Subject Numbers Regarding Health Provider Authorizations
April 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 |
|---|---|---|---|---|
| Chin, Monte | Anesthesiology | Stony Brook | 281264-2W | March 21, 2017 |
| Cho, Brian Seho | Anesthesiology | Coram | 282595-8W | March 28, 2017 |
| McKay, Jeremy Larvadain | Anesthesiology | Syracuse | 270031-8W | March 16, 2017 |
| Patel, Aditya Mahendra | Anesthesiology, Pain Management | New York | 261998-9B | March 22, 2017 |
| Quilty, Erik Kelly | Anesthesiology | Syracuse | 282503-2W | March 28, 2017 |
| Schechter, Douglas Adam | Anesthesiology, Pain Management | Greenvale | 273808-6W | March 8, 2017 |
| Adofoli, Vincent Yao | Chiropractic | Middle Island | C12870-4B | March 13, 2017 |
| Batis, Jeffrey Thomas | Chiropractic | Skaneateles | C12757-3W | March 13, 2017 |
| Cotter, Benjamin Ross | Chiropractic | Oneonta | C12858-9B | March 13, 2017 |
| Dickert, Thomas Jay | Chiropractic | Brooklyn | C11902-6W | March 13, 2017 |
| Feingold, Marielle | Chiropractic | Dix Hills | C12373-9W | March 13, 2017 |
| Hopkins, Adam Neil | Chiropractic | Bayside | C11449-8W | March 13, 2017 |
| Raymonvil, Stephanie | Chiropractic | Brooklyn | C12811-8W | March 13, 2017 |
| Tatarenko, Peter Stefan | Chiropractic | Elmhurst | C11720-2W | March 13, 2017 |
| Tischler, Mark | Chiropractic | Oyster Bay | C11913-3W | March 13, 2017 |
| Trimboli, Joseph Rocco | Chiropractic | Canandaigua | C12892-8W | March 13, 2017 |
| Dolly, Naomi | Dermatology, Dermatological Pathology | Vestal | 273066-1W | March 29, 2017 |
| Warycha, Melanie Ann | Dermatology | Mount Kisco | 246246-3B | March 21, 2017 |
| Yentzer, Brad Alan | Dermatology | Ithaca | 287410-5W | March 29, 2017 |
| Abramov, Michael | Diagnostic Radiology | Stony Brook | 277402-4W | March 1, 2017 |
| Blanco, Barbara Salvia | Diagnostic Radiology | Fishkill | 231477-1B | March 16, 2017 |
| Gupta, Saurabh | Diagnostic Radiology | Syracuse | 285132-7W | March 24, 2017 |
| King, Michael H. | Diagnostic Radiology | Newburg | 213662-0B | March 3, 2017 |
| Welch, Mark Joseph | Diagnostic Radiology | Potsdam | 221305-6W | March 16, 2017 |
| Idelson, Jason David | Emergency Medicine | Levittown | 257869-8W | March 3, 2017 |
| Kyle-Sidell, Cameron | Emergency Medicine | Johnson City | 271547-2W | March 28, 2017 |
| Lazarides, Amy Margaret | Emergency Medicine | Brooklyn | 232096-8W | March 16, 2017 |
| Yun, Eric | Emergency Medicine | New York | 260961-8W | March 16, 2017 |
| Piper, Beth Anne | Endocrinology, Diabetes and Metabolism | Syracuse | 187088-0W | March 16, 2017 |
| Clarke, Ryan John | Family Practice | Grand Island | 280412-8W | March 31, 2017 |
| Costello, Laurie Jane | Family Practice | East Northport | 191191-6W | March 3, 2017 |
| De Lang, Eddo | Family Practice | Olean | 186955-1W | March 8, 2017 |
| Druif, Alexander Godefridus Jac | Family Practice | New Hyde Park | 267646-8B | March 3, 2017 |
| Iqbal, Saqib | Family Practice | Vestal | 277385-1W | March 3, 2017 |
