Subject Numbers Regarding Health Provider Authorizations
January 28, 2015
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 |
|---|---|---|---|---|
| Ali, Akhtar | Anesthesiology | Ozone Park | 206663-7W | December 2, 2014 |
| Fang, Xiaohong | Anesthesiology | Snyder | 273108-1W | December 2, 2014 |
| Farrell, Michael John | Anesthesiology | Corning | 274086-8W | December 3, 2014 |
| Gan, Tong Joo | Anesthesiology | Stony Brook | 277514-6W | December 11, 2014 |
| Hedden, Jacob B | Anesthesiology | Rockville Centre | 267796-1W | December 22, 2014 |
| Kosiborod, Roman N | Anesthesiology | Franklin Lakes | 221118-3W | December 24, 2014 |
| Leer, Ethan Harris | Anesthesiology | Melville | 274954-7W | December 22, 2014 |
| Melepura, Febin Surendran | Anesthesiology | Middletown | 271559-7B | December 19, 2014 |
| Nordquist, Diana | Anesthesiology | Rockville Centre | 269150-9W | December 22, 2014 |
| Stanley, Susan Mary | Anesthesiology | Stony Brook | 254581-2W | December 24, 2014 |
| Tecson, Maria Joycelynne Y | Anesthesiology | Staten Island | 223429-2W | December 8, 2014 |
| Urbiztondo, Ned Guirey | Anesthesiology | Auburn | 268232-6W | December 11, 2014 |
| Yu, Albert Shang-Yuan | Anesthesiology | Rochester | 241067-8W | December 16, 2014 |
| Acharya, Satish | Anesthesiology, Pain Management | Rochester | 154870-0B | December 3, 2014 |
| Moten, Hadi Saleem | Anesthesiology, Pain Management | Jersey City | 271682-7W | December 19, 2014 |
| Ajegba, Folashade Omodele | Diagnostic Radiology | Garden City | 274344-1W | December 22, 2014 |
| Areman, Russell David | Diagnostic Radiology | Stony Brook | 230295-8W | December 11, 2014 |
| Gaing, Byron | Diagnostic Radiology | Queens Village | 256154-6W | December 22, 2014 |
| Golsaz, Cyrus Michael | Diagnostic Radiology | Binghamton | 266480-3B | December 4, 2014 |
| Khorasani, Mohammad Reza | Diagnostic Radiology | Binghamton | 267176-6B | December 4, 2014 |
| Meraj, Seema | Diagnostic Radiology | Oyster Bay | 258182-5W | December 22, 2014 |
| Nayee, Sandip Natvarlal | Diagnostic Radiology | Yorktown Heights | 268468-6W | December 1, 2014 |
| Rudzinski, Scott Michael | Diagnostic Radiology | Williamsville | 275552-8W | December 11, 2014 |
| Sachdev, Karina J | Diagnostic Radiology | New York | 250205-2W | December 11, 2014 |
| Shpilberg, Katya Alexandra | Diagnostic Radiology | Garden City | 256680-0W | December 22, 2014 |
| Somers-Dehaney, Imanual | Diagnostic Radiology | Binghamton | 264751-9B | December 4, 2014 |
| Young, Matthew Gregory | Diagnostic Radiology | New York | 269612-8W | December 22, 2014 |
| Zaveri, Jatin Jitendra | Diagnostic Radiology | New Hyde Park | 269705-0W | December 22, 2014 |
| Weinreb, David Benjamin | Diagnostic Radiology, Nuclear Radiology | Latham | 258538-8W | December 11, 2014 |
| Avcioglu, Ayse Meltem | Emergency Medicine | Stony Brook | 272416-9B | December 24, 2014 |
| Gomez, Frances G | Emergency Medicine | New York | 172186-9W | December 22, 2014 |
| Hughes, Sydney | Emergency Medicine | East Meadow | 213864-2W | December 22, 2014 |
| Klimek, Anthony Joseph Iii | Emergency Medicine | Liverpool | 276690-5W | December 2, 2014 |
