Subject Numbers Regarding Health Provider Authorizations
January 19, 2017
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 |
---|---|---|---|
Abaza, Ashraf Hussein | Kings Park | 194744-9W | November 14, 2016 |
Agus, Bertrand | New York | 097341-2W | November 14, 2016 |
Aiello, Maria Therese | Brooklyn | 122999-6W | November 14, 2016 |
Albrecht, Charles H. | Clifton Springs | 150218-6W | November 14, 2016 |
Augustyniak, Bozena | Bronx | 212666-2W | November 14, 2016 |
Bancroft, George H. | Rancho Mirage | 150369-7W | November 14, 2016 |
Becker, Jack S. | Hewlett | P02591-7B | November 14, 2016 |
Bergenstock, Ray W. | Buffalo | 140927-5W | November 14, 2016 |
Bishop, Ralph M. | Huntersville | 103180-6W | November 14, 2016 |
Bishop, William Clark | Elmira | 145621-9W | November 14, 2016 |
Bollet, Alfred J. | Sand Point | 049437-7W | November 14, 2016 |
Bonner, Anthony Joseph | Youngstown | 104128-4W | November 15, 2016 |
Bottger, Bradford Alan | Redding | 180790-8W | November 15, 2016 |
Bryk, David | Cedarhurst | 075422-6W | November 15, 2016 |
Canter, Joel | Standfordville | 106093-8W | November 15, 2016 |
Chabra, Dave | Cedarhurst | P03398-6W | November 15, 2016 |
Chiarieri, Dominick R. | Mt. Kisco | 124033-2W | November 15, 2016 |
Cole, Frank Clyde, III | Norwich | 183739-2W | November 15, 2016 |
Contini, William | Vestal | 097965-8W | November 15, 2016 |
Dabbagh, Raghda | Smithtown | 187959-2W | November 15, 2016 |
Del Monico, Michael Louis | Rhinebeck | 080291-8W | November 15, 2016 |
Doft, Martin D. | New York | 098870-9B | November 15, 2016 |
Dossett, James Robert | Orchard Park | C11978-6W | November 15, 2016 |
Ewing, Kenneth Anthony | Port Washington | 109869-8W | November 15, 2016 |
Fastook, Jeanne Marie | New York | 106692-7W | November 15, 2016 |
Fasuli, Stavrula G. | East Elmhurst | 138225-8W | November 15, 2016 |
Fedson-Hack, Anjali Karen | New York | 235418-1B | November 15, 2016 |
Frank, Robert Jay | Forest Hills | 127865-4W | November 15, 2016 |
Fried, Robert | Carmel | S10326-7W | November 15, 2016 |
Friedman, David Richard | Cooperstown | 170707-4W | November 15, 2016 |
Gayam, Sirisha | Johnson City | 276168-2W | November 15, 2016 |
Goebel, David | Forest Hills | 074129-8W | November 15, 2016 |
Goldfarb, Steven Richard | Rochester | 166568-6W | November 16, 2016 |
Goodman, Alvin I. | New York | 079171-5W | November 16, 2016 |
Guthinger, William P. | Batavia | 123840-1W | November 16, 2016 |
Johnson, Lance Arlington | New City | C06826-4B | November 16, 2016 |
Kasireddy, Krishna Kishor | Johnson City | 276270-6W | November 16, 2016 |
Kelly, John Edward, Jr. | Bradenton | 082964-8B | November 16, 2016 |
Khorasani, Mohammad Reza | Roseville | 267176-6I | November 16, 2016 |
Lempert, Philip | Ithaca | 090378-1W | November 16, 2016 |
Logue, Gerald Lee | Buffalo | 149284-2W | November 16, 2016 |
Manderson, Lawton Vincent | Bellmore | 076842-4W | November 8, 2016 |
Marshall, James H. | Alpine | 086875-2B | November 16, 2016 |
Mazur, John | Plattsburgh | 108617-2W | November 16, 2016 |
McBiles, Mike | Greenfield Center | 237563-2B | November 16, 2016 |
McCormick, Ellen Carroll | Islip | 150333-3W | November 16, 2016 |
Meder, Tommy John | Syracuse | 199608-1W | November 16, 2016 |
Meyerson, Arthur T. | New York | 088082-3W | November 16, 2016 |
Millar, William Sloane | Englewood | 199311-2W | November 16, 2016 |
Mower, Patricia Manion | Cooperstown | 154937-7W | November 16, 2016 |
Palumbo, Anthony J. | New Hartford | 128709-3W | November 16, 2016 |
Panissidi, Nino V. | Williston Park | 039460-1W | November 16, 2016 |
Patel, Mahendra M. | Vienna | 137727-4B | November 16, 2016 |
Plank, Benjamin Girton | Billings | 261674-6B | November 16, 2016 |
Potter, Douglas H. | Rochester | 157896-2W | November 16, 2016 |
Raudenbush, Elenee Margarite | Rochester | 276118-7W | November 16, 2016 |
Reich, David Robert | Auburn | 155964-0W | November 16, 2016 |
Reidy, James Joseph | Buffalo | 177988-3W | November 16, 2016 |
Rominger, John M. | Horseheads | 132975-4W | November 16, 2016 |
Rosenberg, Herman | Kew Gardens | P02084-3W | November 16, 2016 |
Schley, William Shain | Columbus | 106153-0W | November 16, 2016 |
Schneebaum, Carol Rosenfield | Dobbs Ferry | 090605-7W | November 16, 2016 |
Schulman, Norman Harmon | New York | 097296-8B | November 16, 2016 |
Schwartz, Sheldon | Queens Village | 042692-4B | November 16, 2016 |
Scuderi, Richard Alfred | Forest Hills | 092598-2W | November 16, 2016 |
Singh, Virendra | Fremont | 146886-7W | November 16, 2016 |
Spitzer, Kenneth H. | Fayetteville | 093853-0B | November 16, 2016 |
Stein, Alvin | Brentwood | 087850-4W | November 16, 2016 |
Templer, Wayne C. | Corning | 048821-3W | November 17, 2016 |
Tilala, Niral H. | Rochester | 048821-3W | November 17, 2016 |
Visco, Alexander Joseph | New York | 231025-8W | November 17, 2016 |
Watkins, Kevin Thomas | Stony Brook | 234159-2W | November 17, 2016 |
Weinstock, Daniel M. | Geneva | 124894-7B | November 17, 2016 |
Weiss, Oscar R. | Poughkeepsie | 106185-2W | November 17, 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