Subject Numbers Regarding Health Provider Authorizations
September 12, 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 |
|---|---|---|---|
| Anderson, Ernest Theodore | Rochester | 047398-3W | July 14, 2016 |
| Antony, Ajit I. | New Windsor | 124967-1W | July 14, 2016 |
| Asley, David S. | Smithtown | 175496-9W | July 14, 2016 |
| Block, Bruce N. | Kew Gardens | P02531-2B | July 14, 2016 |
| Blumenfeld, Serge | Sleepy Hollow | 073157-0W | July 14, 2016 |
| Boskin, Melvin | West Babylon | 084958-8B | July 14, 2016 |
| Cassano, Michael | Garden City | P03713-5B | July 14, 2016 |
| Chandrankunnel, Joseph M. | Dix Hills | 123039-0W | July 14, 2016 |
| Coniglio, Steven John | New York | C05592-3B | July 14, 2016 |
| Cornish, Richard Michael | Stroudsburg | 189339-6W | July 14, 2016 |
| Cunningham, Lauren Christine | Cooperstown | 274290-6W | July 14, 2016 |
| Dadow, John E. | Syracuse | 127115-4W | July 14, 2016 |
| De Sai, Shashikant Ochhavlal | Fishkill | 110547-7W | July 14, 2016 |
| Diachun, Carol Ann Bezio | Rochester | 217714-5W | July 14, 2016 |
| Duncan, Coley Bryant | Lubbock | 243467-8W | July 14, 2016 |
| Eisen, Seth D. | Massapequa | 143891-0W | July 14, 2016 |
| Franklin, Moira Louise | New York | 101118-8W | July 14, 2016 |
| Friedlander, Bruce W. | Brooklyn | P03238-3W | July 14, 2016 |
| Gerard, Janet Ann | Bronx | C02956-1B | July 14, 2016 |
| Ghajar, Jamshid B. G. | New York | 152541-9W | July 14, 2016 |
| Gold, Michael Seth | Fly Creek | 103247-3W | July 14, 2016 |
| Grandt, Edward Joseph | Elmira | 086610-3W | July 14, 2016 |
| Grover, Donald A. | Fairport | 120005-4W | July 14, 2016 |
| Gulotta, Stephen Joseph | Roslyn | 082715-4W | July 14, 2016 |
| Gutman, Aaron J. | Hollis | P02162-6W | July 14, 2016 |
| Halstead-Kenny, Jennifer Jean | Avondale | 243161-7W | July 14, 2016 |
| Henschel, Leonard P. | Kew Gardens | 081936-7B | July 14, 2016 |
| Hirsh, Fredric M. | Palm Beach Gardens | 120357-9B | July 14, 2016 |
| Hsu, Hwei Kang | Getzville | 126768-1W | July 14, 2016 |
| Kanestrin, Lori Jean | East Setauket | C07125-8B | July 14, 2016 |
| Khan, Sana | Bayside | 274039-7W | July 14, 2016 |
| Klein, Ira | Livingston | 190135-4W | July 14, 2016 |
| Knott, Anthony Frederick | Montauk | 232102-4W | July 14, 2016 |
| Lawrence, Camelia Arlene | Bridgeport | 261036-8W | July 14, 2016 |
| Levin, Jonathan | New York | 198092-9W | July 14, 2016 |
| Lindel, Ralph | East Meadow | C03961-0W | July 14, 2016 |
| Mathew, Puthenpurakal Korah | Victor | 113601-9W | July 14, 2016 |
| Mayers, Lester B. | Pleasantville | 086402-5W | July 14, 2016 |
| McQuade, Timothy John | Centerport | C07223-1W | July 14, 2016 |
| Michtom, Alice Donner | Ithaca | 203299-3W | July 15, 2016 |
| Mintz, David T. | Scarsdale | 046165-7W | July 15, 2016 |
| Murphy, Cathleen A. | Melville | C07306-4B | July 15, 2016 |
| Mussman, Martin | New York | P01539-6W | July 15, 2016 |
| Nachmias, Mark A. | New York | S08633-0I | July 15, 2016 |
| Negron, Michol S. | Islip | 211404-9B | July 15, 2016 |
| Nelin, Michael Patrick | Coram | C09263-7B | July 15, 2016 |
| Norante, John Daniel | Rochester | 103492-5W | July 15, 2016 |
| Oller, Helen Suguitan | Staten Island | 249839-2W | July 15, 2016 |
| Oswald, Gail | Syracuse | S15903-8B | July 15, 2016 |
| Paul, Harry | Chappaqua | S06388-3W | July 15, 2016 |
| Perillo, Jason Charles | Brooklyn | C09214-0B | July 15, 2016 |
| Pletman, Robert J. | Schenectady | 077182-4W | July 15, 2016 |
| Reichman, Frederic L. | New York | S07513-5W | July 15, 2016 |
| Reilly, Robert C. | Oxford | 235350-6B | July 15, 2016 |
| Rodriguez-Morillo, Luis Alfredo | Binghamton | 269344-8W | July 15, 2016 |
| Roeder, Werner Joseph | Scarsdale | 097289-3W | July 15, 2016 |
| Savoy, Timothy Jason | Utica | C12345-7W | July 15, 2016 |
| Schaye, Edward Zach | New York | 096999-8B | July 15, 2016 |
| Schlesinger, Jay Leslie | Hauppauge | S11153-4W | July 15, 2016 |
| Schmidt, Herbert | Port Jefferson | 078291-2W | July 15, 2016 |
| Schofield, David M. | Elmira | P02682-3W | July 15, 2016 |
| Sharkey, Irwin | New York | 090454-0W | July 15, 2016 |
| Stern, Christine | Coram | P04301-9B | July 15, 2016 |
| Tafreshi, Michael Mahmood | Old Westbury | 098350-2W | July 15, 2016 |
| Tailor, Unnati | Patchogue | 259468-7W | July 15, 2016 |
| Tonetti, John Edward | Beacon | 173435-9W | July 15, 2016 |
| Turco, Katherine Helena Marie | Williamsville | 264974-7W | July 15, 2016 |
| Vega, Joshua | Rochester | 274396-1W | July 15, 2016 |
| Velasquez, Norma Villarama | Henderson | 108288-2W | July 15, 2016 |
| Ward, Franklin Stewart | Bronx | 086210-2W | July 15, 2016 |
| Weeks, John Carnes | Kingston | 151529-5W | July 15, 2016 |
| Wirths, Erin Michelle | Syracuse | 151529-5W | July 15, 2016 |
| Witschi, Thomas H. | Wading River | 087550-0W | July 15, 2016 |
| Yorio, Pius William | Penfield | P01915-9W | July 15, 2016 |
| Zajac, Stephen J. | Spencerport | C02309-5B | July 15, 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.
Kenneth J. Munnelly
Chair