Subject Numbers Regarding Health Provider Authorizations
June 23, 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 |
|---|---|---|---|---|
| Alasio, Teresa Marie | Anatomic Pathology, Cytopathology | Mount Kisco | 221179-5B | May 23, 2017 |
| Bishai, Adel R. | Anesthesiology | Syracuse | 228710-0W | May 23, 2017 |
| Bok, Sean Seongjou | Anesthesiology | New York | 273560-3W | May 19, 2017 |
| Caldwell, William Michael | Anesthesiology, Pain Management | Stony Brook | 269486-7W | May 3, 2017 |
| Cruz, Julissa | Anesthesiology | New York | 244251-5W | May 31, 2017 |
| Gaultier, Ryan Todd | Anesthesiology, Pain Management | Brooklyn | 275596-5W | May 19, 2017 |
| Liu, Jiabin | Anesthesiology | New York | 287055-8W | May 19, 2017 |
| Wetmore, Douglas Scott | Anesthesiology | New York | 277930-4W | May 19, 2017 |
| Agnello, Jaela Elvera | Chiropractic | Elma | C12887-8W | May 12, 2017 |
| Bath, Christopher Michael | Chiropractic | Clifton Park | C12272-3W | May 12, 2017 |
| Conrad, D. Jordan | Chiropractic | Buffalo | C11453-0B | May 12, 2017 |
| Dauria, Michael Cody | Chiropractic | New York | C11750-9W | May 12, 2017 |
| Grover, Oliver | Chiropractic | New York | C12652-6W | May 12, 2017 |
| Hagen, Keven Eric | Chiropractic | Pittsford | C12925-6I | May 12, 2017 |
| Kosterich, Jordan Benjamin | Chiropractic | New Rochelle | C12930-6W | May 12, 2017 |
| Muto, Michael | Chiropractic | Amherst | C08019-4W | May 12, 2017 |
| Pervaiz, Waqas | Chiropractic | Malta | C12859-7W | May 12, 2017 |
| Turner, Shawn Michael | Chiropractic | Rego Park | C12323-4W | May 12, 2017 |
| Lambert, Emily Micham | Dermatology | Geneva | 247814-7W | May 5, 2017 |
| Mandell, Jennifer Anne | Dermatology | Yonkers | 279856-9W | May 2, 2017 |
| Dunst, Diane Melissa | Diagnostic Radiology | Melville | 270845-1W | May 31, 2017 |
| Grubin, Jeremy | Diagnostic Radiology | New York | 274607-1W | May 11, 2017 |
| Gupta, Mohit | Diagnostic Radiology | Cooperstown | 268357-1W | May 17, 2017 |
| Blyth, Brian James | Emergency Medicine | Fairport | 225624-6W | May 17, 2017 |
| Bodkin, Ryan Patrick | Emergency Medicine | Rochester | 256630-5W | May 17, 2017 |
| Ready, Katherine Fitzpatrick | Emergency Medicine | Rochester | 278447-8W | May 17, 2017 |
| Schueckler, John Theodore, IV | Emergency Medicine | Fairport | 266509-9W | May 17, 2017 |
| Soha, Walter James | Emergency Medicine | Wappingers Falls | 227407-4W | May 19, 2017 |
| Spencer, Matthew Taylor | Emergency Medicine | Rochester | 214039-0W | May 17, 2017 |
| Spillane, Linda L. | Emergency Medicine | Rochester | 185507-1W | May 17, 2017 |
| Sultan, Leon Isaac | Emergency Medicine | New York | 262839-4W | May 19, 2017 |
| Wolf, Kristin Marie | Emergency Medicine | Rhinebeck | 213259-5W | May 26, 2017 |
| Yang, Kauh Christine | Emergency Medicine | New York | 233624-6W | May 19, 2017 |
| Zimmerman, Steven Joseph | Emergency Medicine | Commack | 210527-8W | May 31, 2017 |
| Chien, Felix Nien-Tsung | Family Practice | New York | 223210-6B | May 17, 2017 |
| Ciolac, Candice Michelle | Family Practice | Champlain | 283262-4W | May 19, 2017 |
| King, Jessica Sheri | Family Practice | Champlain | 279899-9W | May 31, 2017 |
| Kvetnyy, Gennadiy | Family Practice | Middle Village | 208977-9B | May 19, 2017 |
| Redeye, Vivien Leah | Family Practice | Mayville | 276182-3W | May 25, 2017 |
| Riley, Bernadette Ann | Family Practice | Long Beach | 251808-2W | May 19, 2017 |
| Wood, Emily Louise | Family Practice | Potsdam | 286244-9W | May 17, 2017 |
| Chabra, Vikram | Internal Medicine, Pulmonary Disease | Bethpage | 266760-8W | May 2, 2017 |
| Ganz-Lord, Fran Alexandra | Internal Medicine | Mount Kisco | 218893-6B | May 5, 2017 |
