Subject Numbers Regarding Health Provider Authorizations
November 29, 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 |
|---|---|---|---|---|
| Xia, Lihong | Anatomic Pathology, Clinical Pathology, Cytopathology | Manlius | 246548-2W | October 21, 2016 |
| Davis, Michael Taro | Anesthesiology | Rochester | 285537-7W | October 5, 2016 |
| Frederick, Jeremy Joseph | Anesthesiology | New York | 246451-9W | October 21, 2016 |
| Fung, Timothy Tenren | Anesthesiology | Rochester | 273686-6W | October 5, 2016 |
| Kim, Jung Hwan | Anesthesiology, Pain Management | New York | 258627-9W | October 3, 2016 |
| Kleinman, Shanon Joel | Anesthesiology | Brooklyn | 254479-9B | October 21, 2016 |
| Nochimson, Ross Louis | Anesthesiology | New York | 214784-1W | October 5, 2016 |
| Perez, Edwin | Anesthesiology, Pain Management | Brooklyn | 279837-9B | October 21, 2016 |
| Rad, Yaser Mohammed | Anesthesiology | Rochester | 281986-0W | October 5, 2016 |
| Cruz, Elizabeth Maria | Child Neurology | Stony Brook | 279634-0W | October 4, 2016 |
| Ascioti, Samuel Wallace | Chiropractic | Corning | C12862-1W | October 26, 2016 |
| Casanova, Victor | Chiropractic | New York | C12849-8B | October 26, 2016 |
| Donnelli, Joseph David | Chiropractic | Lima | C12766-4W | October 26, 2016 |
| Handler, Stephen Robert | Chiropractic | Valley Cottage | C12823-3I | October 26, 2016 |
| Henkowicz, Brandon Michael | Chiropractic | Stony Brook | C12178-2W | October 26, 2016 |
| Kashevaroff, Zachariah Daniel | Chiropractic | Williamsville | C12873-8W | October 26, 2016 |
| Mendelblatt, Brendt Ross | Chiropractic | Bardonia | C12837-3W | October 26, 2016 |
| Monegro, Karina | Chiropractic | Middletown | C12771-4W | October 26, 2016 |
| Smythe, Jared Adam | Chiropractic | Owego | C12274-9W | October 26, 2016 |
| Werner, Stephanie Lynn | Chiropractic | Hamburg | C11321-9W | October 26, 2016 |
| Dutka, Michael Vincent | Diagnostic Radiology | Gladwyne | 274641-0B | October 21, 2016 |
| Gulko, Edwin | Diagnostic Radiology | Bronx | 273388-9W | October 21, 2016 |
| Young, Matthew Gregory | Diagnostic Radiology, Neuroradiology | Brooklyn | 269612-8B | October 5, 2016 |
| Cardina, Adam Michael | Emergency Medicine | Pittsford | 264249-4W | October 3, 2016 |
| Lam, Michael | Emergency Medicine | Brooklyn | 261648-0W | October 21, 2016 |
| Chung, Jenna | Family Practice | Brooklyn | 283139-4W | October 21, 2016 |
| Di Santo, Vinson M. | Family Practice | Marlton | 253755-3I | October 11, 2016 |
| Gregg, Paula Maria | Family Practice | Evans Mills | 277961-9W | October 17, 2016 |
| Holcomb, Christian Lavon | Family Practice | Liverpool | 236483-4W | October 21, 2016 |
| Hunter, Stanley Russell | Family Practice, Sports Medicine | Binghamton | 283922-3W | October 31, 2016 |
| Korbeci, Bihter | Family Practice | Liverpool | 286115-1W | October 3, 2016 |
| Malvasi, Anthony John | Family Practice | East Syracuse | 284525-3W | October 3, 2016 |
| Nemec, Carolyn Frances | Family Practice | Poughkeepsie | 268895-0W | October 17, 2016 |
| Sylvester, Wendy-Ann Laurencia | Family Practice | Yonkers | 223767-5B | October 21, 2016 |
| Waggoner, Rex Dwayne | Family Practice | Staten Island | 272098-5W | October 21, 2016 |
| Abed, Kareem | Internal Medicine | Watertown | 285374-5W | October 17, 2016 |
