Subject Numbers Regarding Health Provider Authorizations
June 21, 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 |
|---|---|---|---|
| Bernales, Wilson Fulla | Fayetteville | 237463-5B | April 5, 2016 |
| Brathwaite, Deborah Maria | Brooklyn | 197828-7W | April 13, 2016 |
| Chang, Barbara Hing Fong | New York | S04941-1B | April 13, 2016 |
| Cherr, Donald | Rochester | 083720-3B | April 13, 2016 |
| Daye, Suhail Sami | Massena | 192374-7W | April 13, 2016 |
| Colvin, Otis Christopher | Ft. Mitchell | 274751-7W | April 13, 2016 |
| Denisi, Dominick J. | Newburgh | C03187-4B | April 13, 2016 |
| Deyhimpanah, Reza | Elmhurst | 115067-1W | April 13, 2016 |
| Drew, Philip Trafton | Cape Neddick | 150805-0W | April 13, 2016 |
| Epelman, Silvia Dolly | New City | 163898-0W | April 13, 2016 |
| Fioretti, Santo G. | Erie | P04086-6B | April 13, 2016 |
| Gass, Burton R. | Brooklyn | P03631-0W | February 22, 2016 |
| Gerber, Oded | Stony Brook | 122640-6W | April 13, 2016 |
| Heffer, Peter J. | Roslyn | 102699-6W | April 13, 2016 |
| Hoppenstein, Reuben | New York | 090013-4W | April 13, 2016 |
| Jaffe, Israeli Aaron | New York | 072972-3W | April 13, 2016 |
| Johnson, Gail Converse | New Hartford | 194354-7W | April 13, 2016 |
| Johnson, Scott Emory | Marietta | 239747-9W | April 13, 2016 |
| Katzeff, Barbara Susan | New Rochelle | 150267-3W | April 13, 2016 |
| Kelly, Matthew E. | Rochester | C12268-1W | April 13, 2016 |
| Khalifa, Yousuf M. | Rochester | 256635-4B | April 13, 2016 |
| Knapp, Patrick William | Clinton | 140923-4W | April 13, 2016 |
| Kramer, Jeffrey A. | Norwich | 113046-7W | April 13, 2016 |
| Lee, Allan D. | Bayside | P02751-7W | April 13, 2016 |
| Levinson, Stephen Fred | New York | 190532-2B | April 13, 2016 |
| Malik, Amy Naseem | Chappaqua | 226854-8W | April 13, 2016 |
| Marino, Joseph John | Elmira | C04170-9W | April 13, 2016 |
| Midolo, Augusto E. | Binghamton | 105372-7W | April 13, 2016 |
| Miller, Frederick | Stony Brook | 089489-9W | April 13, 2016 |
| Melcer, Christopher Bradley | Wesley Hills | 177156-7W | April 13, 2016 |
| Morris, Eleazar Chayam | Mt. Vernon | 226349-9W | April 13, 2016 |
| Mouallem, Hamid | New York | 101161-8W | April 13, 2016 |
| Nguyen, Long Van | Syracuse | 265893-8W | April 13, 2016 |
| Nehme, Elie Antoine | St. Olean | 273166-9W | April 13, 2016 |
| Osadca, Steven A. | Williamsville | 151058-5W | April 14, 2016 |
| Panchacharam, Winston V. | Nanuet | 115314-7W | April 14, 2016 |
| Pennisi, Anthony | Centre | 084855-6W | April 14, 2016 |
| Peterman, Arkady | Olean | 235143-5W | April 14, 2016 |
| Ramdya, Mukta P. | Smithtown | 137633-4W | April 14, 2016 |
| Rampil, Ira Jay | Williamson | 218588-2W | April 14, 2016 |
| Reiss, Harry | New York | 048597-9B | April 14, 2016 |
| Riggio, Charles J. | Clarence | 086189-8W | April 14, 2016 |
| Rim, Sean | Los Angeles | 257737-7I | April 14, 2016 |
| Rivera, Walter | Loudonville | 142326-8W | April 14, 2016 |
| Rojas, Barrios Jose Omar | Brooklyn | 102975-0W | April 14, 2016 |
| Rutstein, Eleanor Harriet | New Rochelle | S03911-5W | April 14, 2016 |
| Salamon, Tiberiu | New York | 132437-5W | April 14, 2016 |
| Schacht, Marvin | Elmont | P02028-0W | April 14, 2016 |
| Schumann, Norman S. | New York | P02126-2B | April 14, 2016 |
| Seguerra, Tito M. | Dix Hills | 136324-1W | April 14, 2016 |
| Siegman, Felix Alfred | Brooklyn | 047042-7W | April 14, 2016 |
| Simmons, Warren Bradley | Newark | 174483-8W | April 4, 2016 |
| Sinha, Chandreshwar N. | Bronx | 122147-2W | April 14, 2016 |
| Smythe, Jared Adam | Owego | C12274-9W | April 14, 2016 |
| Sprafkin, Robert P. | Center Ossipee | S04308-3B | April 14, 2016 |
| Steiner, Carolida | Great Neck | S06107-7W | April 14, 2016 |
| Stenger, Richard J. | New York | 101657-5W | April 14, 2016 |
| Strum, Gerald | Staten Island | 086421-5W | April 14, 2016 |
| Tong, Eddy Chi Kwang | New Rochelle | 107881-5W | April 14, 2016 |
| Venuti, Frank Joseph | Harrogate | 182936-5W | April 14, 2016 |
| Viswanath, Banad N. | Brooklyn | 104697-8W | April 14, 2016 |
| Wagner, Roberta Anne | Guilderland | 165902-8W | April 14, 2016 |
| Weissman, Rachel Beth | New York | C10197-4B | April 14, 2016 |
| Werther, J. Lawrence | New York | 076923-2W | April 14, 2016 |
| Wilner, George Dubar | Albany | 096850-3W | April 14, 2016 |
| Wood, Frederick C., Jr. | Loudonville | 075114-9W | April 14, 2016 |
| Zagon, Roy L. | Manhasset | P02691-5W | April 14, 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