Subject Numbers Regarding Health Provider Authorizations
May 18, 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 |
|---|---|---|---|
| Ahmed, Muhammed | Morgantown | 118996-8W | March 13, 2017 |
| Amundson, William Hoyt | Minneapolis | 274228-6W | March 15, 2017 |
| Ashman, Michael Stephen | Windsor | 104346-2I | March 15, 2017 |
| Ayyub, Mohammad | Wellsville | 134475-3W | March 15, 2017 |
| Bedford, Sharon L. | Troy | 150106-3W | March 15, 2017 |
| Berger, Alan Charles | New York | C08392-5B | March 15, 2017 |
| Bleiman, Jarid Seth | Glendale | C09481-5W | March 15, 2017 |
| Bonaventura, Margherite M. | Fayetteville | 139049-1W | March 15, 2017 |
| Cacchione, Robert | Louisville | 214783-3W | March 7, 2017 |
| Crone, Eric A. | New York | 214825-2W | March 15, 2017 |
| Das, Arbind Lal | Pittsford | 199553-9W | March 15, 2017 |
| Dolinsky, Steven H. | Saratoga Springs | 270285-0W | March 15, 2017 |
| Easter, Laurie Michelle | Fenton | 270280-1W | March 15, 2017 |
| Ellen, Joseph Harry, III | Albany | 271006-9W | March 15, 2017 |
| Falk, Hadley J. | Syracuse | 145420-6B | March 15, 2017 |
| Ferraro, Natalie | Brooklyn | P05070-9W | March 15, 2017 |
| Gabriana, Nimfa Gozum | Middletown | 267885-2W | March 15, 2017 |
| Gates, Sherman Allen | Delmar | 071945-0W | March 16, 2017 |
| Greaves, Keiron Warren | New York | 185781-2B | March 16, 2017 |
| Hermida, Ricardo | Readfield | 112559-0W | March 16, 2017 |
| Kaltman, Alfred Julian | New York | 046188-9W | March 16, 2017 |
| Kellerman, Douglas Paul | Lake Worth | C08443-6W | March 16, 2017 |
| Kostas, Jeanne | Albany | S13649-9B | March 16, 2017 |
| Lai, Jerry | Rye | 254081-3B | March 16, 2017 |
| Lather, Ronald Edward | Vernon | 098917-8W | March 16, 2017 |
| Lewis, Clementina E. | Tonawanda | 154114-3W | March 16, 2017 |
| Lirio, Oscar C. | Schenectady | 104401-5B | March 16, 2017 |
| Lunia, Shantilal | Loudonville | 121109-3W | March 16, 2017 |
| Lycett, Elizabeth Sara | Rochester | 263579-5W | March 16, 2017 |
| Lydic, Michael Lynn | Overland Park | 209845-7W | March 16, 2017 |
| Maltese, Joseph Matthew | Forest Hills | C12418-2W | March 7, 2017 |
| Manopoli, Francis Anthony | Bronx | 104032-8W | March 16, 2017 |
| Marcus, Aaron J. | Scarsdale | 075496-0W | March 16, 2017 |
| Marcus, Joel A. | Suffern | 129275-4W | March 16, 2017 |
| Mauro, Dean Anthony | Brooklyn | C07184-7B | March 16, 2017 |
| Mazella, John S. | Mt. Kisco | 092018-1B | March 16, 2017 |
| Mc Manus, Robert Gordon | Warwick | 077517-1W | March 16, 2017 |
| Melo, Robert I. | Howard Beach | C09175-3B | March 16, 2017 |
| Meyerowitz, Robert Benedict | Woodmere | 100516-4W | March 16, 2017 |
| Mincy, James Ernest, Jr. | Albany | 096081-5B | March 16, 2017 |
| Moga, Jerome Joseph | Hyde Park | 083912-6B | March 17, 2017 |
| Moscowitz, Joyce Anne | North Salem | 157179-3B | March 17, 2017 |
| Moynihan, Gavan D. | Bay Shore | 122511-9W | March 17, 2017 |
| Patel, Sohil Harshad | New York | 253357-8B | March 17, 2017 |
| Pavlovici, Sherban, Jr. | Bayside | 214333-7W | March 17, 2017 |
| Pocsidio, Mariano N., Jr. | Oakland Gardens | 110013-0W | March 17, 2017 |
| Rhee, Jae C. | Flushing | 128734-1W | March 17, 2017 |
| Riedel, Rodney Tyson | Lake Katrine | 236734-0W | March 17, 2017 |
| Rubin, Mitchell C. | Flushing | C11570-1B | March 17, 2017 |
| Sacknowitz, Ivy Jill | Bronx | 173941-6B | March 17, 2017 |
| Shayevitz, Berton Robert | Manilus | 201498-3B | March 17, 2017 |
| Silva, Lourdes G. | Bronx | 253028-5W | March 17, 2017 |
| Stavin, Halina M. | Clifton Park | 165896-2W | March 17, 2017 |
| Suri, Paul Ashutosh | Bethlehem | 224491-1B | March 17, 2017 |
| Szatko, Eric Dominick | Utica | C08520-1B | March 17, 2017 |
| Taylor, Steven James | Mount Pleasant | 229342-1W | March 17, 2017 |
| Vourganti, Srinivas | Syracuse | 271670-2W | March 17, 2017 |
| Walters, Joseph Owen | Bronx | 152251-5W | March 17, 2017 |
| Wellin, David E. | Danbury | 124240-3B | March 17, 2017 |
| West, Carl G. | La Quinta | 201148-4W | March 17, 2017 |
| Wymer, James Paul | Gainesville | 191266-6I | March 17, 2017 |
| Young, Alan J. | Craryville | 140238-7W | March 17, 2017 |
| Yu, Hsien Cheng | New York | 126321-9W | March 17, 2017 |
| Zaidi, Syed Nasir H. | Jamaica | 144253-2W | March 17, 2017 |
| Zhang, Xiaoqian | Burlingame | 256641-2B | March 17, 2017 |
| Zully, Diane M. | Glen Head | C02702-1B | March 17, 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