Subject Numbers Regarding Health Provider Authorizations
March 9, 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 |
|---|---|---|---|
| Almahayri, Abdullah | Pittsford | 185022-1W | January 11, 2017 |
| Almeyda, Elizabeth Ann | New York | 147010-3W | January 11, 2017 |
| Amstey, Marvin Saul | Fairport | 098573-9W | January 11, 2017 |
| Ball, Joshua Timothy | West Seneca | C11480-3W | January 11, 2017 |
| Bauman-Brown, Kathleen | Spring Branch | C06993-2B | January 11, 2017 |
| Blyskal, Stanley E. | East Islip | 124015-9W | January 11, 2017 |
| Borromeo, Douglas B. | Alleghany | 141589-2W | January 11, 2017 |
| Bures, George Joseph | Bay Shore | 081929-2W | January 11, 2017 |
| Byrne, Richard Mark | Auburn | 116883-0B | January 11, 2017 |
| Carr, Ronald Edward | New York | 085717-7W | January 11, 2017 |
| Cattell, William Stuart | Hyde Park | 200848-0W | January 11, 2017 |
| Conte, Salvatore | New Rochelle | 125933-2W | January 11, 2017 |
| Davidson, Elinor Ann Stockheim | Larchmont | 125933-2W | January 11, 2017 |
| Delisi, John Robert | Pomona | C11091-8W | January 11, 2017 |
| Digregorio, Vincent Robert | Garden City | 106032-6W | January 11, 2017 |
| Fink, Maximilian | St. James | 045965-1W | January 11, 2017 |
| Golan, Sivan Shemesh | Liverpool | 254585-3W | January 11, 2017 |
| Grenier, Yannick Yvette Marie | Clinton | 260479-1B | January 11, 2017 |
| Harausz, Elizabeth Page | Albany | 256267-6W | January 11, 2017 |
| Herrera, Marcos A. | Portland | 164561-3W | January 11, 2017 |
| Hilfer, William H. | Forest Hills | 136183-1W | January 11, 2017 |
| Jameson, Kenneth R. | Brooklyn | C03992-7W | January 11, 2017 |
| Jao, Superio Tan | Smithtown | 173312-0W | January 11, 2017 |
| Kapel, Saul Emanuel | Scarsdale | 082150-4W | January 11, 2017 |
| Kasaraneni, Manmadharao | Brockport | 144361-3W | January 11, 2017 |
| Kaufman, Stephen M. | Leominster | 106103-5W | January 11, 2017 |
| Khilnani, Anuradha | New York | 229514-5W | January 11, 2017 |
| Kim, Chung Hoon | Rochester | 188548-2W | January 11, 2017 |
| Konstas, Angelos Aristeidis | Stony Brook | 277245-7W | January 11, 2017 |
| Korngold, Louis | New City | 098842-8W | January 11, 2017 |
| Lee, Ching Yin | Aurora | 268786-1W | January 12, 2017 |
| Legarda, Ramon | Bronxville | 149944-1W | January 12, 2017 |
| Li, Sing Your | Warsaw | 260134-2W | January 12, 2017 |
| Makarewicz, Carl Richard | Englewood | 163808-9W | January 12, 2017 |
| Masrani, Deepa | Jamesville | 268338-1W | January 12, 2017 |
| Maxon, Tomm L. | Watertown | C03448-0B | January 12, 2017 |
| Miller, Charles Albert Spencer | Stony Brook | 277086-5W | January 12, 2017 |
| Miranda, Luis | Staten Island | 115278-4W | January 12, 2017 |
| Mirza, Naureen | Bedford | 229177-1B | January 12, 2017 |
| Moazzenzadeh, Abdolreza | Roslyn | 121659-7W | January 12, 2017 |
| Nahas, Christian Sherif | Island Park | 184118-8B | January 13, 2017 |
| Neilson, Evan Roger | Homosassa | C04973-6W | January 13, 2017 |
| Nevin, Philip Charles | Canandaigua | 184499-2W | January 13, 2017 |
| Patel, Shalin B. | New Hyde Park | C12478-6W | January 13, 2017 |
| Perez, Jose M. | East Setauket | 091062-0W | January 13, 2017 |
| Podell, Paul Norman | Scarsdale | 084638-6B | January 13, 2017 |
| Rizzuto, Vincent James | Forest Hills | 090756-8W | January 13, 2017 |
| Roque, Clemente Tan | Stony Brook | 158433-3W | January 13, 2017 |
| Russo, John Frank | Oakdale | C04096-6B | January 13, 2017 |
| Salmon, Mary W. Macfarlane | New York | 093264-0W | January 13, 2017 |
| Seidman, Peggy Ann | Stony Brook | 234929-8W | January 13, 2017 |
| Selikowitz, Michael M. | Nanuet | 140145-4W | January 13, 2017 |
| Seymour, Rueben James | Bayshore | 079213-5B | January 13, 2017 |
| Sim, Jediah Jaehee | New York | 269437-0W | January 13, 2017 |
| Skucas, Jovitas G. | Hilton | 103758-9W | January 13, 2017 |
| Small Harold | Fineview | 083147-9W | January 13, 2017 |
| Solomon, David | New York | 091316-0W | January 13, 2017 |
| Stirling, Michael Jay | Vestal | 135187-3W | January 13, 2017 |
| Sudberg, Leonard Allen | Brooklyn | 146646-5W | January 13, 2017 |
| Sussin, Mark H. | Rhinebeck | C03566-9W | January 13, 2017 |
| Swartz, Paul Gregory | Tampa | 269872-8B | January 13, 2017 |
| Swenson, E. James, Jr. | Rochester | 176383-8W | January 13, 2017 |
| Thomas, Kristen Leigh | Portland | 252969-1W | January 13, 2017 |
| Velazquez, Lyzette Eileen | Cortlandt Manor | 176337-4W | January 13, 2017 |
| Villa, Jose Emilio | Stamford | 098417-9W | January 13, 2017 |
| Volkert, Ezekiel | Rochester | 269194-7W | January 13, 2017 |
| Vora, Rathin Nishikant | Los Angeles | 262349-4B | January 13, 2017 |
| Wade, Jay Carlyle | Bronx | S13956-8I | January 13, 2017 |
| Walentin, Robert W. | Cornwall | C08156-4W | January 13, 2017 |
* 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