| Han, Young Ho | Internal Medicine | Jefferson Valley | 254041-7B | May 2, 2017 |
| Hunter, Christina Joy | Internal Medicine | Brooklyn | 286559-0W | May 22, 2017 |
| Isihos, Despina N. | Internal Medicine | Rochester | 282911-7W | May 17, 2017 |
| Kaul, Nita | Internal Medicine, Geriatric Medicine | Stony Brook | 258024-9W | May 31, 2017 |
| McNeal, Marisa | Internal Medicine | Johnson City | 272423-5W | May 17, 2017 |
| Midelton, Gary Todd | Internal Medicine | White Plains | 225873-9B | May 2, 2017 |
| Pecoraro, Philip John | Internal Medicine, Psychiatry | Stony Brook | 164172-9W | May 3, 2017 |
| Santos, Ray Ryan Crisostomo | Internal Medicine, Pediatrics | Staten Island | 284676-4W | May 30, 2017 |
| Seecharan, Tina | Internal Medicine | South Richmond Hill | 282029-8W | May 22, 2017 |
| Sher, Amna Falak | Internal Medicine, Hematology, Medical Oncology | Stony Brook | 266721-0B | May 3, 2017 |
| Schimler, Michael Edward | Internal Medicine | Johnson City | 270658-8W | May 17, 2017 |
| Wind, Benjamin Daniel | Internal Medicine, Critical Care Medicine, Pulmonary Diseases | West Nyack | 245290-2W | May 22, 2017 |
| Bekelis, Kimon | Neurological Surgery | West Islip | 287522-7W | May 31, 2017 |
| Belle, Vaijayantee Kumar | Neurology | Woburn | 282750-9I | May 26, 2017 |
| Purushotham, Archana | Neurology | Stony Brook | 287261-2B | May 3, 2017 |
| Tollefson, Trenton James | Neurology | Rochester | 278292-8W | May 17, 2017 |
| Tomcik, Colleen Bevevino | Neurology | Rochester | 285315-8W | May 17, 2017 |
| Bakas, Constantine | Obstetrics/Gynecology | Southampton | 184658-3W | May 3, 2017 |
| Barsi, James Michael | Orthopedic Surgery | Stony Brook | 242454-7B | May 10, 2017 |
| Iannolo, Maria Theresa | Orthopedic Surgery | East Syracuse | 257969-6B | May 3, 2017 |
| Klein, Guy | Orthopedic Surgery | Geneva | 282557-8W | May 5, 2017 |
| Cavalier, Yefim Nerri Yushvayev | Pain Management | Rego Park | 274176-7B | May 2, 2017 |
| Jean, Felix Pierre Carousse | Physical Medicine/Rehabilitation | Brooklyn | 152032-9I | May 25, 2017 |
| Ebrahimi-Fard, Behrooz | Psychiatry | Glens Falls | 220273-7W | May 22, 2017 |
| Gorecki, Amanda Andrea | Psychiatry, Child and Adolescent Psychiatry | Stony Brook | 281069-5W | May 31, 2017 |
| Cain, Jennifer Lynn | Psychology | Buffalo | S21450-2W | May 11, 2017 |
| Frances, Erika | Psychology | Latham | S15500-2I | May 11, 2017 |
| Kragness, Miriam Elizabeth | Psychology | Brooklyn | S15596-0B | May 11, 2017 |
| Lyden, Ashley Ann | Psychology | New York | S21467-6W | May 11, 2017 |
| Sasson-Gelman, Edie Joy | Psychology | New York | S21599-6W | May 11, 2017 |
| Cherukuri, Pallavi | Radiology – Diagnostic Radiology | New York | 283471-1W | May 2, 2017 |
| Sahr, Meghan Elizabeth | Radiology – Diagnostic Radiology | Latham | 282191-6W | May 31, 2017 |
| Applewhite, Megan Kunz | Surgery | Albany | 284351-4W | May 5, 2017 |
| Caliste, Xzabia Annette | Surgery – General Vascular Surgery | Albany | 267098-2W | May 31, 2017 |
| Choi, Lynn Young | Surgery | Albany | 282247-6W | May 31, 2017 |
| Chismark, Anthony David | Surgery, Colon/Rectal Surgery | Albany | 265038-0W | May 22, 2017 |
| Giuffrida, Michael Joseph | Surgery | Greenvale | 257065-3W | May 2, 2017 |
| Shahani, Rohit Bhojo | Surgery, Thoracic Surgery | Poughkeepsie | 220150-7W | May 19, 2017 |
| Zaman, Jessica Afrose | Surgery | Albany | 285827-2W | May 31, 2017 |
| Capello, Seth Alexander | Urology | Saratoga Springs | 238890-8W | May 5, 2017 |
| Wachterman, Jared Behn | Urology | Fairport | 285619-3W | May 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"
Any questions regarding the authorized lists should be referred to the Medical Director’s Office at 1 (800) 781-2362.
Kenneth J. Munnelly
Chair