Subject Numbers Regarding Health Provider Authorizations
October 30, 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 |
|---|---|---|---|---|
| Andraous, Wesam Farouk | Anesthesiology | Stony Brook | 273739-3W | September 30, 2014 |
| Becks, Pamela Leach | Anesthesiology | Rochester | 274602-2W | September 17, 2014 |
| Challa, Chaitanya K | Anesthesiology | Melville | 257926-6W | September 22, 2014 |
| Dinani, Aliraza Dilawer | Anesthesiology | Melville | 276058-5W | September 22, 2014 |
| Farquhar, Rena C | Anesthesiology | Brooklyn | 270245-4W | September 22, 2014 |
| Foxton, Kurt Charles | Anesthesiology | Clinton | 180710-6B | September 10, 2014 |
| Guo, Qiao Dong | Anesthesiology | Elmhurst | 269058-4W | September 10, 2014 |
| Haque, Ziyad Mohammad | Anesthesiology | Southampton | 275816-7W | September 16, 2014 |
| Keck, Virginia | Anesthesiology | Melville | 164416-0W | September 22, 2014 |
| Nadler, Jacob Ward | Anesthesiology | Rochester | 274193-2W | September 17, 2014 |
| Nicholas, Brian Walrath | Anesthesiology | Melville | 262969-9W | September 22, 2014 |
| Parnell-Cassidy, Lauren E | Anesthesiology | Melville | 258839-0W | September 22, 2014 |
| Pena, Cecilia | Anesthesiology | Melville | 275957-9W | September 22, 2014 |
| Mcginn, Brendan Timothy | Anesthesiology, Pain Management | Syracuse | 275735-9W | September 23, 2014 |
| Buono, Darren Michael | Diagnostic Radiology | Lindenhurst | 269557-5B | September 22, 2014 |
| Maleson, Andrew Carter | Diagnostic Radiology | Stony Brook | 268996-6W | September 11, 2014 |
| Alian, Andrus Salaam | Emergency Medicine | Stony Brook | 245500-4B | September 11, 2014 |
| Arsove, Pamela | Emergency Medicine | Pelham | 175849-9W | September 23, 2014 |
| Cherian, Abel John | Emergency Medicine | New York | 233072-8W | September 11, 2014 |
| Finger, Ralph Leonard | Emergency Medicine | Westport | 187095-5W | September 10, 2014 |
| Henderson, Kimberly Joan | Emergency Medicine | Middletown | 232889-6B | September 18, 2014 |
| Illuzzi, Frank Anthony | Emergency Medicine | Fairfield | 219399-3W | September 10, 2014 |
| Kahoun, John Robert | Emergency Medicine | New York | 211176-3W | September 11, 2014 |
| Kapoor, Tushar | Emergency Medicine | Westbury | 248326-1W | September 23, 2014 |
| Ling, Yuklin | Emergency Medicine | New City | 225857-2W | September 22, 2014 |
| Maher, Shannon Suzanne | Emergency Medicine | Cos Cob | 261489-9W | September 10, 2014 |
| Park, Richard | Emergency Medicine | Roslyn Heights | 224603-1W | September 11, 2014 |
| Stutt, Richard E | Emergency Medicine | New Paltz | 140279-1W | September 22, 2014 |
| Swoboda, Thomas Kevin | Emergency Medicine | Johnson City | 213528-3W | September 24, 2014 |
| Tafoya, Michael Anthony | Emergency Medicine | New York | 245160-7W | September 11, 2014 |
| Wirths, Erin Michelle | Emergency Medicine | Syracuse | 274289-8W | September 23, 2014 |
| Brandler, Ethan Samuel | Emergency Medicine, Internal Medicine | Stony Brook | 241746-7W | September 16, 2014 |
| Liu, Jack Hwaijong | Emergency Medicine, Internal Medicine | Forest Hills | 243263-1W | September 23, 2014 |
| Mazer, Gary | Emergency Medicine, Internal Medicine | Lake Success | 236270-5W | September 23, 2014 |
