Subject Numbers Regarding Health Provider Authorizations

February 17, 2021

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
Avanzato, Joseph	Beacon	153825-5W	December 16, 2020
Batlle, Jose Eugenio	Edgewater	212090-5W	December 16, 2020
Blum, Aaron M.	Poughkeepsie	101721-9W	December 16, 2020
Boxhorn, Christine Elizabeth	Milwaukie	268698-8W	December 16, 2020
Brady, David Shaun	Flushing	187999-8W	December 16, 2020
Breitbarth, Nancy A.	Palm Beach Gardens	C03167-4B	December 16, 2020
Calabrese, Gerald Leonard	Watertown	160226-7B	December 16, 2020
Carrao, Cheryl Wafford	Long Beach	200423-2W	December 16, 2020
Chen, Valerie Hsinyen	Slingerlands	286818-0W	December 16, 2020
Copertino, Leonard Michael	Utica	280094-4W	December 16, 2020
Corriel, Dana	Tenafly	234514-8W	December 16, 2020
Dholakia, Rishi Tejas	Stony Brook	295701-7W	December 16, 2020
Dsilva, Peter F.	Geneva	142837-4W	December 16, 2020
Dulay, Samuel C.	East Greenbush	115072-1W	December 17, 2020
Elkind, Arthur H.	New Rochelle	081025-9B	December 17, 2020
Erens, Eva Barbara	Forest Hills	151956-0W	December 17, 2020
Fay, Colleen M.	White Plains	163795-8W	December 17, 2020
Fazili, Tasaduq Nazir	Roanoke	261497-2W	December 17, 2020
Federman, Jay S.	Saranac Lake	123530-8W	December 17, 2020
Ficara, Brooke	New York	PT039047-6W	December 17, 2020
Fischer, Richard Joseph	West Seneca	112937-8W	December 17, 2020
Golyan, Bijan	Great Neck	197297-5W	December 17, 2020
Greenberg, Judith J.	Cooperstown	158279-0W	December 17, 2020
Gruet, Larry Robert	Albany	127979-3W	December 17, 2020
Gullo, John Joseph	East Syracuse	137981-1B	December 17, 2020
Guthrie, Randolph Hobson	Palm Beach	090152-0W	December 17, 2020
Haidar, Aqeel	Blue Bell	216027-3W	December 17, 2020
Halpern, Irwin	Merrick	C00145-5W	December 17, 2020
Harrington, Timothy Francis	Williamsville	106376-7W	December 17, 2020
Heitner, Holden David	Tampa	296957-4W	December 17, 2020
Holm, Andersen Ingolf	Glen Head	108069-6W	December 17, 2020
Jha, Romen Kumar	Chandler	202992-4W	December 17, 2020
Kirschenbaum, Emily Rikoon	Scarsdale	166570-2W	December 17, 2020
Kogan, Yelena Aleksandrovna	Hudson	271703-1W	December 17, 2020
Lao, Henry S.	Brooklyn	120158-1W	December 17, 2020
Levin, Lewis Martin	Glen Cove	113012-9B	December 17, 2020
Liebling, Anne	Rhinebeck	191581-8I	December 17, 2020
Lor, Sonia	Margaretville	C05617-8W	December 16, 2020
Marthy-Noonan, Anne K.	Gansevoort	167525-5W	December 16, 2020
Mcdermott, Meredith Robyn	New York	279122-6W	December 16, 2020
Moy, Gregory	Long Island City	PT041884-8W	December 16, 2020
Mudge, Peter Bryan	Lloyd Harbor	097663-9W	December 16, 2020
Nolan, Gerald M.	Farmington	134773-1W	December 16, 2020
Nugget, Ronald M.	Centereach	C01806-1B	December 16, 2020
Olson, Kevin Francis	Kings Park	139236-4W	December 16, 2020
Palmer, Robert J.	Bayside	C03759-0W	December 16, 2020
Panebianco, Richard J.	Southampton	124451-6W	December 16, 2020
Pascual, Monique	Brentwood	C06232-5W	December 16, 2020
Pogrebinsky, Grigory S.	Brooklyn	159537-0W	December 16, 2020
Polatsch, Bernard	Bethpage	091685-8W	December 16, 2020
Poliner, Jay Ronald	West Hartford	174348-3W	December 16, 2020
Pulling, Robert R.	Ballston Spa	160138-4W	December 16, 2020
Ratner, Sabina	Stony Brook	295357-8W	December 16, 2020
Raynor, Richard B.	New York	078181-5B	December 16, 2020
Rios, Angel	Delmar	176730-0W	December 16, 2020
Rohani, Sayed Mojtaba	Bronx	295638-1W	December 16, 2020
Roman, Angelie De Jesus	Auburn	215535-6B	December 16, 2020
Rudorfer, Alvin	Floral Park	089471-7W	December 17, 2020
Sane, Paul	Bronx	102467-8W	December 17, 2020
Savel, Thomas George	Atlanta	221041-7W	December 17, 2020
Saxena, Rajiv	Lloyd Harbor	142082-7W	December 17, 2020
Schimler, Michael Edward	Essex Falls	270658-8W	December 17, 2020
Schotanus, Peter R.	Binghamton	133715-3W	December 17, 2020
Schwager, Scott	Phoenix	C05001-5B	December 17, 2020
Shalhoub, Edward Henry	Sea Girt	091633-8W	December 17, 2020
Shemmeri, Nida	Boylston	251862-9B	December 17, 2020
Sheth, Viral Ras	Middletown	198845-0W	December 18, 2020
Siebuhr, Karl Frank	Cooperstown	254096-1W	December 18, 2020
Singer, Morton	Merrick	070064-1W	December 18, 2020
Song, Gi Suk	Kingston	170312-3W	December 18, 2020
Tankel, Robert H.	Flushing	104657-2W	December 18, 2020
Vaca, Miller	Corona	110265-6W	December 18, 2020
Walwyn, Sherri Melissa	Long Island City	PT042224-6W	December 18, 2020
Warner, Robert A.	Tigard	107000-2W	December 18, 2020
Zarrabi, Kevin Kayvan	Stony Brook	295894-0W	December 18, 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.