Subject Numbers Regarding Health Provider Authorizations
Revises Subject Number 046-667, Dated March 4, 2014
March 7, 2014
This subject number revises Subject Number 046-667. The revisions are italicized.
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 |
|---|---|---|---|---|
| Gorman, Eugene Seth | Anesthesiology | Syosset | 168459-6W | February 3, 2014 |
| Zaitsev, Alexandr Alexeevich | Anesthesiology | Syosset | 223544-8W | February 3, 2014 |
| Pisharoty, Anil | Anesthesiology | Rochester | 204088-9B | February 12, 2014 |
| Kurdali, Basil | Anesthesiology | New York | 264022-5W | February 24, 2014 |
| Maret, Rajani | Anesthesiology | Syosset | 265976-1W | February 24, 2014 |
| Sanchez-Rodriguez, Irvin Rafael | Anesthesiology | Watertown | 263816-1W | February 24, 2014 |
| Weissman, Allan M | Anesthesiology, Pain Management | Syosset | 194536-9W | February 3, 2014 |
| Jafari, Kermanshahi Soheila | Anesthesiology, Pain Management | Brooklyn | 251933-8B | February 25, 2014 |
| Yacob, Gabriel E | Anesthesiology, Pain Management | Olean | 260092-2W | February 25, 2014 |
| Rehman, Najeeb Ur | Cardiovascular | Pine City | 197463-3W | February 11, 2014 |
| Latson, Larry Allen Jr | Diagnostic Radiology | New York | 264731-1B | February 13, 2014 |
| Delbrune, Jean S | Diagnostic Radiology, Vascular And Interventional Radiology | Corning | 232386-3W | February 26, 2014 |
| Ali-Pennock, Vanessa Ambereen | Family Practice | Plainview | 260126-8W | February 3, 2014 |
| Araouzos, Paraskos | Family Practice | Fayetteville | 231989-5B | February 13, 2014 |
| Sigrest, Barbara B | Family Practice | Brooklyn | 238549-0W | February 14, 2014 |
| Enecilla, Mignon Avendano | Family Practice | Geneva | 243069-2W | February 19, 2014 |
| Denis, Lunique L | Family Practice | Middletown | 272716-2B | February 20, 2014 |
| Barrett, Shean Logan | Family Practice | Owego | 272480-5W | February 28, 2014 |
| Spinnato, Tracey | Internal Medicine | Stony Brook | 208460-6W | February 14, 2014 |
| Dolinsky, Steven H | Internal Medicine | Schenectady | 270285-0W | February 19, 2014 |
| Seemab, Farzana | Internal Medicine | Endicott | 273188-3W | February 26, 2014 |
| Lavelanet, Mario | Internal Medicine | Jamaica | 190765-8B | February 27, 2014 |
| Singh, Chanchal | Internal Medicine | Newburgh | 268532-9B | February 27, 2014 |
| Mehta, Kinner Arvind | Internal Medicine | Vestal | 248318-8W | February 27, 2014 |
| Lusco, Mark Anthony | Internal Medicine, Anatomic Pathology, Clinical Pathology | Mount Sinai | 261164-8W | February 24, 2014 |
| Chryssos, Emanuel Demetrios | Internal Medicine, Cardiovascular | East Setauket | 255976-3W | February 14, 2014 |
| Ahmad, Ahsanuddin | Internal Medicine, Cardiovascular, Clinical Cardiac Electrophysiology | Newburgh | 269175-6B | February 21, 2014 |
| Butt, Saleha Asil | Internal Medicine, Geriatic Medicine | Binghamton | 270834-5W | February 26, 2014 |
| Mcswain, Mark Wyatt | Internal Medicine, Pediatrics | Auburn | 201382-9B | February 12, 2014 |
| Lefkowitz, Michael Alan | Neurological Surgery | New Hyde Park | 224914-2W | February 11, 2014 |
| Bahn, Eunkyung Michelle | Neurological Surgery | Slingerlands | 245260-5W | February 14, 2014 |
| Anderson, Gordon Brian | Neurology | Brooklyn | 233218-7B | February 14, 2014 |
| Latif, Sundus | Neurology | Watertown | 266120-5W | February 12, 2014 |
| Azar-Cavanagh, Madelynn | Occupational Medicine | New York | 272537-2W | February 18, 2014 |
| Zygawski, Marcin Marek | Ophthalmology | Cooperstown | 231111-6W | February 11, 2014 |
| Nellans, Kate Wilkins | Orthopedic Surgery | Great Neck | 253724-9W | February 3, 2014 |
| Faloon, Michael Joseph | Orthopedic Surgery | New York | 260541-8W | February 24, 2014 |
| Young, Paul Raymond | Otolaryngology | Amherst | 268372-0W | February 20, 2014 |
| Beaupin, Bernard Rene | Physical Medicine/Rehabilitation | Buffalo | 248678-5B | February 20, 2014 |
| Ibrahim, Debra S | Physical Medicine/Rehabilitation | Astoria | 271148-9W | February 24, 2014 |
| Agrawal, Divya | Physical Medicine/Rehabilitation | New York | 244211-9W | February 27, 2014 |
| Ben-Meir, Ron Simon | Physical Medicine/Rehabilitation | New York | 253700-9W | February 27, 2014 |
| Scarbinsky, Aislinn Marie | Surgery | Orchard Park | 270461-7W | February 20, 2014 |
| Zerfas, Dorene Kay | Surgery | Orchard Park | 270530-9W | February 20, 2014 |
| Shaw, Palma Maria | Surgery, General Vascular Surgery | Syracuse | 219058-5W | February 12, 2014 |
| Rilloraza, Francisco Leones | Surgery, Plastic Surgery | Binghamton | 267727-6B | February 28, 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"
The following doctors have been added to the list of Impartial Specialists eligible for appointment in specific cases by the Board.
| NAME | SPECIALTY AREA OF PRACTICE | CITY OF PRACTICE | LICENSE NUMBER | EFFECTIVE DATE | END DATE |
|---|---|---|---|---|---|
| Collins, Gary Robert | Psychiatry | New York | 205280 | February 13, 2014 | February 13, 2019 |
Any questions regarding the authorized lists should be referred to the Medical Director’s Office at 1 (800) 781-2362.
Robert E. Beloten
Chair