| Brendze, Suzanne | Family Practice | Rochester | 220446-9W | December 1, 2014 |
| Briggs, Lia Marta | Family Practice | Oneonta | 271511-8W | December 3, 2014 |
| Cavallo, Daniel Joseph Iii | Family Practice | Glen Cove | 262800-6W | December 22, 2014 |
| Eisenberg, Katherine Wright | Family Practice | Webster | 268325-8W | December 22, 2014 |
| Freitas, Michael Stephen | Family Practice | West Amherst | 263293-3B | December 11, 2014 |
| Gustafson, Thomas Robert | Family Practice | Elmira | 186217-6W | December 26, 2014 |
| Holland, Piret | Family Practice | Passaic | 266864-8W | December 22, 2014 |
| Kline, Brian Rhory | Family Practice | Baldwinsville | 276281-3W | December 16, 2014 |
| Kolisetti, Raja | Family Practice | Attica | 185959-4W | December 2, 2014 |
| Lindman, Harry David | Family Practice | Corinth | 206928-4W | December 1, 2014 |
| Lynch, Gina Adriana | Family Practice | Brooklyn | 188495-6W | December 19, 2014 |
| Marlo, Hunter June | Family Practice | Saint Johnsville | 277203-6W | December 19, 2014 |
| Montera, Mark A | Family Practice | Lake Katrine | 169085-8W | December 16, 2014 |
| Riccione, Joseph Anthony | Family Practice | Orchard Park | 263674-4W | December 11, 2014 |
| Sta, Maria Jaclyn Anne Nunez | Family Practice | West Nyack | 276147-6B | December 3, 2014 |
| Upham, Robbyn O'connor | Family Practice | Rochester | 271227-1W | December 3, 2014 |
| Urazov, Peter | Family Practice | Patchogue | 253737-1W | December 19, 2014 |
| Ver, Eugene Louis | Family Practice | Rochester | 163825-3W | December 16, 2014 |
| Volkert, Janneke Ariaan | Family Practice | Rochester | 274869-7W | December 3, 2014 |
| Weissberg, Robert A | Family Practice | Troy | 138667-1B | December 16, 2014 |
| Ahmed, Saeed | Internal Medicine | Cooperstown | 273741-9W | December 3, 2014 |
| Baker, Mary P | Internal Medicine | Auburn | 256105-8W | December 11, 2014 |
| Merrill, Michael Dean | Internal Medicine | Amherst | 212164-8W | December 8, 2014 |
| Miller, Charles Albert Spencer | Internal Medicine | Stony Brook | 277086-5W | December 17, 2014 |
| Zisman, Bijan Glen | Internal Medicine | Lake Success | 275746-6W | December 22, 2014 |
| Vidula, Himabindu | Internal Medicine, Cardiovascular Disease | Rochester | 276695-4W | December 3, 2014 |
| Cuomo, Linda Janine | Internal Medicine, Cardiovascular Disease, Interventional Cardiology | Middletown | 233459-7B | December 2, 2014 |
| Franco, Joseph John | Internal Medicine, Cardiovascular Disease, Interventional Cardiology | Saint James | 274379-7W | December 24, 2014 |
| Jones, Stephanie Renee | Internal Medicine, Geriatic Medicine | Stony Brook | 274766-5B | December 24, 2014 |
| Baer, Lea | Internal Medicine, Hematology, Medical Oncology | Stony Brook | 263795-7W | December 4, 2014 |
| Osborne, Christine Marie | Internal Medicine, Pediatrics | Rochester | 265783-1W | December 4, 2014 |
| Lone, Nazir Ahmad | Internal Medicine, Pulmonary Disease | Cooperstown | 273444-0W | December 4, 2014 |
| Bhana, Suleman | Internal Medicine, Rheumatology | Middletown | 258592-5B | December 2, 2014 |
| Shah, Ummara Hassan | Internal Medicine, Rheumatology | Rochester | 260067-4W | December 4, 2014 |
