Subject Numbers Regarding Health Provider Authorizations
August 4, 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 |
|---|---|---|---|---|
| Batiste, Rebecca Cydney | Anatomic Pathology, Clinical Pathology | Stony Brook | 284751-5W | July 3, 2017 |
| Ko, Edwin Young | Anatomic Pathology, Clinical Pathology | Oneonta | 190320-2W | July 14, 2017 |
| Akuamoah, Latrice Akosua | Anesthesiology, Pain Management | Staten Island | 279631-6W | July 3, 2017 |
| Bernhardt, Mark Houck | Anesthesiology | New York | 182499-4W | July 31, 2017 |
| Bush, Sarah Dillon | Anesthesiology | Binghamton | 288768-5W | July 14, 2017 |
| Chang, Francis Meng-Jian | Anesthesiology | Henrietta | 288940-0W | July 28, 2017 |
| Heller, Paul Jan | Anesthesiology | Long Island City | 150045-3W | July 31, 2017 |
| Khan, Tanzina | Anesthesiology, Pain Management | New Hyde Park | 271526-6W | July 3, 2017 |
| Kralovic, Sarah Anne | Anesthesiology | Rochester | 280609-9W | July 28, 2017 |
| Mitchell, Kaitlyn Deirdre | Anesthesiology | Rochester | 286758-8W | July 28, 2017 |
| Qian, Sascha | Anesthesiology, Pain Management | Utica | 287812-2W | July 24, 2017 |
| Stahl, Rachel Elizabeth | Anesthesiology | Rochester | 288629-9W | July 28, 2017 |
| Williams, Mark Richard | Anesthesiology | Pittsford | 286923-8W | July 28, 2017 |
| Winston, Roy Stuart | Anesthesiology | Long Island City | 256382-3W | July 31, 2017 |
| Yin, Shichen | Anesthesiology | Rochester | 283577-5W | July 28, 2017 |
| Abdel-Migeed, Muhammad Magdy | Cardiovascular Disease, Clinical Cardiac Electrophysiology | E Syracuse | 195829-7W | July 17, 2017 |
| Singh, Sandeep | Cardiovascular | Middletown | 217719-4B | July 31, 2017 |
| Blickman, Johan Gerard | Diagnostic Radiology, Pediatric Radiology | Rochester | 259641-9W | July 28, 2017 |
| Chaturvedi, Abhishek | Diagnostic Radiology | Rochester | 271382-4W | July 28, 2017 |
| Chaturvedi, Apeksha | Diagnostic Radiology, Pediatric Radiology | Pittsford | 269105-3W | July 28, 2017 |
| Hobbs, Susan K. | Diagnostic Radiology | Rochester | 254411-2W | July 28, 2017 |
| Kaproth-Joslin, Katherine Anne | Diagnostic Radiology | Rochester | 263591-0W | July 28, 2017 |
| Klionsky, Nina Beth | Diagnostic Radiology, Pediatric Radiology | Rochester | 157783-2W | July 28, 2017 |
| Lui, Paul | Diagnostic Radiology, Pediatric Radiology | New York | 192521-3B | July 3, 2017 |
| O’Connor, Daniel Turpin | Diagnostic Radiology | Pittsford | 262434-4W | July 28, 2017 |
| Patel, Arpit | Diagnostic Radiology | Williamsville | 282628-7W | July 17, 2017 |
| Potchen, Michael James | Diagnostic Radiology | Rochester | 270451-8W | July 28, 2017 |
| Schiffman, Scott Ross | Diagnostic Radiology | Rochester | 259641-9W | July 28, 2017 |
| Sharma, Ashwani Kumar | Diagnostic Radiology, Vascular and Interventional Radiology | Rochester | 256343-5W | July 28, 2017 |
| Anderson, Caitlin Victoria | Emergency Medicine | Johnson City | 253329-7W | July 14, 2017 |
| Black, Trevor | Emergency Medicine | Johnson City | 266458-9W | July 14, 2017 |
| Chen, Wei Ku | Emergency Medicine | New York | 235717-6W | July 18, 2017 |
| Balguri, Sumanth | Family Practice | Owego | 288945-9W | July 14, 2017 |
| Capuano, Matthew Dominic | Family Practice | Hilton | 258762-4W | July 28, 2017 |
| Costello, Thomas Edward | Family Practice | West Sayville | 267336-6W | July 3, 2017 |
| Gomez, Brenda Carmen | Family Practice | Glen Cove | 225442-3W | July 18, 2017 |
| Hussain, Syed Shabahat | Family Practice | Stony Brook | 244990-8W | July 3, 2017 |
| Nazir, Kausar | Family Practice | Middletown | 287247-1W | July 20, 2017 |
| Saravanan, Rohith | Family Practice | Clarence Center | 273180-0W | July 24, 2017 |
| Yousuf, MD Abdullah | Family Practice | New Hyde Park | 271621-5W | July 5, 2017 |
| Chen, On | Internal Medicine, Cardiovascular Disease, Interventional Cardiology | Stony Brook | 278688-7W | July 3, 2017 |
| Chow, Robert Al-Fung | Internal Medicine | Stony Brook | 279420-4W | July 3, 2017 |
| Daccueil, Farah | Internal Medicine | Stony Brook | 285062-6W | July 3, 2017 |
| Hopkin, Justin Lee | Internal Medicine | Rochester | 285157-4W | July 5, 2017 |
| Lachant, Daniel Joseph | Internal Medicine, Pulmonary Diseases | Rochester | 267624-5W | July 28, 2017 |
| Legros, Robert Packard | Internal Medicine | Rochester | 285521-1W | July 28, 2017 |
| Levy, David Samuel | Internal Medicine | Rochester | 273377-2W | July 31, 2017 |