| Levinskaya, Natalia | Family Practice | Plainview | 260076-5B | March 8, 2017 |
| Lucero, April Angelique Pagling | Family Practice | Middletown | 285835-5B | March 22, 2017 |
| Maher, Elizabeth L. | Family Practice | Indian Lake | 166647-8W | March 1, 2017 |
| Masyga, Nicholas Patrick | Family Practice | Hamburg | 284905-7B | March 30, 2017 |
| Mulroy, Thomas James | Family Practice, Sports Medicine | New York | 285872-8W | March 1, 2017 |
| O’Connor, Brandon Paul | Family Practice | Fishkill | 266914-1B | March 16, 2017 |
| Orr, Robert James, III | Family Practice | Ticonderoga | 284107-0W | March 16, 2017 |
| Quaresima, John Thomas | Family Practice | Queensbury | 284335-7W | March 3, 2017 |
| Quaresima, Mark Andrew | Family Practice | South Glens Falls | 278739-8W | March 3, 2017 |
| Rabadi, Ammir Suleiman | Family Practice | Scarsdale | 247049-0W | March 1, 2017 |
| Rahman, Sultana Yasmin | Family Practice | Stony Brook | 236464-4W | March 21, 2017 |
| Ryan, Elizabeth Bogel | Family Practice | Endicott | 272489-6W | March 29, 2017 |
| Schneid, Perel | Family Practice | Middletown | 283778-9B | March 22, 2017 |
| Syed, Maryam | Family Practice | Endicott | 282201-3W | March 1, 2017 |
| Thompson, Sarah Mary Margaret | Family Practice | Schroon Lake | 280425-0W | March 1, 2017 |
| Wignarajah, Douglas Praveen | Family Practice | Middletown | 285854-6B | March 10, 2017 |
| Yueh, Cindy Tsai-Zung | Family Practice | Forest Hills | 272518-2B | March 17, 2017 |
| Aftab, Munib | Internal Medicine | Cooperstown | 285091-5W | March 1, 2017 |
| Archer, Cassandra A. | Internal Medicine, Pediatrics | Auburn | 236308-3W | March 22, 2017 |
| Das, Vinay Bananda | Internal Medicine | Wappingers Falls | 192731-8B | March 16, 2017 |
| Desai, Amishi | Internal Medicine, Hematology, Medical Oncology | Syracuse | 283677-3W | March 1, 2017 |
| Gunasekaran, Niranjan | Internal Medicine | Johnson City | 286211-8W | March 29, 2017 |
| Hirsch, Lisa Nicole | Internal Medicine | Pomona | 285675-5W | March 3, 2017 |
| Holsaeter, Thomas Michael | Internal Medicine | Middletown | 283790-4W | March 1, 2017 |
| Hurst, Lainie J. | Internal Medicine, Endocrinology, Diabetes and Metabolism | New York | 219539-4I | March 30, 2017 |
| Ince-Mercer, Leia Keisha | Internal Medicine | Hamburg | 276258-1B | March 30, 2017 |
| Jhandier, Muhammad Nauman | Internal Medicine, Gastroenterology | New Hartford | 267308-5B | March 22, 2017 |
| Lee, Annie | Internal Medicine | Middletown | 233621-2W | March 16, 2017 |
| Rosman, Elana Rachel | Internal Medicine, Endocrinology, Diabetes and Metabolism | Forest Hills | 264341-9I | March 1, 2017 |
| Sahai, Achal | Internal Medicine, Cardiovascular Disease, Interventional Cardiology | Suffern | 279919-5W | March 22, 2017 |
| Sanivarapu, Lakshmi Kiran | Internal Medicine | Binghamton | 285575-7W | March 3, 2017 |
| Sharef, Sadik Mohamed | Internal Medicine, Nephrology | Johnson City | 284425-6W | March 3, 2017 |
| Sharma, Rita | Internal Medicine | Middletown | 235308-4W | March 8, 2017 |
