Subject Numbers Regarding Health Provider Authorizations
March 9, 2022
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 |
|---|---|---|---|
| Abad, Edda M Y | Forest Hills | 121306-5W | January 18, 2022 |
| Ahmad, Jowairiyya Sarfraz | Middletown | 262563-0W | January 18, 2022 |
| Alam, Muna Tosnim | Elmira | 266899-4W | January 18, 2022 |
| Alvarez, Miguel A S | Greenport | 137761-3W | January 18, 2022 |
| Andolina, John Robert | Pittsford | 138110-2W | January 18, 2022 |
| Angeles, Esperanza San Miguel | College Point | 118229-4W | January 18, 2022 |
| Antohi, Petronela | Hillsborough | 263888-0W | January 18, 2022 |
| Auerbach, Jeffrey C | Franklin Lakes | 118009-0W | January 18, 2022 |
| Banwar, Nitin S. | Canandaigua | 148060-7I | January 18, 2022 |
| Basak, Jharna | East Amherst | 145614-4W | January 18, 2022 |
| Beckerman, Bruce | Manalalpan | 139837-9W | January 18, 2022 |
| Bernstein, Frederick Nathan | Groveland | 209488-6W | January 18, 2022 |
| Bernstein, Martin | Yorktown Heights | 077292-1W | January 18, 2022 |
| Borrie, Roderick A. | Setauket | S07931-9W | January 19, 2022 |
| Britvan, J. Allen | Palm Beach Gardens | 151295-3W | January 18, 2022 |
| Brooks, Michena Lubin | East Rockaway | P04062-7W | January 19, 2022 |
| Buchman, Myron Isaac | New York | 048761-1W | January 19, 2022 |
| Cacciatore, Joseph C. | Glenwood Landing | C01897-0W | January 19, 2022 |
| Capaccio, Michele Ann | Rockville Centre | PA013976-6W | January 19, 2022 |
| Capizzi, Robert | Vero Beach | 144630-1W | January 19, 2022 |
| Chokas, William Vasilios | Great Neck | 081931-8W | January 19, 2022 |
| Ciechorska, Maria | New York | 193143-5W | January 19, 2022 |
| Coniaris, Harry John | Staten Island | 171667-9W | January 19, 2022 |
| Curry, Michael J. | East Aurora | P02844-0W | January 19, 2022 |
| Daly, Susan Singleton | Brewster | S08503-5I | January 19, 2022 |
| Drayzen, Leonard | Melville | P01922-5W | January 19, 2022 |
| Ducey, Stephen Gerard | Waterford | 173701-4W | January 19, 2022 |
| Dydyn, Sara Katherine | Staten Island | OT022990-6W | January 19, 2022 |
| Eglauf, Douglas Roy | White Plains | C01515-8B | January 19, 2022 |
| Eichler, Harold L. | Boca Raton | 096921-2W | January 19, 2022 |
| Elibol, Tarik | Kenmore | 102346-4W | January 19, 2022 |
| Farrell, Joseph E. | Laurel | 075753-2W | January 19, 2022 |
| Fateh, Abul | Flushing | 152651-6W | January 19, 2022 |
| Feldman, Jacob Stephen | Sedona | 286751-3W | January 19, 2022 |
| Fernandez, Jose M. | Woodside | C01899-6W | January 19, 2022 |
| Friedman, Arthur | Smithtown | 160449-5W | January 19, 2022 |
| Golding, Mary Stella | Rockville Centre | C11914-1W | January 19, 2022 |
| Golonka, Joseph Emil | Lake Luzerne | 090923-4W | January 19, 2022 |
| Gordon, Jeffrey H. | Oyster Bay | 097030-1W | January 19, 2022 |
| Gray, Glenn G. | Bay Shore | 201751-5W | January 19, 2022 |
| Gulfaraz, Shaukat Ali | Amsterdam | 273799-7W | January 19, 2022 |
| Guo, Nianzu | Fresh Meadows | 212181-2W | January 19, 2022 |
| Hong, John S. | Mountain View | 117517-3W | January 19, 2022 |
| Horowitz, Charles David | Latham | S09357-5W | January 19, 2022 |
| Husa, Catherine Janine | Ithaca | 135834-0W | January 19, 2022 |
| Jain, Ajay | Syracuse | 272673-5W | January 19, 2022 |
| Kalman, Kenneth C. | Islip | C02218-8W | January 19, 2022 |
| Karls, Shawn | New York | 293539-3W | January 19, 2022 |
| Kavet, Jay A. | New York | 149555-5W | January 19, 2022 |
| Khine, Kay Thwe | Culver City | 293852-0W | January 19, 2022 |
| Kistler, Brian Joseph | Santa Maria | 274343-3W | January 19, 2022 |