| Reiffe, Leonard | Emergency Medicine, Internal Medicine | New York | 153515-2W | September 11, 2014 |
| Dlugosz, Michael Robert | Family Practice | Williamsville | 266420-9B | September 18, 2014 |
| Karaga, Richard | Family Practice | West Seneca | 274397-9W | September 18, 2014 |
| Moore, Jillian Gasiewicz | Family Practice | Rochester | 273594-2W | September 17, 2014 |
| Polverino, Gennaro Marc | Family Practice | Rochester | 272834-3W | September 17, 2014 |
| Raudenbush, Elenee Margarite | Family Practice | Rochester | 276118-7W | September 17, 2014 |
| Reddy, Satish Kumar | Family Practice | New York | 267645-0W | September 11, 2014 |
| Sasse, Troy John | Family Practice | Lake View | 266476-1W | September 26, 2014 |
| Tilala, Niral H | Family Practice | Rochester | 276051-0W | September 17, 2014 |
| Wang, Chester | Family Practice | West Hempstead | 251081-6W | September 23, 2014 |
| Sodhi, Vikram Singh | Family Practice, Sports Medicine | Buffalo | 269088-1B | September 18, 2014 |
| Berlin, Michael Leon | Internal Medicine | New York | 271820-3W | September 24, 2014 |
| Christopher, Dawn Stephanie | Internal Medicine | Johnson City | 272726-1W | September 24, 2014 |
| Gayam, Sirisha | Internal Medicine | Johnson City | 276168-2W | September 24, 2014 |
| Kanth, Pooja Madisetty | Internal Medicine | Stony Brook | 276409-0W | September 11, 2014 |
| Kasireddy Krishna Kishor | Internal Medicine | Johnson City | 276270-6W | September 24, 2014 |
| Khiani, Komal | Internal Medicine | Stony Brook | 271066-3B | September 11, 2014 |
| Limsuvanrot, Lily | Internal Medicine | East Setauket | 240391-3W | September 11, 2014 |
| Little, Emily Roxanne | Internal Medicine | Webster | 275240-0W | September 17, 2014 |
| Lu, Hsien-Yi | Internal Medicine | Hauppauge | 225304-5W | September 12, 2014 |
| Massasati, Lamah | Internal Medicine | Stony Brook | 275907-4B | September 11, 2014 |
| Teribury, Frederick Leroy Jr | Internal Medicine | Corning | 242971-0W | September 17, 2014 |
| Uralil, Sharon Ann | Internal Medicine | Lake Success | 270096-1W | September 22, 2014 |
| Chung, Grace | Internal Medicine, Cardiovascular Disease | East Setauket | 273197-4W | September 11, 2014 |
| Sadigh, Kaveh | Internal Medicine, Cardiovascular Disease | Stony Brook | 276462-9W | September 23, 2014 |
| Scortichini, Doria A | Internal Medicine, Cardiovascular Disease | Canandaigua | 154650-6W | September 18, 2014 |
| Wong, Ryan Joshua | Internal Medicine, Gastroenterology | Stony Brook | 275086-7W | September 11, 2014 |
| Sousou, Tarek Joey | Internal Medicine, Hematology, Medical Oncology | East Syracuse | 243609-5B | September 23, 2014 |
| Fries, Bettina Carolyn Joanna | Internal Medicine, Infectious Diseases | Stony Brook | 205208-2B | September 11, 2014 |
| Martino, Damian Joseph | Internal Medicine, Pain Management | Astoria | 246439-4B | September 23, 2014 |
| Ilyevsky, Dmitry | Internal Medicine, Pediatrics | New York | 260048-4W | September 11, 2014 |
| Reddy, Elizabeth Alexandra | Internal Medicine, Pediatrics | Syracuse | 230965-6W | September 15, 2014 |
| Jain, Gaurav | Internal Medicine, Psychiatry, Pain Management | Williamsville | 273927-4W | September 18, 2014 |
