Subject Numbers Regarding Health Provider Authorizations
November 18, 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 |
|---|---|---|---|
| Aftab, Munib | Cooperstown | 285091-5W | September 16, 2020 |
| Arendash-Durand, Barbara Ellen | Merrick | 198741-1W | September 16, 2020 |
| Pirmohamed, Sabera | Jamaica | 262256-1W | September 16, 2020 |
| Bellaousov, Katsiaryna | Rochester | 281013-3W | September 16, 2020 |
| Berkowitz, Daniel | Larchmont | 109145-3W | September 16, 2020 |
| Bloch, Naomi | New York | PT042283-2W | September 16, 2020 |
| Boris, Jacob | Tappan | 088020-3W | September 16, 2020 |
| Boyle, Michael F. | Leesburg | 252288-6W | September 18, 2020 |
| Brandt, Max | New York | 079422-2W | September 16, 2020 |
| Brodsky, Robert Michael | Brooklyn | C02709-6B | September 16, 2020 |
| Campo, Kevin Matthew | St. James | C08428-7B | September 16, 2020 |
| Campos, Otto | McClenny | 103035-2W | September 16, 2020 |
| Chiaramonte, Lawrence Thomas | Bronx | 093763-1W | September 16, 2020 |
| Cobbett, Lindsey Elizabeth | Mount Kisco | 279069-9W | September 16, 2020 |
| Collins, Daniel George | Latham | 294050-0W | September 18, 2020 |
| Conigliaro, Vincent S. | New York | 083001-8W | September 16, 2020 |
| Crowe, Karen Gisotti | Albany | 267215-2W | September 16, 2020 |
| De Mocker, John C. | Gaithersburg | 077790-4B | September 16, 2020 |
| Defeo, Joseph F. | New York | 128520-4W | September 16, 2020 |
| Denier, Donna Patricia | Boone | 203907-1W | September 16, 2020 |
| Dhar, Manorama | Demarest | 133070-3W | September 16, 2020 |
| Dintenfass, Nancy Jill | Sands Point | 143631-0W | September 18, 2020 |
| Dolich, Barry Howard | White Plains | 100185-8W | September 16, 2020 |
| Ferraraccio, William David | Syracuse | 214122-4I | September 18, 2020 |
| Flokas, Constantine Evangelos | Yonkers | 117461-1W | September 16, 2020 |
| Foster, Charles Stephen | Waltham | 242611-2W | September 16, 2020 |
| Cimino-Gandolfo, Lisa Hilary | Boston | 185190-6W | September 16, 2020 |
| Gehl, Michael B. | Rochester | 124924-2W | September 16, 2020 |
| Ghelman, Bernard | Cliffside Park | 099957-3W | September 17, 2020 |
| Glazier, William Lloyd | Hiram | 082492-0W | September 18, 2020 |
| Goldman, Elizabeth K. | White Plains | 118851-5W | September 17, 2020 |
| Gonzalez, Lorena | Syracuse | 275512-2W | September 17, 2020 |
| Gonzalez, Ubaldo | New Suffolk | 099963-1W | September 17, 2020 |
| Hoffman, Daniel Paul | Poughkeepsie | 113147-3W | September 18, 2020 |
| Hotson, Gwendolyn Cara | New York | 137967-6B | September 17, 2020 |
| Hussain, Mahammad Naushad | Sugar Land | 235125-2W | September 17, 2020 |
| Kelley, Geraldine Krypel | Orchard Park | 131207-3W | September 17, 2020 |
| Kelly, Stephen E. | New York | 125118-0W | September 17, 2020 |
| Kelman, Gary J. | Huntington | 139502-9B | September 17, 2020 |
| Kim, Jai | Rensselaer | 233212-0B | September 17, 2020 |
| Kleppel, Noel Harvey | Lawrence | 079481-8B | September 17, 2020 |
| Koppenheffer, Peter Brooks | Saranac Lake | 269392-7W | September 16, 2020 |
