Subject Numbers Regarding Health Provider Authorizations
April 18, 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 |
|---|---|---|---|
| Abrahamson, Hal F. | Rego Park | P04608-7B | February 23, 2022 |
| Axelrod, Steven D. | New York | S06866-8W | February 23, 2022 |
| Babb, Richard Symonds | New Rochelle | S09293-2B | February 23, 2022 |
| Badola, Raghubar Prasad | Poughkeepsie | 112540-0W | February 23, 2022 |
| Balassone, Margaret | Portland | 184396-0W | February 23, 2022 |
| Barada, James Hunt | Albany | 172973-0W | February 23, 2022 |
| Barbera, Carl J. | Poughkeepsie | 159843-2B | February 23, 2022 |
| Barnes, Nicklaus Micah | Horseheads | C12338-2W | February 23, 2022 |
| Benivegna, Richard Louis | Canandaigua | 174990-2W | February 23, 2022 |
| Bernstein, Stephen Glenn | Melville | 140542-2W | February 23, 2022 |
| Boland, Thomas B. | New York | S04631-8B | February 23, 2022 |
| Braiman, Theodore | Lewes | 175903-4W | February 23, 2022 |
| Broffman, Gregg | Hamburg | 131752-8W | February 23, 2022 |
| Buonocore, John Anthony | Fort Wayne | 182693-2W | February 23, 2022 |
| Butera, Peter Gerard | Carolina | 172175-2W | February 23, 2022 |
| Cable, Ashley Christina | Endwell | OT023038-3W | February 23, 2022 |
| Cardenas-Crowley, Silvia Olga | Brooklyn | 161555-8W | February 23, 2022 |
| Chebes, Lukasz | Potsdam | 296288-4W | February 23, 2022 |
| Chmura, Ann Meredith Richardson | Geneva | 147027-7W | February 23, 2022 |
| Clarke, C. Biliston | Tampa | 161843-8W | February 24, 2022 |
| Dhillon, Jagpreet Singh | Miller Place | 210655-7B | February 23, 2022 |
| Evans, Evan J. | Williamsville | 126194-0W | February 23, 2022 |
| Fella, Eleanor A. | Pawling | C10245-1W | February 23, 2022 |
| Fields, Richard | Miami Beach | P06558-2I | February 23, 2022 |
| Fish, Alexander | Forest Hills | P04229-2W | February 24, 2022 |
| Franke, Kate Lynn | Lincolnshire | PT043638-6W | February 24, 2022 |
| Friedman, Jeffrey Mathew | East Syracuse | 284164-1W | February 24, 2022 |
| Galos, David K. | East Meadows | 277069-1W | February 24, 2022 |
| Ghiraldini, Rita Cassia | New York | C09958-2B | February 24, 2022 |
| Goldstein, Edward Barry | Brooklyn | 087745-6W | February 24, 2022 |
| Gordon, David H. | Mattituck | 104576-4B | February 24, 2022 |
| Gorey, Sheila M. | Lewes | PT004443-8W | February 24, 2022 |
| Greenblatt, Michael N. | Plainview | 092850-7W | February 24, 2022 |
| Gumbs, Milton Aubrey | Bronx | 104932-9W | February 24, 2022 |
| Haggarty, Marie Wilson | Malone | PA005121-9W | February 24, 2022 |
| Haley, Adriana Rosa | Palmetto Bay | S12229-1W | February 24, 2022 |
| Harper, Yusuf | Norwich | 204564-9W | February 24, 2022 |
| Hayes, Ron W. | Millerton | C04092-5W | February 24, 2022 |
| Helman, Jay D. | Wimauma | P02496-9B | February 24, 2022 |
| Henoch, Monica Jean | Pittsford | 169999-0W | February 24, 2022 |
| Heverly, Debra | Niagara Falls | 129779-5W | February 24, 2022 |
| Imai, Yosuke | Hartsdale | 111318-2W | February 24, 2022 |
| Incalcaterra, Gregory | Syosset | 137554-2W | February 24, 2022 |
| Jasti, Sirisha | Creve Coeur | 274137-9W | February 24, 2022 |
| Judge, Peter Adam | East Setauket | 167263-3W | February 24, 2022 |
| Kacprzyk, Daria Anna | Vestal | PA022845-2W | February 24, 2022 |
| Kahanowicz, Zwi | New York | 117559-5W | February 24, 2022 |
| Kaplan, Gary Paul | Lake Success | 165837-6W | February 24, 2022 |
| Karan, David S. | Brooklyn | 082410-2W | February 24, 2022 |
| Kasowitz, Mark H. | Syracuse | 119538-7W | February 24, 2022 |
| Keegan, Kerry John | West Islip | C06502-1W | February 24, 2022 |
| Kessler, Richard E. | Demascus | 090224-7W | February 24, 2022 |
| Khan, Sara Atiq | Stony Brook | 294424-7W | February 24, 2022 |
| Kluger, Martin A. | Great Neck | S10139-4B | February 24, 2022 |
| Krems, Sheldon M. | Sunderland | S05375-1W | February 24, 2022 |