| Agyemang, Joseph | Internal Medicine | New Windsor | 210340-6W | October 17, 2016 |
| Ahmad, Jowairiyya Sarfraz | Internal Medicine | Middletown | 262563-0W | October 18, 2016 |
| Chaudhary, Ahmad | Internal Medicine | Cooperstown | 282178-3W | October 21, 2016 |
| Chuang, Sally T. | Internal Medicine, Infectious Disease | Rochester | 260596-2W | October 3, 2016 |
| Cox, Megan De Grouchy | Internal Medicine | Rochester | 282256-7W | October 18, 2016 |
| Floyd, Leroy Cordero | Internal Medicine | Middletown | 280339-3W | October 31, 2016 |
| Joudeh, Ramsey | Internal Medicine | Brooklyn | 276139-3W | October 21, 2016 |
| Khan, Najmi Shamim | Internal Medicine | Middletown | 226113-9W | October 17, 2016 |
| Krauthamer, Sandra | Internal Medicine | Stony Brook | 284316-7W | October 4, 2016 |
| Nerkar, Sanjay D. | Internal Medicine | Hartsdale | 229311-6W | October 18, 2016 |
| Neu, Kristoffer Philip | Internal Medicine, Pulmonary Disease, Critical Care Medicine | Albany | 250338-1W | October 18, 2016 |
| Pujji, Anjoulie | Internal Medicine | Flushing | 286329-8W | October 18, 2016 |
| Shiu, David | Internal Medicine | Middletown | 284420-7B | October 21, 2016 |
| Singh, Vinita | Internal Medicine, Medical Oncology | Cooperstown | 226358-0W | October 18, 2016 |
| Vernatter, Joshua N. | Internal Medicine, Infectious Disease | Middletown | 258537-0W | October 18, 2016 |
| Davies, Jason Michael | Neurological Surgery | Buffalo | 284999-0W | October 12, 2016 |
| Bruns, Marla Beth | Neurology | Rochester | 264770-9W | October 5, 2016 |
| Davila-Martinez, Mariel | Neurology | Rochester | 279321-4W | October 5, 2016 |
| Santiago, Crystal Marie | Obstetrics/Gynecology | Troy | 284700-2W | October 17, 2016 |
| Cozzarelli, James Francis | Orthopedic Surgery | Brooklyn | 279889-0W | October 21, 2016 |
| DiPaola, Matthew James | Orthopedic Surgery | Buffalo | 249572-9B | October 21, 2016 |
| Salkin, Jeffrey A. | Orthopedic Surgery | Brooklyn | 168830-8B | October 11, 2016 |
| Tejani, Alexander Hussein | Orthopedic Surgery | Staten Island | 279104-4W | October 21, 2016 |
| Boiano, Maria Anna | Physical Medicine/Rehabilitation | West Haverstraw | 252217-5B | October 21, 2016 |
| Mancuso, Roberto F. | Physical Medicine/Rehabilitation | Staten Island | 278727-3W | October 5, 2016 |
| Monfett, Michael Roger | Physical Medicine/Rehabilitation | New York | 278621-8W | October 5, 2016 |
| Refermat, David Hazen | Plastic Surgery | Rochester | 211541-8W | October 5, 2016 |
| Gil, Roberto B. | Psychiatry | Stony Brook | 208599-1B | October 6, 2016 |
| Speken, Ralph Howard | Psychiatry | New York | 104434-6B | October 5, 2016 |
| Marcinkowski, Amy Lise | Radiology – Diagnostic Radiology | East Syracuse | 275965-2W | October 21, 2016 |
| Adepoju, Omotinuwe Moronfola If | Surgery | Binghamton | 283476-0W | October 31, 2016 |
| Eksarko, Polikseni | Surgery, Surgical Critical Care | Stony Brook | 279282-8W | October 18, 2016 |
| Hollis, Jesse John | Surgery | Cooperstown | 284715-0W | October 21, 2016 |
| Okelly, Priddy Colleen Meghan | Surgery | Vestal | 283827-4W | October 17, 2016 |
| Prasad, Sunil M. | Thoracic Surgery | Rochester | 283343-2W | October 11, 2016 |
| Frye, Thomas Patrick | Urology | Rochester | 283217-8W | October 27, 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