Subject Numbers Regarding Health Provider Authorizations
March 8, 2021
Pursuant to Workers' Compensation Law § 13-b, a provider must be licensed and registered with the New York State Education Department 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 |
|---|---|---|---|
| Abraham, Valsa | Syosset | 146184-7W | January 13, 2021 |
| Allyn, William Scott | Elbridge | 192213-7W | January 13, 2021 |
| Barnett, Lorna L. | Brooklyn | C06656-5W | January 13, 2021 |
| Berridge, Pattilee | Uniondale | C01967-1B | January 13, 2021 |
| Birnbaum, Jay William | New York | 148693-5W | January 13, 2021 |
| Breckenridge, Matthew L. | Melville | 269524-5W | January 13, 2021 |
| Brook, David William | New York | 088041-9W | January 13, 2021 |
| Brown, Anthony Reuben | New York | 174565-2W | January 13, 2021 |
| Marino, Nancy Ann | Canandaigua | 198581-1W | January 13, 2021 |
| Anderson, Sarah Marie | Chatham | C11331-8W | January 13, 2021 |
| Crawford, Joel Matthias | Roseville | 287637-3W | January 13, 2021 |
| D'Ascanio, Alfredo | Amwalk | 172634-9W | January 13, 2021 |
| Dorfman, Robert Press | Newburgh | 207181-9W | January 13, 2021 |
| Elsen, Stephanie M. | Parkland | 175064-5W | January 13, 2021 |
| Enriquez, Eduardo | Manhasset | 151563-4W | January 13, 2021 |
| Ferreira, De Sousa Romario | Troy | PT038837-1W | January 13, 2021 |
| Fields, Joel H. | Larchmont | 081881-5W | January 13, 2021 |
| Goe, Eric Albert | Little Rock | 183647-7B | January 13, 2021 |
| Green, Joan Marie | Penn Yan | OT003764-8W | January 13, 2021 |
| Gupta, Jessica | Webster | 289944-1W | January 13, 2021 |
| Herrera, Clarita E. | Ridgewood | 100699-8W | January 13, 2021 |
| Holt, Peter R. | New York | 082140-5W | January 13, 2021 |
| Huang, Zhaoming | Manhasset | 227290-4W | January 13, 2021 |
| Jean, Jong Chu | Old Field | 128588-1W | January 13, 2021 |
| Kaminski, Anna Katarzyna | Rochester | 262788-3W | January 13, 2021 |
| Knowles, Terry | Canton | 253764-5W | January 13, 2021 |
| Langer, Ruth | New York | 097407-1W | January 13, 2021 |
| Lee, Michael Sunghoon | Smithtown | 177160-9W | January 13, 2021 |
| Lin, Gracie Min-Mei | Williamsville | 184536-1B | January 13, 2021 |
| Lovallo, Sean | Fayetteville | PA015389-0 | January 13, 2021 |
| Luna-Rudin, Francesca Rosita | Middletown | 265282-4W | January 13, 2021 |
| Mandel, Donald Myron | Westbury | 094638-4W | January 13, 2021 |
| Marshall, Robert A. | Westport | C00892-2W | January 13, 2021 |
| Michaels, James Jay | Fort Lauderdale | C11754-1W | January 13, 2021 |
| Mihu, Nurkia Angelina | Woodside | 259639-3W | January 13, 2021 |
| Mobed, Darayes S. | Clewiston | 125186-7W | January 13, 2021 |
| Nagengast, Samantha Haley | Freehold | 260786-9W | January 13, 2021 |
| Nercessian, Ohannes Agop | New York | 153060-9W | January 13, 2021 |
| Petro, George Randall | Johnson City | 154359-4W | January 13, 2021 |
| Phillies, Gregory Paul | Williamsville | 138862-8W | January 13, 2021 |
| Piraino, David William | Brecksville | 222124-0B | January 13, 2021 |
| Polony, Andrew | Beachwood | 169655-8W | January 13, 2021 |
| Powers, John Cray | Belle Harbor | 091860-7W | January 13, 2021 |
| Raizon, Arnold | Potomac | 297157-0B | January 13, 2021 |
| Record, Duane C. | Plattsburgh | 127136-0W | January 13, 2021 |
| Rizzo, Robert John, Jr. | Farmingville | C09781-8B | January 13, 2021 |
| Ruggiero, George Richard | Punta Gorda | 216402-8B | January 13, 2021 |
| Salcedo, German | Great River | 093334-1W | January 13, 2021 |
| Schaller, Jonathan David | Hamilton | C08682-9W | January 13, 2021 |
| Schiavello, Henry Joseph | Georgetown | 089420-4W | January 13, 2021 |
| Segen, Joseph C. | Manhasset | 159746-7W | January 13, 2021 |
| Sharpton, Keith Thomas | Corning | 288887-3W | January 13, 2021 |
| Skolnik, Ezra | Brooklyn | 142612-1W | January 13, 2021 |
| Sutro, William H. | Boynton Beach | 134828-3W | January 13, 2021 |
| Szabo, Andras | Hot Spring | 228299-4W | January 13, 2021 |
| Tandoc, Merle N. | West Seneca | 139368-5W | January 13, 2021 |
| Thompson, Randall | West Seneca | C13013-0W | January 13, 2021 |
| Passidomo, Patrice Thornton | Manchester Center | 175691-5W | January 13, 2021 |
| Vacek, James John | Johnstown | 138653-1W | January 13, 2021 |
| Van Caneghem, Adrian | New York | 081686-8W | January 13, 2021 |
| Wani, Lubna Bashir | Roanoke | 263236-2W | January 13, 2021 |
| Welles, Richard V. | Rochester | 199166-0B | January 13, 2021 |
| Wolpert, Arthur | Lantana | 090515-8W | January 13, 2021 |
| Zhang, Jenny | Stony Brook | 289218-0W | January 13, 2021 |
*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