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Subject Number 046-988 Newly Authorized Health Care Providers Approved to Render Services to Injured Workers Under the Workers' Compensation Law

Subject Numbers Regarding Health Provider Authorizations

October 10, 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
Fawole, Chiagozie Oluchi Anesthesiology Syracuse 288171-2W September 26, 2017
Haque, Sabrina Anesthesiology Albany 275422-4W September 6, 2017
Latzman, Jessica Anne Anesthesiology Syracuse 274292-2W September 21, 2017
Nayaz, Sakina Anesthesiology Rochester 289682-7W September 22, 2017
Palvia, Tanuj P. Anesthesiology, Pain Management New York 263710-6W September 6, 2017
Suler, Alexander Anesthesiology Brooklyn 230387-3W September 6, 2017
Wyrobek, Julie Anne Anesthesiology Rochester 288689-3W September 22, 2017
Kandala, Jagdesh Cardiovascular Cooperstown 290180-9W September 25, 2017
Cooper, William Chandler Chiropractic Beacon C12667-4W September 25, 2017
Dritschel, Justin Alan Chiropractic Ransomville C12979-3W September 25, 2017
Ebbrecht, Elaine Marie Chiropractic Ozone Park C10078-6B September 25, 2017
Hall, Nelson Chiropractic Bronx C12986-8B September 25, 2017
Peshkin, Lawrence Charles Chiropractic Rochester C12996-7B September 25, 2017
Swimelar, Matthew Carl Chiropractic Horseheads C12874-6B September 25, 2017
Urben, Zachary Roland Chiropractic Rego Park C12611-2W September 25, 2017
Awal, Divya Diagnostic Radiology New York 284102-1W September 15, 2017
Buffo, Gerard Charles Diagnostic Radiology Elmira 160330-7W September 14, 2017
Giuliano, Vincenzo Diagnostic Radiology Harris 289441-8W September 21, 2017
Loflin, Robert Donald Emergency Medicine Rochester 285980-9W September 22, 2017
Orlando, Edward Emergency Medicine Port Jervis 230131-5I September 21, 2017
Kindt, Jason Haines Family Practice New York 273980-3W September 15, 2017
Laurent, Yvenalie Family Practice Saugerties 271847-6W September 26, 2017
Reyes, John Michael Family Practice Smithtown 271879-9B September 26, 2017
Riaz, Miriam Family Practice Smithtown 267717-7B September 26, 2017
Roberts, Melissa Ann Family Practice Schenectady 289898-9W September 18, 2017
Telonis, James Dimitrios Family Practice Cicero 150525-4W September 13, 2017
Vaca, Michele Family Practice Yonkers 237612-7W September 6, 2017
Vengal, Sarah Ann Family Practice Rochester 282091-8W September 22, 2017
Adams, Alexandra Claire Internal Medicine, Critical Care Medicine, Pulmonary Disease Pittsford 253267-9W September 22, 2017
Arora, Neha Internal Medicine Stony Brook 286784-4W September 15, 2017
Auguste, Uschi Chantal Internal Medicine West Islip 274642-8W September 15, 2017
Baghban, Adam Salim Internal Medicine Rochester 272616-4W September 22, 2017
Boddhula, Sowmya Internal Medicine Cooperstown 288270-2W September 14, 2017
Cheong, Janice Internal Medicine Rochester 283607-0W September 22, 2017
Croft, Daniel Patrick Internal Medicine, Pulmonary Disease Rochester 275034-7W September 22, 2017
Doran, Jesse Alan Internal Medicine Rochester 287413-9W September 22, 2017
Gluck-Shats, Maya Internal Medicine Pomona 181139-7W September 14, 2017
Gross, Michal Internal Medicine Johnson City 279103-6W September 26, 2017
Harish, Abha Internal Medicine, Nephrology Syracuse 269473-5W September 21, 2017
Johri, Geetanjali Internal Medicine Syracuse 289991-2W September 21, 2017
Kulina, Robert Andrew Internal Medicine, Cardiovascular Disease East Setauket 270734-7W September 15, 2017
Lee, Bryan Eric Internal Medicine, Hematology, Medical Oncology Cooperstown 288996-2W September 26, 2017
Lee, Junho Bok Internal Medicine Flushing 166634-6W September 18, 2017
Maramara, Bennadette Cabaltica Internal Medicine, Infectious Disease Stony Brook 287294-3B September 15, 2017
Monaco, Michael David Internal Medicine Rochester 288819-6W September 22, 2017
Moore, Russell Montgomery Internal Medicine, Pediatrics Cooperstown 279681-1W September 25, 2017
Rayancha, Sheetal Internal Medicine, Rheumatology Syracuse 289382-4W September 21, 2017
Saks, Benjamin Joseph Internal Medicine Burdett 260591-3W September 14, 2017
Shah-Sekhon, Sarika Natavarlal Internal Medicine Ogdensburg 274419-1W September 14, 2017
Short, Cynthia Larrabee Internal Medicine, Hospice and Palliative Medicine Granville 171757-8W September 25, 2017
Tesini, Brenda Lane Internal Medicine, Infectious Disease, Pediatrics Rochester 265222-0W September 22, 2017
Veras, Wellington Internal Medicine Mount Kisco 241512-3B September 14, 2017
Whitman, Daniel Scott Internal Medicine Rochester 288282-7W September 22, 2017
Reddy, Gaddum Duemani Neurological Surgery Syracuse 289515-9W September 13, 2017
Goel, Sweta Neurology Suffern 285256-4W September 14, 2017
Mathew, Jason Neurology Stony Brook 289020-0W September 27, 2017
Zhivotenko, Vitaliy Neurology, Pain Management Brooklyn 282150-2W September 6, 2017
Chen, Valerie Hsinyen Ophthalmology Slingerlands 286818-0W September 26, 2017
Hochfelder, Jason Patrick Orthopedic Surgery Hawthorne 269059-2B September 14, 2017
Pascal, Peter E. Orthopedic Surgery Brooklyn 147841-1I September 25, 2017
Pazionis, Theresa Julia Christi Orthopedic Surgery Westbury 273479-6W September 21, 2017
Yip, Michael Cheuk Ming Orthopedic Surgery Rochester 284353-0W September 25, 2017
Socolof, Elias Andrew Pediatrics Queensbury 201597-2W September 14, 2017
Gimpelevich, Alexander Physical Medicine/Rehabilitation Brooklyn 243377-9B September 18, 2017
Kao, Cyrus Physical Medicine/Rehabilitation, Pain Management New York 278489-0I September 15, 2017
Leung, Eric Physical Medicine/Rehabilitation, Pain Management Manhasset 267257-4B September 15, 2017
Walker, Neville Earl Physical Medicine/Rehabilitation Schenectady 275484-4W September 26, 2017
Rice, Samuel Lewis, Jr. Radiology – Diagnostic Radiology Forest Hills 279018-6W September 27, 2017
Sharma, Salil Radiology – Diagnostic Radiology Cooperstown 286890-9W September 14, 2017
Bakal, Ron Sharone Urology New York 206016-8W September 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.

Clarissa M. Rodriguez
Chair