Subject Numbers Regarding Health Provider Authorizations
February 14, 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 |
|---|---|---|---|
| Abelson, Ivan Bruce | Port Jefferson | C02768-2B | December 12, 2016 |
| Abrams, Herbert | New York | 088114-4W | December 12, 2016 |
| Akhtar, Mohammad S. | Valley Stream | 123003-6B | December 12, 2016 |
| Akinyemi, Matilda Yetunde O. | Johnson City | 276933-9W | December 12, 2016 |
| Alt, Allen David | Binghamton | 138035-1W | December 12, 2016 |
| Ashley, Timothy Andrews | Rochester | 253137-4W | December 12, 2016 |
| Baldauf, Robert Paul | Glenville | P03695-5B | December 12, 2016 |
| Bareddy, Kavitha Barakam | Atlanta | 254575-4B | December 12, 2016 |
| Barus, Carl Eben | Syracuse | 260715-8W | December 12, 2016 |
| Bertoni, Alessandro | Fairport | 079886-8W | December 12, 2016 |
| Blask, Brian D. | Liverpool | C11625-3B | December 12, 2016 |
| Boyette, Thel G., Jr. | Wilton Manors | 127611-2W | December 12, 2016 |
| Caro, Paul J. | Orchard Park | 180738-7W | December 12, 2016 |
| Carter, Danielle Marie | Franklin | 268421-5B | December 12, 2016 |
| Chaisetseree, Chitti | Hopewell Junction | 126314-4W | December 12, 2016 |
| Chandrakantan, Arvind | Stony Brook | 259484-4W | December 12, 2016 |
| Co, Cayetano C. | Middletown | 102761-4W | December 12, 2016 |
| Cohen, William N. | Jamesville | 127231-9W | December 12, 2016 |
| Cook, Kenneth Samuel | Nashville | 186748-0W | December 12, 2016 |
| Cordani, Gerald J. | Huntington | 109769-0W | December 14, 2016 |
| Crocco, Lauren E. | Yonkers | 259942-1W | December 14, 2016 |
| D’Adamo, Eugene J. | Princeton Junction | 083732-8W | December 14, 2016 |
| Davila, Hernando M. | Bayside | 111067-5W | December 14, 2016 |
| Dente, Peter J. | Howard Beach | 095427-1W | December 14, 2016 |
| Detschelt, Elizabeth Legnard | North Huntington | 259432-3B | December 14, 2016 |
| Ditkoff, Jerome L. | Port Washington | 085640-1W | December 14, 2016 |
| Eisert, Jack | Sleepy Hollow | 079705-0W | December 14, 2016 |
| Ellis, Jodie L. | Brandon | C07085-6I | December 14, 2016 |
| Fisher, Daniel Albert | Elmira | 108173-6W | December 14, 2016 |
| Gavi, Shai | Livingston | 222516-7W | December 14, 2016 |
| Ghuman, Tanveer Afzal | Lake George | 191171-8W | December 14, 2016 |
| Goldman, Stephen R. | Hicksville | C01517-4B | December 14, 2016 |
| Greenstein, Yakov | Brooklyn | 160033-7W | December 14, 2016 |
| Guarino, Vito Michael | Glen Rock | C03276-5B | December 14, 2016 |
| Guiglotto, Michael Charles | Highland | C09260-3W | December 14, 2016 |
| Gupta, Sandeep | Stony Brook | 254021-9W | December 14, 2016 |
| Hall, William W. | New Hartford | 139956-7W | December 14, 2016 |
| Heyden, William C. | Buffalo | 094128-6W | December 14, 2016 |
| Holt, Jonathan H. | Baltimore | 158230-3W | December 14, 2016 |
| His, David Hao | Rochester | 198769-2W | December 14, 2016 |
| Hsu, Jack Ming | Syracuse | 220276-0W | December 14, 2016 |
| James, Kesha Antionette | Arlington | 271427-7W | December 14, 2016 |
| Kalish, Paul E. | Glen Cove | 078588-1W | December 14, 2016 |