| Krinsky, Glenn Andrew | Saddle River | 178700-1W | January 19, 2022 |
| Lahiri, Asok K. | Wappingers Falls | 113539-1W | January 19, 2022 |
| Lamb, Anna Marie | Batavia | 212349-5W | January 18, 2022 |
| Lane, Patricia Elise | Clinton | 174555-3W | January 18, 2022 |
| Lichtenfeld, William Jay | Alpharetta | 202476-8I | January 18, 2022 |
| Markman, Lisa Hannah | Irvine | 258086-8W | January 18, 2022 |
| McNamee, Joseph E. | East Quogue | S05405-6W | January 18, 2022 |
| Medina, Christopher Ariel | Aledo | 283559-3W | January 18, 2022 |
| Miguel, Kimberly A. | Port Jefferson Station | PT022294-3W | January 18, 2022 |
| Minetti, Helen Higgins | Englewood | 109210-5W | January 18, 2022 |
| Mofidian, Mehdi | Cooperstown | 295293-5W | January 18, 2022 |
| Myerson, Merle | Cooperstown | 203952-7W | January 18, 2022 |
| Nacht, Robert I. | New York | 094951-1W | January 18, 2022 |
| Nath, Sanjeev | Jackson Heights | 129570-8W | January 18, 2022 |
| Nattell, Daniel Francis | Dover | 190824-3W | January 18, 2022 |
| Negrini, Clelia | Pittsford | 238045-9W | January 18, 2022 |
| Pelletier, Valmore Alexis, Jr. | Slingerlands | 094412-4W | January 19, 2022 |
| Polly, Kathleen Bronchetti | Liverpool | PT036608-8W | January 19, 2022 |
| Por, Nicholas | New York | PT022183-8W | January 18, 2022 |
| Prasad, Sukanya Srinivasa | Vestal | 156502-7W | January 18, 2022 |
| Prouse, Deborah Marisa | Tarrytown | PA022661-3W | January 18, 2022 |
| Rabent, Michael J. | Jamestown | PT005764-6W | January 18, 2022 |
| Rachlin, Jordan W. | Monroe | P02464-7W | January 18, 2022 |
| Reiter, Paul Michael | Hurley | 136910-7W | January 18, 2022 |
| Ruggiero, Samuel F. | Cheektowaga | P03433-1W | January 18, 2022 |
| Ryu, Hak Yong | Staten Island | 138045-0W | January 18, 2022 |
| Sadel, Scott Michael | Scotch Plains | 217617-0W | January 18, 2022 |
| Sandhu, Aqeel A. | Syracuse | 195462-7W | January 18, 2022 |
| Schmidt, Philip | New York | 086468-6W | January 19, 2022 |
| Schnide, Kenneth Ben | Red Hook | 155162-1W | January 19, 2022 |
| Schwartz, Mark F. | Boynton Beach | S06431-1W | January 19, 2022 |
| Seo, Gwy Suk | Aurora | 226450-5W | January 19, 2022 |
| Simoni, Payman | Beverly Hills | 224593-4I | January 19, 2022 |
| Smith, Richard M. | Plattsburgh | S05148-2W | January 19, 2022 |
| Soucy, Anne Judith | Fort Fairfield | 217342-5W | January 19, 2022 |
| Spadola, Madeline L. | Newport | S20032-9W | January 19, 2022 |
| Stephan, Linda Beth | Hamden | S07861-8W | January 19, 2022 |
| Sternberg, Marc B. | Queens Village | S05795-0W | January 19, 2022 |
| Stout, David Paul | Lewiston | 284388-6W | January 19, 2022 |
| Subadya, Jeremy Tjandra | Woodland Hills | C12806-8W | January 19, 2022 |
| Summers, Jessica Ida | Syracuse | 295711-6W | January 19, 2022 |
| Testa, Joseph S. | Tonawanda | 154759-5W | January 19, 2022 |
| Tomasello, Jessica Wynn | Scottsdale | 225831-7W | January 19, 2022 |
| Vujovic, Ljubomir | Ridgewood | 126930-7W | January 19, 2022 |
| Waters, Heather Holmes | Westport | 272636-2W | January 19, 2022 |
| Werter, Howard D. | Deer Park | P02033-0W | January 19, 2022 |
| Wexler, Rima Irene | Glen Oaks | P05007-1W | January 19, 2022 |
| Wist, Kim L. | Farmingdale | C06556-7W | January 19, 2022 |
| Witte, Sally Schaum | South Nyack | S10529-6W | January 19, 2022 |
| Yang, Neil Chia Chan | Melville | 292228-4W | January 19, 2022 |
| Young, Stephanie Telesetsky | Sheperdstown | 256595-0W | January 19, 2022 |
| Yovanoff, James | Queensbury | 170014-5W | January 19, 2022 |
| Yuhasz, Mikell Margaret | New York | 292413-2W | January 19, 2022 |
*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