Subject Numbers Regarding Health Provider Authorizations
September 12, 2016
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 |
|---|---|---|---|---|
| Andrejuk, Tomasz | Anesthesiology, Pain Management | Delmar | 219872-9W | August 16, 2016 |
| Duffy, Brian Michael | Anesthesiology | Buffalo | 284563-4W | August 25, 2016 |
| Frenk, Vladislav | Anesthesiology | Roslyn | 231339-3W | August 16, 2016 |
| Fugate, Thomas C. | Anesthesiology | Rochester | 284942-0W | August 30, 2016 |
| Guay, Ryan Connor | Anesthesiology | Schenectady | 283096-6W | August 16, 2016 |
| Jakubowicz, Brian Matthew | Anesthesiology, Pain Management | Brooklyn | 251804-1W | August 5, 2016 |
| Johnson, Thomas Joseph | Anesthesiology | Buffalo | 283799-5W | August 22, 2016 |
| Juncewicz, Edmund Andrew | Anesthesiology | Buffalo | 269563-3W | August 5, 2016 |
| Little, Stephen J. | Anesthesiology | Schenectady | 283184-0W | August 16, 2016 |
| Nandra, Kiritpaul Singh | Anesthesiology | Rochester | 284553-5W | August 30, 2016 |
| Rivera, Josue | Anesthesiology | New York | 274500-8W | August 16, 2016 |
| Safani, Bahram | Anesthesiology | Kings Point | 190509-0W | August 16, 2016 |
| Shifrin, Paul | Anesthesiology | Brooklyn | 243496-7W | August 16, 2016 |
| Hamik, Anne | Cardiovascular Disease | Stony Brook | 284923-0W | August 12, 2016 |
| Myerson, Merle | Cardiovascular | Cooperstown | 203952-7W | August 26, 2016 |
| Riegel, Brian James | Cardiovascular | Williamsville | 218502-3W | August 5, 2016 |
| Datta, Vikas | Diagnostic Radiology | Amherst | 270077-1W | August 11, 2016 |
| Dockery, Ryan Nello | Diagnostic Radiology | Potsdam | 276161-7W | August 22, 2016 |
| Medwid, Steven Walter | Diagnostic Radiology | New Hartford | 187349-6B | August 16, 2016 |
| Patil, Vivek Vinay | Diagnostic Radiology | New York | 261145-7W | August 11, 2016 |
| Shah, Keyur Suryakant | Diagnostic Radiology | Williamsville | 256467-2W | August 5, 2016 |
| Weinstock, Jed | Diagnostic Radiology, Vascular and Interventional Radiology | Cooperstown | 270823-8W | August 12, 2016 |
| Endrizzi, Julie Iris | Emergency Medicine | Rochester | 283267-3W | August 30, 2016 |
| Eyermann, Peter Schmitt | Emergency Medicine | Rochester | 283604-7W | August 30, 2016 |
| Farooqi, Atif Hameed | Emergency Medicine | Stony Brook | 284240-9W | August 15, 2016 |
| Hernandez, Cristina Tate | Emergency Medicine | Stony Brook | 283421-6W | August 12, 2016 |
| Marshall, Robert Trevor | Emergency Medicine | Stony Brook | 283170-9W | August 15, 2016 |
| Ng, David Lee | Emergency Medicine | Levittown | 246772-8W | August 2, 2016 |
| Nwakanma, Chidinma Crystal | Emergency Medicine | Stony Brook | 284625-1W | August 15, 2016 |
| Reardon, Lindsay Barnett | Emergency Medicine | Stony Brook | 283039-6W | August 15, 2016 |
| Salway, Richard James | Emergency Medicine | Stony Brook | 283234-3W | August 12, 2016 |
| Secko, Michael A. | Emergency Medicine | Stony Brook | 243751-5W | August 12, 2016 |
| Valenzuela, Rolando Gabriel | Emergency Medicine | Stony Brook | 283733-4W | August 12, 2016 |
| Castro, Rodrigo Alejandro | Family Practice | Williamsville | 283480-2W | August 10, 2016 |
| Duffy, John Sparrow | Family Practice | Potsdam | 284577-4W | August 29, 2016 |
| France, Kenneth Stephen | Family Practice | Glens Falls | 275498-4W | August 23, 2016 |
| Gugino, Stacey Shannon | Family Practice | Williamsville | 274288-0W | August 24, 2016 |
| Johanning, Eckardt | Family Practice, Occupational Medicine | Albany | 175278-1B | August 23, 2016 |
| Koul, Rakesh K. | Family Practice | Patchogue | 253373-5W | August 12, 2016 |
| Lambert-Doorn, Nahesi | Family Practice | W. Hempstead | 266817-6W | August 10, 2016 |
