Subject Numbers Regarding Health Provider Authorizations
July 31, 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 |
|---|---|---|---|---|
| Schwartz, Gary Scott | Anesthesiology, Pain Management | Woodbury | 258475-3B | June 4, 2015 |
| Banifatemi, Reza | Cardiovascular | Buffalo | 262789-1W | June 15, 2015 |
| Hagigi, Mershad | Diagnostic Radiology | Bay Shore | 263394-9W | June 9, 2015 |
| Stein, Benjamin | Emergency Medicine | New York | 218592-4W | June 30, 2015 |
| Cruz, Faith Lardizabal | Family Practice | Troy | 254330-4W | June 2, 2015 |
| Gandham, Christi Nicholas | Family Practice | Flushing | 276178-1W | June 24, 2015 |
| Kerrigan, Brian Richard | Family Practice | Canton | 241293-0W | June 5, 2015 |
| Lugo, Robert Gregory | Family Practice | Amherst | 276007-2W | June 15, 2015 |
| Muller, Bonnie Ann | Family Practice | Monroe | 200614-6W | June 4, 2015 |
| Muller, Bonnie Ann | Family Practice | Monroe | 200614-6W | June 4, 2015 |
| Pringle, Sheryl | Family Practice | Mount Vernon | 198962-3B | June 4, 2015 |
| Salamatbad, Michael | Family Practice | Great Neck | 249405-2W | June 26, 2015 |
| Friscia, Marisa | Internal Medicine | Troy | 184056-0W | June 5, 2015 |
| Hertz, Jared Adam | Internal Medicine | Babylon | 263785-8W | June 5, 2015 |
| Mirza, Muhammad Asad | Internal Medicine | Staten Island | 233930-7W | June 4, 2015 |
| Noonan, Martin Terrence | Internal Medicine | Syracuse | 210456-0W | June 30, 2015 |
| Peralta, Mark Factura | Internal Medicine | Yonkers | 242019-8W | June 29, 2015 |
| Zhang, Mei | Internal Medicine | Buffalo | 266846-5W | June 12, 2015 |
| Suen, John Shaw-Der | Internal Medicine, Critical Care Medicine, Pulmonary Diseases, Undersea And Hyperbaric Medicine | Ithaca | 271760-1W | June 4, 2015 |
| Berg, Adam Michael | Internal Medicine, Gastroenterology | Syracuse | 268988-3W | June 5, 2015 |
| Zavarella, Salvatore Martin | Neurological Surgery | West Islip | 256093-6W | June 5, 2015 |
| Lolis, Athena Maria | Neurology, Clinical Neurophysiology | New York | 257408-5B | June 3, 2015 |
| Etienne, Mill | Neurology, Brain Injury Medicine, Clinical Neurophysiology | Suffern | 229737-2W | June 29, 2015 |
| Bhatt, Shiv S | Orthopedic Surgery | Rome | 146859-4B | June 4, 2015 |
| Mann, Matthew | Orthopedic Surgery | Amherst | 278233-2W | June 15, 2015 |
| Dagly, Kamal Dinesh | Orthopedic Surgery, Hand Surgery | Huntington | 244626-8B | June 12, 2015 |
| Kim, Sang W | Otolaryngology | East Syracuse | 273922-5W | June 12, 2015 |
| Mra, Zan | Otolaryngology | New Rochelle | 183223-7W | June 5, 2015 |
| Salim, Sara Zehra | Physical Medicine/Rehabilitation | West Henrietta | 279266-1W | June 29, 2015 |
| Jackson, Thomas R | Physical Medicine/ Rehabilitation, Pain Management | Albany | 246110-1W | June 4, 2015 |
| Margolis, Nathaniel Evin | Radiology - Diagnostic Radiology | New York | 275027-1W | June 5, 2015 |
| Mayerfield, Ari Lawrence | Surgery | Scarsdale | 267893-6W | June 4, 2015 |
| Lehoux, Juan Manuel | Surgery, Thoracic Surgery | Rochester | 278650-7W | June 4, 2015 |
*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