Subject Numbers Regarding Health Provider Authorizations
February 5, 2014
The following have been added to the list of providers authorized to treat injured workers and/or perform independent medical examinations within the New York State workers' compensation system.
| NAME | SPECIALTY AREA OF PRACTICE | CITY OF PRACTICE | AUTHORIZATION NUMBER* | EFFECTIVE DATE |
|---|---|---|---|---|
| Derdzinski, David Anthony | Anesthesiology | Brooklyn | 245345-4W | January 15, 2014 |
| Gruen, Amy Beth | Anesthesiology | Stony Brook | 271196-8W | January 14, 2014 |
| Lee, Kathleen Jiyoung | Anesthesiology | New York | 247747-9W | January 14, 2014 |
| Naljian, Vahe Garabed | Anesthesiology | Brooklyn | 195813-1W | January 14, 2014 |
| Parks, Michael Lorin | Anesthesiology | Mount Kisco | 271251-1W | January 24, 2014 |
| Sapson, Andrew Yefim | Anesthesiology | Johnson City | 263655-3W | January 6, 2014 |
| Anderson, Jared Joseph | Chiropractic | Rochester | C12186-5B | January 24, 2014 |
| Farruggio, Paul P | Chiropractic | Staten Island | C11687-3W | January 24, 2014 |
| Flitt, Alana Margaret | Chiropractic | Buffalo | C12403-4W | January 24, 2014 |
| Grazen, Jeffrey Ronald | Chiropractic | Lancaster | C06068-3B | January 24, 2014 |
| Kim, Chang Sung | Chiropractic | Little Neck | C12364-8W | January 24, 2014 |
| Lalor, Matthew J | Chiropractic | Floral Park | C11878-8W | January 24, 2014 |
| Musial, Timothy John | Chiropractic | Elma | C12285-5W | January 24, 2014 |
| Passalacqua, Shannon Lynn | Chiropractic | Canandaigua | C12248-3W | January 24, 2014 |
| Ramzan, Sari Jasmat | Chiropractic | Brooklyn | C11873-9B | January 24, 2014 |
| Schirmer, Matthew | Chiropractic | Plymouth | C12419-0B | January 24, 2014 |
| Chu, Paul | Dermatology, Dermatological Pathology | Port Chester | 192642-7B | January 23, 2014 |
| Cooper, Nancy A | Diagnostic Radiology | Warwick | 264489-6W | January 14, 2014 |
| Del Arca, Hernan Cesar | Diagnostic Radiology | Clifton | 231705-5W | January 29, 2014 |
| Kang, Stella Kijung | Diagnostic Radiology | New York | 250648-3B | January 14, 2014 |
| Lantz, Athena Helena | Diagnostic Radiology | Tenafly | 219587-3W | January 29, 2014 |
| Lombino, Michael Joseph | Diagnostic Radiology | Eden Prairie | 260805-7W | January 29, 2014 |
| Mason, Thomas O | Diagnostic Radiology | East Aurora | 255498-8W | January 21, 2014 |
| Mastroianni, Travis Anthony | Diagnostic Radiology | Orchard Park | 260098-9W | January 15, 2014 |
| Saber, Cameron Russell | Diagnostic Radiology | Williamsville | 273319-4W | January 16, 2014 |
| Saltz, Mary Morrison | Diagnostic Radiology | Stony Brook | 272744-4W | January 22, 2014 |
| Sclafani, Teresa Z | Diagnostic Radiology | Eden Prairie | 251497-4W | January 29, 2014 |
| Shukla, Mrugank | Diagnostic Radiology | Lindenhurst | 268541-0W | January 6, 2014 |
| Berger, Abraham | Emergency Medicine | New York | 211887-5I | January 15, 2014 |
| Blaufeux, Brian Alan | Emergency Medicine | Yorktown Heights | 211488-2I | January 28, 2014 |
| Marcus, Robert H | Emergency Medicine | Yorktown Heights | 124143-9B | January 28, 2014 |
| Spencer, James Peter | Emergency Medicine | Yorktown Heights | 207225-4B | January 30, 2014 |
| Walther, Frederick Allen | Emergency Medicine | Yorktown Heights | 197145-6B | January 30, 2014 |
| Weintraub, Melissa D | Emergency Medicine | Yorktown Heights | 198305-5B | January 30, 2014 |
| Bullis, Kent Wesley | Family Practice | Ithaca | 272708-9W | January 24, 2014 |
| Guevara, Ruth | Family Practice | Patchogue | 253613-4W | January 14, 2014 |