| Kresse, Mark R. | Erie | PT006600-1W | February 24, 2022 |
| Lalia, Joseph F. | Brightwaters | P02773-1B | February 24, 2022 |
| Lang, Anthony E. | Albany | 086939-6W | February 24, 2022 |
| Lawlor, Mary Ellen | Queensbury | S10781-3B | February 24, 2022 |
| Lazar, Ronald M. | Birmingham | S07023-5W | February 24, 2022 |
| Lazzaro, Thomas Anthony | Syracuse | S03867-9W | February 24, 2022 |
| Lee, Melissa Anne | Gansevoort | PT040017-6W | February 24, 2022 |
| Leonard, Shannan Maria | Vestal | N602170-3W | February 24, 2022 |
| Lepore, Lisa Ann | Port Jefferson Station | C06301-8W | February 24, 2022 |
| Lester, Thomas J. | Mount Kisco | 145145-9W | February 24, 2022 |
| Lewish, Gregory D. | Rochester | 156391-5W | February 24, 2022 |
| Lockwood, Kourtney | Buffalo | C11845-7W | February 24, 2022 |
| Lupinacci, Louis | Saint James | C02295-6B | February 24, 2022 |
| Lynch, Thomas Sean | New York | 275201-2W | February 24, 2022 |
| Madhavan, Arjun | New Brunswick | 258161-9B | February 24, 2022 |
| Mincey, Tyran Gregory | Montclair | C09049-0W | February 24, 2022 |
| Mirabile, Matthew P. | Ballston Spa | C04479-4W | February 24, 2022 |
| Modi, Kalpana J. | Poughkeepsie | 163632-3W | February 24, 2022 |
| Monaco, Vincent Joseph | Albany | 113631-6W | February 24, 2022 |
| Murad, Jeff E. | Deal | 145006-3W | February 24, 2022 |
| Nguyen, Rachelle Bordlee | Brooklyn | PT040813-8W | February 24, 2022 |
| Nigen, David Lawrence | Astoria | 284105-4W | February 24, 2022 |
| Nussbaum, Jeffrey Kenneth | Babylon | 147879-1W | February 24, 2022 |
| Pantuck, Eugene Joel | New York | 092342-5W | February 24, 2022 |
| Paul, Niharendu | New York | 144590-7W | February 24, 2022 |
| Perry, Jeanell | Matawan | S10328-3W | February 24, 2022 |
| Phillips, Michael Edward | Plattsburgh | 185433-0W | February 24, 2022 |
| Pusateri, Scott Thomas | New York | PA019690-7W | February 23, 2022 |
| Raab, Thomas Albert | Buffalo | 135705-2B | February 23, 2022 |
| Raab, Thomas J | Dix Hills | S04507-0W | February 23, 2022 |
| Ravi, Ananth Kumar | Hermantown | 284688-9W | February 23, 2022 |
| Richards, John C. | Mechanicville | 119629-4B | February 23, 2022 |
| Richardson, John Troy, Jr. | Atlanta | 217653-5W | February 23, 2022 |
| Rouse, Lucien Maltby, Jr. | Rochester | 181386-4W | February 23, 2022 |
| Sanders, Sara Grace | New York | PA022696-9W | February 23, 2022 |
| Schneider, Arlene Terry | Brooklyn | 103750-6W | February 23, 2022 |
| Scott, James Matthew | Cooperstown | 276530-3W | February 23, 2022 |
| Senat, Junior Desir | Brooklyn | PT040321-2W | February 23, 2022 |
| Serini, Danielle Michele | Staten Island | C10938-1B | February 23, 2022 |
| Shafer, Carolyn Hardy | Mechanicville | PA008030-9W | February 23, 2022 |
| Shahnawaz, Zainab | Syracuse | 296045-8W | February 23, 2022 |
| Sharma, Suresh C. | Amherst | 123946-6W | February 23, 2022 |
| Shaughnessy, John F. | Aiken | C04243-4B | February 23, 2022 |
| Simon, Mitchell Steven | Springfield | C13165-8W | February 23, 2022 |
| Singh, David | Oradell | 253221-6W | February 23, 2022 |
| Singh, Prithi Pal | Syosset | 152970-0W | February 24, 2022 |
| Smith, Jennifer Lynn | Rochester | OT003790-3W | February 23, 2022 |
| Solodnik, Tatyana | Forest Hills | 176637-7W | February 23, 2022 |
| Spatz, Eileen M. | New York | 121190-3W | February 23, 2022 |
| Stewart, Kendall Basil | Brooklyn | P03320-0W | February 23, 2022 |
| Tan, Michael | Rome | 137867-8W | February 23, 2022 |
| Thompkins, Allen Paul | New York | PT043673-3W | February 23, 2022 |
| Vandervort, Megan Marie | Vestal | PT040598-5W | February 23, 2022 |
| Weiss, Allen Johnathan | Bronx | 293992-4W | February 23, 2022 |
| Wolhandler, Howard Mark | Jamesville | P02524-8B | February 23, 2022 |
| Wu, Yaojie | Middletown | 273658-5W | February 23, 2022 |
| Yitzhaki, Izik | Fort Lee | 208954-8B | February 23, 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