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Subject Number 046-989 Changes to the List of Health Care Providers Authorized to Render Services to Injured Workers Under the Workers' Compensation Law

Subject Numbers Regarding Health Provider Authorizations

October 10, 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 authorization(s) from the Workers’ Compensation Board.

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
Abdou, Awny A. Newark 132096-9W August 15, 2017
Alkaitis, Damanhuri Daniel Annapolis 127716-9W August 15, 2017
Anand, Anuradha New York 271954-0W August 15, 2017
Ankolekar, Anil Krishnarao Briarcliff Manor 142257-5W August 15, 2017
Asher, Bernard W. Batavia 096013-8B August 15, 2017
Ashraf, Mohammad Bilal Auburn 271906-0W August 15, 2017
Babiarz, Mark Gerard Utica C05571-7W August 15, 2017
Bahramipour, Phillip F. Montclair 196056-6W August 15, 2017
Balis, Peter Cortlandt 085394-5W August 16, 2017
Becker, Mary Alice Bronxville 142887-9W August 17, 2017
Bell, James Edward Saratoga Springs 223796-4W August 16, 2017
Bianchi, Anthony Joseph Cheektowaga C07576-4W August 16, 2017
Bienenstock, Harry Rockaway Park 081107-5W August 16, 2017
Bloomgarden, Charles I. Huntington 086064-3W August 16, 2017
Bluth, Mordecai Woodmere 097883-3W August 16, 2017
Bouzouki, Maria D. New York City 133267-5W August 16, 2017
Buss, Jason Charles Shaker Heights 248134-9W August 16, 2017
Bustillo, Jorge Mountville 273546-2W August 16, 2017
Caccamise, William Charles Pittsford 046394-3W August 16, 2017
Casiero, Deena C. Lake Success 256909-3W August 16, 2017
Catanzarita, Francis Joseph Skaneateles 151909-9W August 16, 2017
Claps, Daniel K. Brooklyn C04077-6B August 16, 2017
Cornell, James S. Paramus 178686-2W August 16, 2017
Cropp, Michael Walter Williamsville 183568-5W August 16, 2017
Dale, Janis L. Williamsville 151925-5W August 16, 2017
Daniello, Joseph Brooklyn 145402-4W August 16, 2017
Dannis, Irwin Marvin Hartsdale 086265-6W August 16, 2017
Datta, Ujjwal Kumar Bound Brook P05745-6B August 16, 2017
Dickerson, Robert Cushman Pittsford 076974-5B August 1, 2017
Dubin, Michael R. Glen Cove 086390-2W August 16, 2017
Duenas, Angelica Marina Del Ray 164545-6W August 16, 2017
Fishman, Harvey Hewlett 108447-4W August 16, 2017
Fleishman, Philip Robert Holbrook 087740-7W August 17, 2017
Foley, Steven K. Rochester C03787-1B August 17, 2017
Fraier, Ronald Allen Yonkers 097892-4W August 17, 2017
Frank, Bradford Lawrence San Diego 191390-4W August 17, 2017
Giacobbe, Francesco Buffalo 089999-7W August 17, 2017
Gigliotti, Benjamin Joseph Rochester 270728-9W August 17, 2017
Gold, Kelvin Ang Olean 266141-1W August 17, 2017
Goldberg, Richard S. Brooklyn 123389-9W August 17, 2017
Golier, Francis Carl Bronx 107008-5W August 17, 2017
Gomez, Danny J. New York P06626-7W August 17, 2017
Gotta, Alexander W. Great Neck 086327-4W August 17, 2017
Grossman, Harold Irving Delray Beach 089317-2W August 17, 2017
Gupta, Payal Patel Lyndhurst 265034-9W August 17, 2017
Haller, Eugene Z. East Hampton C02066-1W August 17, 2017
Hayes, Robert Basil Avon 083447-3W August 17, 2017
Hogan, Larry M. Thendara C02766-6W August 17, 2017
Holt, Peter David Honolulu 224100-8B August 17, 2017
Howe, David Emerson Syracuse C04531-2W August 17, 2017
Inglis, Allan Evans Rye 078970-1W August 17, 2017
Kalfus, Ira N. New York 178151-7W August 17, 2017
Kaplan, Jeffrey Gene Highland Mills 125400-2W August 17, 2017
Kerner, David Poughkeepsie 187657-2W August 17, 2017
Kimmelman, Charles Paul New York 165440-9W August 17, 2017
Klausner, Stanley K. Lake Worth 101835-7W August 17, 2017
Knipp, John E. New Windsor 116622-2B August 17, 2017
Krisztinicz, Irene L. Williamsville 128218-5W August 17, 2017
Lanfranchi, Ronald Gregory New York C05184-9B August 17, 2017
Lowenkron, Stuart Edwin Northport 184946-2W August 17, 2017
Madom, Ian Anthony East Syracuse 256162-9W August 17, 2017
Matal, Marla Lorena Ann Arbor 280951-5W August 17, 2017
Menard, Pierre Riviere Carnot Great Neck 105174-7W August 17, 2017
Mohuchy, Sophia Larisa Elmont C09473-2W August 17, 2017
Monica, Julianne H. Wall C11598-2W August 17, 2017
Neuschatz, Joseph J. Port Jefferson 091849-0W August 17, 2017
Noonan, John D. Slingerlands 120484-1W August 18, 2017
Ostrowski, Walter Bronx C07543-4B August 18, 2017
O’Sullivan, John Alfred Rochester 114924-4W August 18, 2017
Pacholka-Moran, James R. New York 174644-5W August 18, 2017
Perala, Padmavathi R. East Amherst 126638-6W August 18, 2017
Petrone, Joseph J. New York 141984-5W August 18, 2017
Pribis, Anneke B. Galway 236225-9B August 18, 2017
Remington, Margot Vero Beach 211434-6W August 18, 2017
Reyes, Gregorio V. Glen Head 111543-5W August 18, 2017
Roque, Romeo V., Jr. Longmeadow 113746-2W August 18, 2017
Saha, Usha Plattsburgh 165629-7W August 18, 2017
Sarpel, Suleyman Celalettin Grand Island 181947-3W August 18, 2017
Schenck, John F. Voorheesville 135183-2W August 18, 2017
Shibutani, Kinichi Mount Kisco 091310-3W August 18, 2017
Simpson, George True, II Buffalo 184484-4W August 18, 2017
Skiff, John Victor, Jr. Castleton on Hudson 076699-8W August 18, 2017
Spector David B Pittsford 131833-6W August 18, 2017
Staropoli, Robert A. New City C02603-1B August 18, 2017
Steffner, Robert John New York 279337-0W August 18, 2017
Taggart, Christopher Eugene Rochester 263893-0W August 18, 2017
Tolchinsky, Valery New York 169840-6W August 18, 2017
Tu, Ann Shine Seattle 247051-6W August 18, 2017
Zygmunt, John Joseph Johnson City 112861-0W August 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.

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.

Clarissa M. Rodriguez
Chair