| Gumuka, Michael | Family Practice | Queensbury | 269376-0B | January 30, 2014 |
| Irani, Dinaz | Family Practice | New York | 250585-7W | January 14, 2014 |
| Jones, Anne Celal | Family Practice | Ithaca | 269763-9W | January 6, 2014 |
| Okazaki, Saburo | Family Practice | Buffalo | 264734-5W | January 24, 2014 |
| Richardson, Dawn C | Family Practice | Manlius | 220282-8W | January 24, 2014 |
| Zoghlin, Benson Louis | Family Practice | Hilton | 169892-7W | January 22, 2014 |
| Francis, Desmond | Internal Medicine | Rome | 269221-8W | January 9, 2014 |
| Mansour, Sherry George | Internal Medicine | Stony Brook | 271829-4W | January 14, 2014 |
| Nagengast, Samantha Haley | Internal Medicine | Stony Brook | 260786-9W | January 14, 2014 |
| Schwartz, Lisa Caryl | Internal Medicine | Fairport | 206082-0W | January 22, 2014 |
| Togawa, Cynthia Aya | Internal Medicine | Stony Brook | 272295-7W | January 22, 2014 |
| Williams, Aria | Internal Medicine | Middletown | 271912-8B | January 24, 2014 |
| Messina, Anthony John | Internal Medicine, Cardiovascular | Poughkeepsie | 230535-7B | January 21, 2014 |
| Kheterpal, Neil | Internal Medicine, Gastroenterology | Middletown | 270700-8B | January 23, 2014 |
| Zimilevich, Bella | Internal Medicine, Geriatric Medicine | Brooklyn | 251120-2W | January 6, 2014 |
| Zent, Clive Steven | Internal Medicine, Hematology | Rochester | 272917-6W | January 22, 2014 |
| Deshpande, Priya Prakash | Internal Medicine, Nephrology | Brooklyn | 257007-5W | January 8, 2014 |
| Levy, Ernesto N | Internal Medicine, Rheumatology | Niagara Falls | 263037-4W | January 16, 2014 |
| Kim, Samuel | Neurological Surgery | New York | 246540-9W | January 29, 2014 |
| Bunch, Marjorie | Neurology, Clinical Neurophysiology | Albany | 247592-9I | January 7, 2014 |
| Sayegh, Michael Salem Wahban | Ophthalmology | Cornwall | 204919-5B | January 24, 2014 |
| Joseph, James | Orthopedic Surgery | Yonkers | 253642-3W | January 2, 2014 |
| Rajamanickam, Sendhan Amudhan | Orthopedic Surgery | Penfield | 268490-0W | January 8, 2014 |
| Groch, Nicholas Richard | Otolaryngology | Oswego | 270541-6W | January 14, 2014 |
| Au, Jessica Lang-Chi | Physical Medicine/Rehabilitation | New York | 269781-1W | January 7, 2014 |
| Kim, Ruby E | Physical Medicine/Rehabilitation | Bronx | 244653-2B | January 6, 2014 |
| Siddique, Arefin | Physical Medicine/Rehabilitation | Hopewell Junction | 221473-2W | January 14, 2014 |
| Achar, Naveen | Psychiatry | Saratoga | 214147-1W | January 2, 2014 |
| Manu, Lucian Miron | Psychiatry | Stony Brook | 204837-9W | January 14, 2014 |
| Ishak, Charbel | Radiology - Diagnostic Radiology | Scarsdale | 266333-4W | January 29, 2014 |
| Powell, Aaron Michael | Radiology - Diagnostic Radiology | Orchard Park | 260279-5W | January 16, 2014 |
| Tafler, Alan Howard | Radiology - Diagnostic Radiology | Eden Prairie | 207309-6W | January 23, 2014 |
| Holup, John L | Surgery | Franklin Lakes | 241416-7W | January 24, 2014 |
| Spencer, Benjamin Alan | Urology | Mt Kisco | 231292-4B | January 30, 2014 |
*Providers authorized to treat only, have an authorization number ending in "W" – Providers authorized to treat and perform independent medical examinations, have an authorization number ending in "B" – Providers authorized to perform independent medical examinations only, have an authorization number ending in "I"
Any questions regarding the authorized lists should be referred to the Medical Director's Office at 1 (800) 781-2362.
Robert E. Beloten
Chair