| Kaplan, Fred M. | Cooperstown | 140709-7W | December 14, 2016 |
| Kapoor, Shruti Gupta | Stony Brook | 266588-3W | December 14, 2016 |
| Kwan, Josephine P. | New York | C03745-9W | December 14, 2016 |
| Langszner, Iosif | Brooklyn | 172741-1W | December 14, 2016 |
| Lu, Peter | New York | 236998-1W | December 14, 2016 |
| Lynch, Cynthia Anne | Owego | 260240-7W | December 14, 2016 |
| Mali, Joshua Omeed | Slingerlands | 269207-7W | December 14, 2016 |
| Margolin, Steven | New York | C05971-9W | December 14, 2016 |
| Mitra, Tithi | Marlboro | 267178-2W | December 14, 2016 |
| Myers, Stephen Charles | Fairview | 211333-0W | December 14, 2016 |
| Nicolas-Dollard, Marciana | Hamlin | 108451-6W | December 14, 2016 |
| Obadia, Marc | New York | 136264-9W | December 14, 2016 |
| Patel, Nalinikant K. | Islip | 135807-6W | December 14, 2016 |
| Pecora, J. Louis | Endicott | 101381-2W | December 14, 2016 |
| Pilly, Vikas Kumar | Perrysburg | 244731-6W | December 14, 2016 |
| Pizzi, David J. | Orchard Park | C11554-5W | December 15, 2016 |
| Providence, Eitel Emanuel | Brooklyn | 155818-8W | December 15, 2016 |
| Pugliese, Gale N. | Elmira | 158963-9W | December 15, 2016 |
| Quintano, Robert Louis | Scarsdale | 105691-0W | December 15, 2016 |
| Redstone, Grant Alexander | Rochester | C11931-5W | December 15, 2016 |
| Rifkin, Irwin | Rye Brook | P01810-2W | December 15, 2016 |
| Robins, James Jay | Melville | 166782-3W | December 15, 2016 |
| Ross, Tina Dale | Goshen | C04750-8W | December 15, 2016 |
| Rossett, Orin A. | Boynton Beach | 157241-1W | December 15, 2016 |
| Sanidad, Prospero | New York | 091297-2W | December 15, 2016 |
| Sankar, Veena | Patchogue | 267389-5W | December 15, 2016 |
| Sausa, John J. | Farmville | C10421-8B | December 15, 2016 |
| Sayers, John Jay, Jr. | Montauk | C01832-7B | December 15, 2016 |
| Schacher, Stephanie Jill | Fairfield | S15115-9B | December 15, 2016 |
| Sidhu, Monica Alina | Poughkeepsie | 249675-0W | December 15, 2016 |
| Silverstein, Jeffrey Harold | New York | 167947-1W | December 15, 2016 |
| Sipple, John Harrison, Jr. | Dewitt | 087414-9W | December 15, 2016 |
| Slupsky, Lyudmila Michael | Brooklyn | 213118-3W | December 15, 2016 |
| Starpoli, Nellie Santiago | Poughkeepsie | 070342-1W | December 15, 2016 |
| Szych, Jerry R. | Basking Ridge | C06523-7I | December 15, 2016 |
| Tibere, Emile | Orangeburg | 100080-1W | December 15, 2016 |
| Tigue, Robert John | East Berne | 189108-4W | December 15, 2016 |
| Tobin, Alandra M. | Fishkill | 151181-5W | December 15, 2016 |
| Torres, Jose F. | Hollis | 087336-4W | December 15, 2016 |
| Verrilli, Anthony | Staten Island | C04494-3B | December 15, 2016 |
| Waldron, Martin Francis | Cleveland | 234921-5B | December 15, 2016 |
| Walther, Lewis H., Jr. | Horseheads | 125803-7W | December 15, 2016 |
| Wang, Eugene | Batavia | 259742-5W | December 15, 2016 |
| Weiss, Steven Daniel | Parkland | 255697-5W | December 15, 2016 |
| Werner, Harry R. | Monroe | 174873-0W | December 15, 2016 |
| Michaels, Emil | Jamaica | 246615-9W | December 19, 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