| Abdullah, Mishal | Internal Medicine, Rheumatology | Amsterdam | 274265-8W | September 12, 2014 |
| Kakoulides, George V | Neurological Surgery | West Islip | 275213-7W | September 11, 2014 |
| Sorkin, Grant C | Neurological Surgery | Kenmore | 275975-1W | September 19, 2014 |
| Giglio, Michael Anthony | Neurology | Williamsville | 261068-1W | September 18, 2014 |
| Khaneja, Amit Virender | Neurology | Yonkers | 267473-7B | September 23, 2014 |
| Schwartz, Guy J | Neurology | Stony Brook | 237868-5W | September 11, 2014 |
| Loftus, Hos Cyrus | Neurology, Clinical Neurophysiology | Bayshore | 276305-0W | September 16, 2014 |
| Kumar, Neel Mukul | Ophthalmology | Middletown | 274993-5W | September 18, 2014 |
| Saponara, Fiorella Karina | Ophthalmology | Bronxville | 264583-6W | September 16, 2014 |
| Wang, Xiaofei | Ophthalmology | Rochester | 275706-0W | September 18, 2014 |
| Akamnonu, Chibuikem Philip | Orthopedic Surgery | Brooklyn | 254146-4W | September 2, 2014 |
| Hart, Jeffrey Dean | Orthopedic Surgery | East Setauket | 259570-0W | September 16, 2014 |
| Jiang, Kevin Nan | Orthopedic Surgery | Little Neck | 269139-2W | September 23, 2014 |
| Milchteim, Charles | Orthopedic Surgery | Woodbury | 275600-5W | September 22, 2014 |
| O'hara, Andrew Lawrence | Orthopedic Surgery | Orchard Park | 269517-9W | September 18, 2014 |
| Nicholas, Brian Daniel | Otolaryngology | Syracuse | 268958-6W | September 8, 2014 |
| Eisenberg, David Joel | Pediatrics | East Setauket | 205839-4B | September 11, 2014 |
| Casella, Gizelda Tardin Bonamic | Physical Medicine/ Rehabilitation | Syracuse | 276120-3W | September 23, 2014 |
| Joki, Jaclyn Beth | Physical Medicine/ Rehabilitation | Piscataway | 273822-7W | September 18, 2014 |
| Karafin, Felix | Physical Medicine/ Rehabilitation | New York | 256505-9B | September 11, 2014 |
| Nguyen, Elizabeth T | Physical Medicine/ Rehabilitation | New York | 269040-2W | September 11, 2014 |
| Umar, Mohammed | Physical Medicine/ Rehabilitation | Stony Brook | 260813-1W | September 11, 2014 |
| Williams, Krystle Michelle | Physical Medicine/ Rehabilitation | Syracuse | 272335-1W | September 23, 2014 |
| Aci, Omer Faruk | Podiatry | Bay Shore | P06445-2W | September 4, 2014 |
| Amar, Shazia | Podiatry | Brooklyn | P06087-2W | September 4, 2014 |
| Andrea, Mary | Podiatry | Long Island City | P06076-5W | September 4, 2014 |
| Baker, Shane Tim | Podiatry | Middletown | P06559-0B | September 4, 2014 |
| Bui, Duyet T | Podiatry | Rhinebeck | P06557-4W | September 4, 2014 |
| Castillo, Nicole Marie | Podiatry | Hempstead | P06326-4W | September 4, 2014 |
| Chen, Stanley | Podiatry | Bayside | P06473-4B | September 4, 2014 |
| Daniel, Lawrence B | Podiatry | Brooklyn | P03660-9B | September 4, 2014 |
| Dejesus, Lady Paula Jose | Podiatry | Astoria | P06439-5B | September 4, 2014 |
| Dubal, Nidhee | Podiatry | Poughkeepsie | P06556-6B | September 4, 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 |
|---|---|---|---|---|---|
| Wetterau, Norman William | Family Practice | Nunda | 105928 | September 8, 2014 | September 8, 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