Subject Numbers Regarding Health Provider Authorizations
March 23, 2016
Pursuant to Workers’ Compensation Law § 13-b, a provider must be licensed and registered with the New York State Education Department in order to maintain a Workers’ Compensation Board authorization(s).
The following have been removed from the list of providers authorized to treat injured workers and/or perform independent medical examinations within the New York State workers’ compensation system based on information provided by the New York State Education Department indicating that they do not currently have an active license to practice medicine in New York State.
| NAME | LAST KNOWN CITY OF PRACTICE | AUTHORIZATION NUMBER* | EFFECTIVE DATE |
|---|---|---|---|
| Chandler, Arthur C., III | Tivoli | 211077-3W | December 28, 2015 |
| Ahmed, Maher S. | New York | 134351-6W | January 12, 2016 |
| Alne, Dennis J. | Brooklyn | S08354-3W | January 12, 2016 |
| Alvarado, Christobal | Manhasset Hills | 102302-7W | January 12, 2016 |
| Amato, Richard L. | Merrick | P02590-9W | January 12, 2016 |
| Astor, Martin H. | Manhasset | S02908-2W | January 12, 2016 |
| Beaudoin, Margaret Chernack | Rockville Centre | S08869-0W | January 12, 2016 |
| Beers, Emily Hannah | Rochester | 264902-8W | January 12, 2016 |
| Beres, Jacqueline Louise | Whittier | C12303-6B | January 12, 2016 |
| Brenner, Marc A. | Manhasset | P03892-8W | January 12, 2016 |
| Chan, Him-Wing | Williamsville | 122484-9W | January 12, 2016 |
| Cianciolo, Thomas J. | Clarence | P02095-9W | January 12, 2016 |
| Coff, Joan Marie | Albuquerque | C06638-3W | January 12, 2016 |
| Compas, Manuel | Brooklyn | C11361-5W | January 12, 2016 |
| Cosby, Paul W. | Utica | 130702-4W | January 12, 2016 |
| Dalavagas, Basil | New York | 117409-3W | January 12, 2016 |
| Dalope, Manuel G. | Syracuse | 124392-2W | January 12, 2016 |
| Delgaudio, Dino John | Lynbrook | S09526-5W | January 12, 2016 |
| Denton, Keith G. | Syosset | S05930-3B | January 12, 2016 |
| Donnelly, Thomas Eugene | Auburn | 089982-3W | January 12, 2016 |
| Dougherty, Mickaelle Mary | New York | S12401-6W | January 12, 2016 |
| Doust, Brewster Clark Jr. | Syracuse | 076374-8W | January 12, 2016 |
| Etu, Paul David | Albany | S10719-3B | January 12, 2016 |
| Fagin, Mitchel Stewart | Smithtown | 143268-1W | January 12, 2016 |
| Feld, Leslie Joy | Garden City | 217265-8W | January 12, 2016 |
| Ferro, Philip Leonard | Syracuse | 076671-7W | January 12, 2016 |
| Finck, Arthur Donald | New York | 116283-3B | January 12, 2016 |
| Fries, Michael William | Rome | 145677-1W | January 12, 2016 |
| Galati, Darlene Bogdanowich | Glen Head | 163597-8W | January 12, 2016 |
| Galu, Maria Gabriela-Livia | Binghamton | 225504-0W | January 12, 2016 |
| Garg, Hari P. | Spencerport | 110348-0B | January 12, 2016 |
| Gonzalez, Ronaldo C. | Melville | 121507-8W | January 12, 2016 |
| Greenwald, Robert Alan | Melville | 101466-1W | January 12, 2016 |
| Hafer, Thomas E. | Fort Edward | 143399-4B | January 12, 2016 |
| Halbert, Caitlin Ann | Newark | 273400-2W | January 12, 2016 |
| Hans, Roger Adam | Astoria | P04560-0W | January 12, 2016 |
| Hansen, Wilhelm Gustav | Ithaca | 090793-1W | January 12, 2016 |
| Indenbaum, Gisa K. | New York | S05027-8W | January 12, 2016 |
| James, Hilliard Peter | Osprey | 174435-8W | January 12, 2016 |
| Kang, Seong Kwan | Old Westbury | 116218-9W | January 13, 2016 |
| Khullar, Anil Kumar | Hudson | 173990-3W | January 13, 2016 |
| Kicha, Peter Alexander | Pensacola | C10211-3W | January 13, 2016 |