| Kwon, Anne | Lagrangeville | 279877-5W | September 16, 2020 |
| Leong, Enriqueta C. | Staten Island | 121618-3W | September 16, 2020 |
| Levy, Lawrence F. | Stuart | C06017-0W | September 16, 2020 |
| Logan, Rodney Dennis | Perry | 146686-1W | September 16, 2020 |
| Losco, Donna Marie | Greenlawn | 199123-1W | September 16, 2020 |
| Lowy, George | Long Beach | 095500-5W | September 16, 2020 |
| Lukawski, Zbigniew A. | Clifton Springs | 196743-9W | September 16, 2020 |
| Madden, Timothy Francis | Kingston | 279192-9W | September 16, 2020 |
| Mayo, Monique | Brooklyn | C12169-1I | September 16, 2020 |
| Michael, Shannon Scully | Syracuse | 294005-4W | September 16, 2020 |
| Namon, Ari J | Poughkeepsie | 215691-7B | September 16, 2020 |
| Nichols, David P. | Issaquah | 132972-1W | September 16, 2020 |
| Novick, Laurence I. | Boca Raton | 087695-3W | September 16, 2020 |
| Patil, Arun Brijlal | Whitesboro | 151026-2W | September 16, 2020 |
| Pellegrino, Raymond | East Islip | C08404-8B | September 16, 2020 |
| Podany, Wendy Ann | Stony Brook | 294061-7W | September 16, 2020 |
| Pottanat, Joseph V. | Massapequa | 111736-5W | September 16, 2020 |
| Poulose-Redger, Ellen Maria | Stony Brook | 294202-7W | September 16, 2020 |
| Ramkishun, Charles Anthony | Stony Brook | 294126-8W | September 16, 2020 |
| Ramsey, Walter Stanley, Jr. | Huntington | 111853-8W | September 16, 2020 |
| Reidy, James Patrick | Rochester | 142831-7W | September 16, 2020 |
| Rekhi, Brij M. | Pittsford | 121758-7W | September 16, 2020 |
| Restivo, Kathleen Mary | New Hyde Park | 191773-1W | September 16, 2020 |
| Santoro, Michael S. | E Meadow | 127555-1W | September 16, 2020 |
| Santucci, Thomas, Jr. | Valley Stream | 094571-7W | September 16, 2020 |
| Sarpel, Gunseli | Grand Island | 181948-1B | September 16, 2020 |
| Sathiyadevan, Niruja | Rochester | 293882-7W | September 16, 2020 |
| Schwartz, Walter Frank | New York | 086717-6W | September 16, 2020 |
| Shah, Ashok N. | Rochester | 109230-3W | September 16, 2020 |
| Shiple, David A. | South Burlington | 270012-8W | September 16, 2020 |
| Simon, Samuel G. | Poughkeepsie | 129660-7W | September 16, 2020 |
| Skonberg, Kenneth Drew | Beacon | C05104-7B | September 16, 2020 |
| Stevenson, Caitlin Marie | Brooklyn | 289201-6W | September 16, 2020 |
| Tanzman, Esther S. | Rochester | 148632-3W | September 16, 2020 |
| Tramontana, Timothy Frank | Liverpool | 259256-6W | September 16, 2020 |
| Wagman, Richard Jay | Brooklyn | 081647-0B | September 16, 2020 |
| Watson, James Curtis | Canandaigua | C03251-8W | September 16, 2020 |
| Weinhoff, Martin Leonard | Hewlett | 109337-6B | September 16, 2020 |
| Wolff, John L. E. | White Plains | 075064-6W | September 16, 2020 |
| Wu, Benson Ming-Shun | Irving | 203178-9W | September 16, 2020 |
| Yadlapalli, Brahmananda Rao | Garden City | 162454-3B | September 16, 2020 |
| Yeo, Albert | White Plains | 277831-4W | September 16, 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