| Anderer, Erich Gen | Neurological Surgery | Brooklyn | 239453-4B | December 11, 2014 |
| Betchen, Simone Alise | Neurological Surgery | Staten Island | 218810-0B | December 11, 2014 |
| Patel, Kishan | Neurology | Forest Hills | 271844-3B | December 24, 2014 |
| Shor, Anna | Neurology | New York | 257988-6B | December 22, 2014 |
| Asaju, Sunday Olanrewaju | Obstetrics/Gynecology | New Hartford | 173105-8B | December 2, 2014 |
| Jeremias, Elisabeth | Obstetrics/Gynecology | East Setauket | 242606-2W | December 8, 2014 |
| Auringer, David Edward | Ophthalmology | Cooperstown | 273269-1W | December 3, 2014 |
| Coward, Christine | Ophthalmology | Middletown | 274304-5W | December 2, 2014 |
| Crisp, Angela Faye | Ophthalmology | Horseheads | 271510-0W | December 4, 2014 |
| Ferri, Sara | Ophthalmology | Rochester | 258983-6B | December 19, 2014 |
| Koczman, Jacob John | Ophthalmology | Schenectady | 274908-3W | December 4, 2014 |
| Shah, Sabah | Ophthalmology | New York | 274673-3W | December 31, 2014 |
| Shiple, David A | Ophthalmology | Rochester | 270012-8W | December 19, 2014 |
| Cordiale, Andrew Jonathan | Orthopedic Surgery | New Hyde Park | 261604-3W | December 29, 2014 |
| Felix, Nancy Anne | Orthopedic Surgery | Horseheads | 226086-7W | December 4, 2014 |
| France, Monet Alonda | Orthopedic Surgery | Fishkill | 242010-7W | December 2, 2014 |
| Lapinsky, Anthony Stanley | Orthopedic Surgery | New Hartford | 208678-3B | December 1, 2014 |
| Lynch, Thomas Sean | Orthopedic Surgery | New York | 275201-2W | December 9, 2014 |
| Oh, Chong Keo | Orthopedic Surgery | New City | 227715-0W | December 3, 2014 |
| Shah, Roshan Pradip | Orthopedic Surgery | New York | 276552-7W | December 9, 2014 |
| Spohn, Peter John | Orthopedic Surgery | Lowville | 183007-4W | December 11, 2014 |
| Steele, Barbara Carina | Orthopedic Surgery | Centereach | 276727-5W | December 11, 2014 |
| Farrell, Claudia Sales | Pediatrics | Gansevoort | 272569-5W | December 30, 2014 |
| Lenhard, Julie Marie | Pediatrics | Fairport | 197281-9W | December 4, 2014 |
| Chen, David J | Physical Medicine/Rehabilitation | Middletown | 265806-0B | December 2, 2014 |
| Pfisterer, Christine | Physical Medicine/Rehabilitation | Astoria | 276675-6W | December 2, 2014 |
| Nagel, Theodore William | Plastic Surgery | Cooperstown | 273794-8W | December 4, 2014 |
| Lerman, Mark | Psychiatry | Stony Brook | 199686-7W | December 4, 2014 |
| Eisenberg, Jason Zeus | Radiology - Diagnostic Radiology | Stony Brook | 276966-9W | December 1, 2014 |
| Gupta, Manish | Surgery | Syracuse | 275897-7W | December 8, 2014 |
| Kubiak, Brian Daniel | Surgery | Rochester | 250974-3W | December 1, 2014 |
| Shah, Melissa Dewan | Surgery | Albany | 265648-6W | December 1, 2014 |
| Kirchhoff, Carl Hendrik | Surgery, Hand Surgery | Middletown | 276908-1W | December 29, 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 |
|---|---|---|---|---|---|
| Morehouse, Helen T | Diagnostic Radiology | Bronx | 120775 | December 17, 2014 | December 17, 2019 |
| Sacks, Henry Sigmund | Internal Medicine, Geriatric Medicine, Infectious Diseases | New York | 137468 | December 24, 2014 | December 24, 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