Subject Numbers Regarding Health Provider Authorizations
January 19, 2017
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 |
|---|---|---|---|---|
| Cymerman, Diane Hoffman | Allergy and Immunology, Internal Medicine | East Setauket | 161005-4B | December 30, 2016 |
| DiCostanzo, Damian Paul | Anatomic Pathology, Dermatopathology | Port Chester | 168313-5W | December 29, 2016 |
| Demma, Linda Jean | Anesthesiology | Cooperstown | 282528-9W | December 2, 2016 |
| Mane, Shamee Paresh | Anesthesiology | Albany | 286562-4W | December 30, 2016 |
| Yu, Suzanne Ge | Anesthesiology | New York | 226996-7W | December 20, 2016 |
| Tallman, Mark Patrick | Cardiovascular | Stony Brook | 191442-3W | December 29, 2016 |
| Carter, Stacy Marie | Chiropractic | Syracuse | C12209-5W | December 30, 2016 |
| Castro, Michael Ralph | Chiropractic | Pearl River | C12777-1B | December 30, 2016 |
| Davis, Jeremiah Evan | Chiropractic | Kenmore | C12603-9W | December 30, 2016 |
| Fialkov, Ross Alan | Chiropractic | Brooklyn | C12532-0W | December 30, 2016 |
| Flores, Manuel Enrique | Chiropractic | Red Hook | C11153-6B | December 30, 2016 |
| Mendelblatt, Brendt Ross | Chiropractic | Bardonia | C12837-3B | December 30, 2016 |
| Thomas, Noble A. | Chiropractic | Rye Brook | C12866-2B | December 30, 2016 |
| Tirimacco, Sarah | Chiropractic | Rochester | C12600-5B | December 30, 2016 |
| Hogge, Mark Wayne | Diagnostic Radiology | Jamestown | 286556-6W | December 22, 2016 |
| Ishtiaq, Bakhtiar | Emergency Medicine | Yorktown Heights | 204974-0B | December 27, 2016 |
| Lardner, Deborah Anne | Emergency Medicine, Family Practice | Brooklyn | 233670-9W | December 5, 2016 |
| Cunningham, Daniel Joseph Edwar | Family Practice | Schenectady | 284338-1W | December 7, 2016 |
| Duroseau, Yvel | Family Practice, Geriatric Medicine | Bronx | 268166-6B | December 27, 2016 |
| Fresneda, Caridad Irene | Family Practice | Yonkers | 190207-1B | December 22, 2016 |
| Kolaj, Brunilda | Family Practice | Liverpool | 286472-6W | December 5, 2016 |
| Kudria, Inna | Family Practice | Hudson | 211095-5W | December 30, 2016 |
| Mekhoubad, Shahram | Family Practice | Oakland Gardens | 273033-1B | December 19, 2016 |
| Pant, Shradha | Family Practice | Syracuse | 285887-6W | December 30, 2016 |
| Thomashefski, Matthew Robert | Family Practice | Le Roy | 283849-8W | December 27, 2016 |
| Bien, Harold | Internal Medicine, Hematology, Medical Oncology | Stony Brook | 267100-6B | December 30, 2016 |
| Lazo, Dante Torrijos | Internal Medicine | Flushing | 185982-6W | December 7, 2016 |
| Mustafa, Nadia Muhammad | Internal Medicine | Middletown | 259759-9W | December 19, 2016 |
| Sterns, Richard H. | Internal Medicine, Nephrology | Rochester | 116909-3W | December 5, 2016 |
| Tomy, Mercy Kuttentharappel | Internal Medicine | Syracuse | 285204-4W | December 30, 2016 |
| Waters, Theresa Anne | Internal Medicine | Fayetteville | 285798-5W | December 19, 2016 |
| Sevush-Garcy, Jennifer Lori | Neurology | Mount Kisco | 280736-0B | December 19, 2016 |
| Murthy, Rajan | Nuclear Medicine, Diagnostic Radiology | Astoria | 219585-7W | December 19, 2016 |
| Crane, William Grace, Jr. | Ophthalmology | Watertown | 190088-5W | December 7, 2016 |
| Casagrande, Danielle Joy | Orthopedic Surgery | Brooklyn | 270892-3W | December 22, 2016 |
| Cicoria, Anthony David | Orthopedic Surgery | Norwich | 174322-8W | December 29, 2016 |
| Echenique, Jose Javier | Orthopedic Surgery | Bronx | 284074-2B | December 5, 2016 |
| Chang, Richard Ginlung | Physical Medicine/Rehabilitation | Brooklyn | 262319-7B | December 5, 2016 |
| Hilderbrand, Rene Frances Ann | Physical Medicine/Rehabilitation | New York | 252229-0W | December 30, 2016 |
| Simpson, Scott Albert | Physical Medicine/Rehabilitation | Stony Brook | 285022-0W | December 27, 2016 |
| Akunne, Chima Paul | Podiatry | Newburgh | P06718-2W | December 29, 2016 |
| Lee, Charles | Podiatry | Bronx | P06605-1W | December 29, 2016 |
| Leon, Stuart Brian | Podiatry | Briarwood | P05513-8W | December 29, 2016 |
| Piselli, Elizabeth Hope | Podiatry | Rockville Ctr | P06716-6W | December 29, 2016 |
| Gill, Poonamdeep Kaur | Psychiatry, Child Psychiatry | Stony Brook | 285021-2W | December 30, 2016 |
| Lobosco, Matthew | Psychiatry, Internal Medicine | Stony Brook | 271894-8B | December 30, 2016 |
| Swain, James Edward | Psychiatry | Stony Brook | 284951-1W | December 30, 2016 |
| Branson, Brittany Rachel | Radiology – Diagnostic Radiology | Mount Kisco | 284215-1W | December 1, 2016 |
| Taylor, Jennifer Nicole | Radiology – Diagnostic Radiology | Syracuse | 271234-7W | December 2, 2016 |
| Allam, Medhat E. | Surgery | Southampton | 193888-5W | December 29, 2016 |
| Ayers, Joseph Daniel | Surgery, General Vascular Surgery | Cooperstown | 233964-6W | December 7, 2016 |
| Sbayi, Samer | Surgery | Stony Brook | 286000-5B | December 27, 2016 |
| Tannous, Henry Jean | Surgery, Thoracic Surgery | Stony Brook | 239983-0W | December 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