| Krischer, David Anthony | Delmar | 158336-8W | January 13, 2016 |
| Kumar, Sangeeta | Williamsville | 238310-7W | January 13, 2016 |
| Lee, Sung W. | Staten Island | 109957-1W | January 13, 2016 |
| Lieberg, Olaf Ulrich | Geneva | 118724-4W | January 13, 2016 |
| Litwa, Wallin J. | Malta | 125382-2W | January 13, 2016 |
| Mangonon, Michael Lopez | Atlanta | 258302-9W | January 13, 2016 |
| Manoni, Richard | Bethpage | C02380-6W | January 13, 2016 |
| Martin, Pat J. | Chappaqua | 124515-8W | January 13, 2016 |
| Matrisciano, Robert J. | Babylon | C01279-1B | January 13, 2016 |
| Maxwell, Tara | Garden City | P04778-8W | January 13, 2016 |
| Merletti, Theodore F. | Niagara Falls | P03956-1W | January 13, 2016 |
| Moore, John Robert | Remsen | 101756-5W | January 13, 2016 |
| Mukhi, Shakir | Uniondale | 187169-8W | January 13, 2016 |
| Newman, John C. | Lewiston | 106627-3B | January 13, 2016 |
| Nurok, Michael | Topanga | 258571-9W | January 13, 2016 |
| Orsini, Anthony Leonard | Webster | P02080-1W | January 13, 2016 |
| Park, Chang J. | New Hyde Park | 120788-5W | January 13, 2016 |
| Pedreira, Denia | Clifton Park | 257444-0W | January 13, 2016 |
| Philips, George M. | Rochester | 264796-4W | January 13, 2016 |
| Phillips, Emilia | Amherst | 209348-2W | January 13, 2016 |
| Picariello, Marco Anthony | Hauppauge | C06096-4B | January 13, 2016 |
| Pierson, Richard N. Jr. | New York | 078606-1W | January 13, 2016 |
| Pinchefsky, Barry | New York | C02561-1W | January 13, 2016 |
| Prill, Donna Maureen | Hampton Bays | 203755-4W | January 13, 2016 |
| Randazzo, Vincent | Holbrook | C04047-9W | January 13, 2016 |
| Rogers, Genesia Liu | Chappaqua | 105607-6W | January 13, 2016 |
| Rubin, Richard A. | Rock Hill | P03603-9B | January 13, 2016 |
| Ruzich, Jeffery Vance | Germantown | 192910-8W | January 13, 2016 |
| Savitt Myles | Lake Ronkonkoma | P02298-9B | January 13, 2016 |
| Schmitt, Jerome Alvin | Gloversville | C01541-4B | January 13, 2016 |
| Srinivasan, Ashmitha | Middletown | 258307-8W | January 13, 2016 |
| Stampas, Argyrios | White Plains | 257721-1B | January 13, 2016 |
| Starr, George I. | Champlain | 094483-5W | January 13, 2016 |
| Teta, Diana C. | E Patchogue | S05807-3W | January 13, 2016 |
| Thomas-Hall, Millicent Marie | Amherst | C10791-4W | January 13, 2016 |
| Togawa, Cynthia Aya | Stony Brook | 272295-7W | January 13, 2016 |
| Tubbs, Daniel Scott | Nashville | 264226-2W | January 13, 2016 |
| Vilkhu, Ravinder Kaur | Oneonta | 191286-4W | January 13, 2016 |
| Weerasinghe, Mervyn Upali | Rochester | 117971-2W | January 13, 2016 |
| Williams, C. Errington | New Rochelle | P04004-9W | January 13, 2016 |
| Williams, Krystle Michelle | Syracuse | 272335-1W | January 13, 2016 |
| Youngwirth, Lewis D. | Saratoga Springs | 134841-6W | January 13, 2016 |
| Zvereva, Galina G. | New York | 163771-9W | January 13, 2016 |
| Halper, Brett David | Rockville Centre | 228964-3W | January 19, 2016 |
* 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"
These providers are prohibited from rendering treatment and care to injured workers and/or from performing independent medical examinations. Reports submitted for services rendered prior to the effective date, are valid, but are invalid for any services rendered on or after that date. Requests to cross-examine any of the above for services rendered prior to the effective date, should not be denied due to the removal of their authorizations.
Any questions regarding the authorized lists should be referred to the Medical Director’s Office at 1 (800) 781-2362.
Robert E. Beloten
Chair