| Leung, Dave | Family Practice | Brooklyn | 279950-0W | August 5, 2016 |
| Oduwa, Felix Osabohien | Family Practice | New Hartford | 285467-7W | August 16, 2016 |
| Rahman, Dewan Sayedur | Family Practice | Patchogue | 276123-7W | August 12, 2016 |
| Solano, Mildred | Family Practice | Massapequa | 223117-3W | August 15, 2016 |
| Tangsuan, Kanokporn | Family Practice | Deer Park | 254707-3B | August 26, 2016 |
| Udo, Idaresit Ededet | Family Practice | White Plains | 281425-9W | August 16, 2016 |
| Villaruz, Jaime J. | Family Practice | Kew Gardens | 257895-3W | August 5, 2016 |
| Appannagari, Anoop | Internal Medicine, Gastroenterology | Stony Brook | 284360-5W | August 15, 2016 |
| Ashraf, Mohammad Bilal | Internal Medicine | Auburn | 271906-0W | August 11, 2016 |
| Bisen, Vikram Singh | Internal Medicine, Cardiovascular Disease | New Hartford | 260674-7B | August 5, 2016 |
| Chiramel, Tintu | Internal Medicine | East Setauket | 274958-8W | August 12, 2016 |
| Christenson, Randal L. | Internal Medicine | Penfield | 158560-3W | August 11, 2016 |
| Ambrosio, Christopher Michael | Internal Medicine | Stony Brook | 282578-4W | August 12, 2016 |
| Din, Najam Ud | Internal Medicine | New Hartford | 282323-5B | August 11, 2016 |
| Garg, Ritu | Internal Medicine | Syracuse | 285178-0W | August 12, 2016 |
| Ghelani, Ghanshyam Himmatbhai | Internal Medicine | Syracuse | 285166-5W | August 12, 2016 |
| Goyfman, Michael | Internal Medicine, Cardiovascular Disease | Stony Brook | 275580-9W | August 15, 2016 |
| Grinko, Anna | Internal Medicine, Pulmonary Disease, Critical Care Medicine | Brooklyn | 206993-8B | August 5, 2016 |
| Guillaume, Alexandra | Internal Medicine, Gastroenterology | Stony Brook | 254256-1B | August 12, 2016 |
| Happes, Michael | Internal Medicine, Cardiovascular Disease | Merrick | 261471-7W | August 12, 2016 |
| Ho, Lisa Yin Lee | Internal Medicine | Stony Brook | 283770-6W | August 15, 2016 |
| Jhagroo, Omesh | Internal Medicine | Dix Hills | 248671-0W | August 18, 2016 |
| Khayznikov, Maksim Yuryevich | Internal Medicine | Stony Brook | 283435-6W | August 15, 2016 |
| Martinez, Balzano Carlos Daniel | Internal Medicine, Pulmonary Disease | Syracuse | 281662-7W | August 12, 2016 |
| Monzur, Farah | Internal Medicine | Stony Brook | 284133-6B | August 15, 2016 |
| Ng, Patricia Guo-Ying | Internal Medicine | Stony Brook | 282892-9W | August 12, 2016 |
| Paolino, Kristopher | Internal Medicine, Infectious Disease | Syracuse | 283839-9W | August 12, 2016 |
| Pettei, Thomas Joseph | Internal Medicine, Cardiovascular Disease | East Setauket | 271062-2W | August 15, 2016 |
| Potack, Jonathan Zachary | Internal Medicine, Gastroenterology | Purchase | 228954-4W | August 1, 2016 |
| Rao, Archana Chandrakant | Internal Medicine, Hematology, Hospice and Palliative Medicine, Medical Oncology | East Syracuse | 285405-7W | August 16, 2016 |
| Rodgers, Thomas David | Internal Medicine | Rochester | 283250-9W | August 30, 2016 |
| Shawkat, Ahmed Salem | Internal Medicine, Pulmonary Disease | Syracuse | 284581-6W | August 12, 2016 |
| Sivalingam, Devamohan | Internal Medicine | Syracuse | 281952-2W | August 30, 2016 |
| Gould, Grahame Charles Daniel | Neurological Surgery | Syracuse | 281019-0W | August 17, 2016 |
| Zahos, Peter Athanasios | Neurological Surgery | White Plains | 187561-6W | August 12, 2016 |
| Golden, Marianna | Neurology | West Nyack | 214403-8B | August 18, 2016 |
| Juersivich, Adam Paul | Neurology, Clinical Neurophysiology | Rochester | 267174-1B | August 12, 2016 |
| Kotwas-Song, Ellen Leah | Neurology, Clinical Neurophysiology | West Nyack | 245914-7W | August 10, 2016 |