| Morganstern, Bradley Michael | Internal Medicine, Gastroenterology | Stony Brook | 258461-3B | July 3, 2017 |
| Pasha, Ibrahim Raza | Internal Medicine, Nephrology | Newburgh | 288684-4W | July 17, 2017 |
| Pesigan, Ramon Julian Montilla | Internal Medicine, Sports Medicine | New York | 271297-4W | July 18, 2017 |
| Solny, Meyer N. | Internal Medicine, Gastroenterology | New York | 124712-1B | July 18, 2017 |
| Yu, Diana | Internal Medicine | Stony Brook | 279419-6W | July 3, 2017 |
| Kolkin, Seth | Neurology | Rochester | 174244-4W | July 18, 2017 |
| Pavlakis, Pantelis Parissis | Neurology | New York | 278941-0W | July 18 2017 |
| Zidan, Awss | Neurology | Syracuse | 285788-6W | July 14, 2017 |
| Goertzen, Danielle Kristy Lapra | Obstetrics/Gynecology | Glens Falls | 236565-8W | July 14, 2017 |
| Lazar, Sarah Jane | Obstetrics/Gynecology | Southampton | 212313-1W | July 3, 2017 |
| Rolston, Florence Regina | Obstetrics/Gynecology | Southampton | 205121-7W | July 3, 2017 |
| Russman, Caryn Rebecca | Obstetrics/Gynecology | Southampton | 285434-7W | July 3, 2017 |
| Bessette, Angela Pugliese | Ophthalmology | Rochester | 285682-1W | July 28, 2017 |
| Cochrane, Andrew | Ophthalmology | Cheektowaga | 287848-6W | July 14, 2017 |
| Lerrick, Andrew James | Otolaryngology | Johnson City | 171001-1B | July 14, 2017 |
| Anthony, Shawn Garrett | Orthopedic Surgery | New York | 278138-3W | July 18, 2017 |
| Harbin, Alexander Ryan | Orthopedic Surgery | Albany | 279401-4W | July 20, 2017 |
| Kopko, Kevin Anthony | Orthopedic Surgery | East Syracuse | 272408-6W | July 5, 2017 |
| Unis, Douglas Brydan | Orthopedic Surgery | New York | 232089-3W | July 18, 2017 |
| Weiss, Richard Alan | Orthopedic Surgery | Saint James | 180728-8B | July 3, 2017 |
| Delsignore, Catherine Anne | Pediatrics | Queensbury | 269948-6W | July 14, 2017 |
| McTiernan, Eugene James | Pediatrics | Warrensburg | 192063-6W | July 17, 2017 |
| Kaplan, Richard Scott | Physical Medicine/Rehabilitation | Monroeville | 285801-7I | July 3, 2017 |
| Leung, Eric | Physical Medicine/Rehabilitation, Pain Management | Manhasset | 267257-4I | July 3, 2017 |
| Papa, Edward | Physical Medicine/Rehabilitation | Stony Brook | 273202-2W | July 3, 2017 |
| Christodoulou, Christopher | Psychology | Stony Brook | S12708-4W | July 31, 2017 |
| Deneen, Todd | Psychology | Springfield | S22010-3I | July 31, 2017 |
| Durant, Richard Peter, Jr. | Psychology | Keene | S20217-6B | July 31, 2017 |
| Kent, Jonathan Scott | Psychology | Plainview | S21846-1B | July 31, 2017 |
| Kugel, Elina | Psychology | Woodmere | S21703-4I | July 31, 2017 |
| Meyers, Robert S. | Psychology | Bayside | S18595-9W | July 31, 2017 |
| Akladious, Ihab Akladious Milik | Radiology – Diagnostic Radiology | Rochester | 270911-1W | July 28, 2017 |
| Becker-Weidman, David | Radiology – Diagnostic Radiology | Williamsville | 289058-0W | July 17, 2017 |
| Bevilacqua, Thomas Andrew | Radiology – Diagnostic Radiology | Williamsville | 288107-6W | July 26, 2017 |
| Cole, Adam Joseph | Radiology – Diagnostic Radiology | Williamsville | 288125-8W | July 17, 2017 |
| Demarco, Joseph Christopher | Radiology – Diagnostic Radiology | Latham | 285936-1W | July 28, 2017 |
| Iqbal, Arbab Zafar | Radiology – Diagnostic Radiology | Rochester | 282210-4W | July 28, 2017 |
| Manfredi, Brian John | Radiology – Diagnostic Radiology | Glens Falls | 288122-5W | July 10, 2017 |
| Prober, Allen Samuel | Radiology – Diagnostic Radiology | Monroe | 287998-9W | July 19, 2017 |
| Thompson, Joel Peter | Radiology – Diagnostic Radiology | Rochester | 267699-7W | July 28, 2017 |
| Gibson, Neil William Carlton | Surgery, Colon/Rectal Surgery | Johnson City | 277393-5W | July 14, 2017 |
| Hall, Keneth Newton | Surgery | Garden City | 262710-7W | July 28, 2017 |
| Igboeli, Ifeoma Jacqueline | Surgery | Jamestown | 253048-3B | July 14, 2017 |
| Kostun, Zachary William | Surgery – General Vascular Surgery | Queensbury | 288677-8W | July 10, 2017 |
| Makartchuk, Bogdan | Surgery | Hampton Bays | 239761-0B | July 18, 2017 |
* Providers authorized to treat and perform independent medical examinations have an authorization number ending in B. Providers authorized to only treat have an authorization number ending in W. Providers authorized to only perform independent medical examinations 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