383-7W | August 24, 2020 |
| Weiss, Marshall F. | New York | 081053-1W | August 24, 2020 |
| White, Charles | New York | P06462-7B | August 24, 2020 |
| Woltjer, Thomas Allen | Slingerlands | 287833-8W | August 24, 2020 |
| Woodle, Joanne Slocum | Peconic | 145978-3W | August 24, 2020 |
| Wunsh, Stuart Eugene | West Caldwell | 092459-7W | August 24, 2020 |
| Yadlapalli, Janaki | Old Westbury | 174957-1W | August 24, 2020 |
| Yi, Christie Hyunsu | Tenafly | 213161-3W | August 24, 2020 |
| Silagy, Frank | New York | 146879-2W | August 25, 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