| London, Marc David | Neurology | West Nyack | 154602-7W | August 22, 2016 |
| Saada, Fahed Ahmad | Neurology | East Syracuse | 284093-2W | August 12, 2016 |
| Zeitlin, Earl L. | Neurology | W. Nyack | 112717-4W | August 11, 2016 |
| Collins, Amy Frances | Obstetrics/Gynecology | Apalachin | 268638-4W | August 26, 2016 |
| Elsagga, Elizabeth Nadine | Obstetrics/Gynecology | Troy | 281852-4W | August 25, 2016 |
| Huz, Jonathan Isaac | Ophthalmology | Slingerlands | 283416-6W | August 16, 2016 |
| Movaghar, Mansoor | Ophthalmology | East Setauket | 211347-0W | August 12, 2016 |
| Weissbart, Sarah Brown | Ophthalmology | East Setauket | 270023-5W | August 12, 2016 |
| Angelillo, David Craig | Orthopedic Surgery | Patchogue | 253396-6B | August 12, 2016 |
| Chinitz, Noah Benjamin | Orthopedic Surgery | Purchase | 258690-7W | August 23, 2016 |
| Cummings, Robert Sumner, Jr. | Orthopedic Surgery | Potsdam | 186807-4W | August 18, 2016 |
| Czajka, Cory Matthew | Orthopedic Surgery | Albany | 266923-2W | August 18, 2016 |
| Leven, Dante Micah | Orthopedic Surgery | Brooklyn | 280798-0W | August 12, 2016 |
| Meo, Anne Marie | Orthopedic Surgery, Hand Surgery | Stony Brook | 240433-3W | August 11, 2016 |
| Plummer, Catherine Laible | Orthopedic Surgery | Purchase | 259472-9W | August 2, 2016 |
| Rosenbaum, Andrew James | Orthopedic Surgery | Albany | 267421-6W | August 19, 2016 |
| Waters, Michael | Orthopedic Surgery, Hand Surgery | Ithaca | 284573-3W | August 26, 2016 |
| Jeyapalan, Gerald Rajish | Otolaryngology | Williamsville | 264196-7B | August 23, 2016 |
| Lee, Ernest Jay | Otolaryngology | Schenectady | 193404-1W | August 11, 2016 |
| Lee, Keun Yong | Otolaryngology | Buffalo | 130040-9B | August 11, 2016 |
| Davids, Laura M. | Physical Medicine/Rehabilitation | Ronkonkoma | 280189-2W | August 12, 2016 |
| Karno, Grant Miki | Physical Medicine/Rehabilitation | Syracuse | 284400-9W | August 12, 2016 |
| Mathew, Thomas Sunil | Physical Medicine/Rehabilitation | Brooklyn | 283188-1W | August 5, 2016 |
| Parvez, Uzma | Physical Medicine/RehabilitationPain Management | Brooklyn | 235663-2W | August 5, 2016 |
| Ross, Steven | Physical Medicine/Rehabilitation | Flushing | 277856-1W | August 5, 2016 |
| Sangnil, Marline Sonti | Physical Medicine/Rehabilitation | Middletown | 283944-7W | August 17, 2016 |
| Sperber, Kevin Todd | Physical Medicine/RehabilitationPain Management | Bronx | 207143-9B | August 30, 2016 |
| Curro, Michelle Monique | Psychiatry | Bethpage | 283137-8W | August 12, 2016 |
| Friedman, Jeffrey Mathew | Radiology – Radiological Oncology | East Syracuse | 284164-1W | August 16, 2016 |
| Greenberg, Sofiya A. | Radiology – Diagnostic Radiology | Carmel | 279470-9W | August 2, 2016 |
| Grossman, Craig Eli | Radiology – Radiological Oncology | Stony Brook | 283635-1W | August 15, 2016 |
| Himchak, Aaron Keith Foster | Radiology – Diagnostic Radiology | Utica | 282923-2W | August 22, 2016 |
| Cuthbert, David Anthony | Radiation Oncology | Jamestown | 266407-6W | August 12, 2016 |
| Duff, Michael | Radiation Oncology | Cheektowaga | 239329-6W | August 12, 2016 |
| Shah, Dhiren K. | Radiation Oncology | Cheektowaga | 200420-8W | August 12, 2016 |
| Healey, Mark Anthony | Surgery | Potsdam | 285052-7W | August 11, 2016 |
| Oakley, Michael Robert | Surgery | Ogdensburg | 283259-0W | August 22, 2016 |
| Blakely, Stephen Andrew | Urology | Syracuse | 284455-3W | August 16, 2016 |
| Weissbart, Steven Jonathan | Urology | Stony Brook | 261728-0W | August 12, 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"
Any questions regarding the authorized lists should be referred to the Medical Director’s Office at 1 (800) 781-2362.
Kenneth J. Munnelly
Chair