| Visalli, Kenneth Joseph | Internal Medicine, Pediatrics | New Hartford | 282962-0B | March 22, 2017 |
| Wong, Jimmy | Internal Medicine | Mount Kisco | 249942-4B | March 1, 2017 |
| Darby, Darla Marie | Neurology | Pittsford | 287014-5W | March 3, 2017 |
| Kale, Anupama Mohan | Neurology | Amherst | 285122-8W | March 30, 2017 |
| Magda, Paul | Neurology | Carmel | 221739-6B | March 1, 2017 |
| Lubin, Sophia | Obstetrics/Gynecology | Brooklyn | 265014-1W | March 22, 2017 |
| Miller, Erin Elizabeth | Obstetrics/Gynecology | Johnson City | 282552-9W | March 3, 2017 |
| VanWagner, Kris Adwards | Ophthalmology | Potsdam | 246425-3W | March 22, 2017 |
| Barbash, Scott Ethan | Orthopedic Surgery | East Rockaway | 280456-5W | March 1, 2017 |
| Cagle, Paul Joseph | Orthopedic Surgery | New York | 269632-6W | March 17, 2017 |
| Harvey, Margaret Ann | Orthopedic Surgery | New York | 285203-6B | March 1, 2017 |
| Le Noach, Philip Marcel | Orthopedic Surgery | New York | 199489-6I | March 1, 2017 |
| McClellan, John Baptiste | Orthopedic Surgery | Jamestown | 280578-6W | March 1, 2017 |
| Oren, Jonathan Haim | Orthopedic Surgery | New York | 272534-9W | March 1, 2017 |
| Perretta, Donato Joseph | Orthopedic Surgery, Hand Surgery | Cortlandt Manor | 274027-2W | March 17, 2017 |
| Katrib, Ziad A. | Otolaryngology | Latham | 283135-2W | March 10, 2017 |
| Matta, Yesu Kumar | Pediatrics | Norwich | 280241-1W | March 28, 2017 |
| Headlam, Bo Tyler | Physical Medicine/Rehabilitation | New York | 286498-1B | March 1, 2017 |
| Ponzio, Marc Matthew | Physical Medicine/Rehabilitation | Brooklyn | 283427-3W | March 1, 2017 |
| Shepper, Susanna | Physical Medicine/Rehabilitation | Brooklyn | 255098-6W | March 16, 2017 |
| Sorokin, Yevgeniy | Physical Medicine/Rehabilitation | Brooklyn | 262020-1B | March 22, 2017 |
| Swinarski, John Paul | Physical Medicine/Rehabilitation | Amherst | 285826-4W | March 3, 2017 |
| Swinarski, Sarah Lynn | Physical Medicine/Rehabilitation | Buffalo | 286461-9W | March 3, 2017 |
| Bienenfeld, Scott I. | Psychiatry, Forensic Psychiatry | New York | 211810-7B | March 28, 2017 |
| Grucci, Felix James, III | Psychiatry, Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine | Patchogue | 286656-4W | March 1, 2017 |
| Lubit, Roy Howard | Psychiatry, Forensic Psychiatry, Child and Adolescent Psychiatry | New York | 205720-6B | March 16, 2017 |
| Marchione, Joseph Anthony | Radiology – Diagnostic Radiology | Hicksville | 279220-8W | March 8, 2017 |
| Amajoyi, Robert | Surgery, Colon/Rectal Surgery | Valley Stream | 273853-2B | March 3, 2017 |
| Docimo, Salvatore, Jr. | Surgery, Surgical Critical Care | Stony Brook | 285923-9W | March 22, 2017 |
| Siddiqui, Mohammad Shahnawaz | Surgery, Surgical Critical Care | Middletown | 284395-1W | March 30, 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"
Any questions regarding the authorized lists should be referred to the Medical Director’s Office at 1 (800) 781-2362.
Kenneth J. Munnelly
Chair