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Subject Number 046-1341 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 26, 2020

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
Aideyan, Emokpolo Enotiemoya St. Petersburg 146805-7W August 20, 2020
Alario, Frank Charles Delray Beach 164204-0W August 20, 2020
Amponsah, Akwasi Peprah Newark 266582-6W August 20, 2020
Asbell, Robert Lewis New York 110339-9W August 20, 2020
Bax, Alfred James Lockport 128076-7W August 20, 2020
Belletti, Dino A. Manhasset 081704-9W August 20, 2020
Beltran, Luis Saura New York 251637-5W August 20, 2020
Briggs, Gabriel Timothy Camillus PT026816-9W August 20, 2020
Cavero, Rafael Larchmont 105567-2W August 20, 2020
Choi, Jennifer Jaehee Lake Success 287898-1W August 20, 2020
Cholakian, Ohanes Kapriel Rego Park 183615-4W August 20, 2020
Cushin, Susan Keene Bronxville 183399-5W August 20, 2020
Dhanoa, Pardeep Paul West Seneca 241190-8W August 20, 2020
Di Blasio, Ferdinand Conrad Syosset 102982-6W August 20, 2020
Donahue, Laurence Austin Rochester 169849-7W August 20, 2020
Duckles, Donald M. Penfield 089287-7W August 20, 2020
Eltman, Jason T. South Burlington 218988-4W August 20, 2020
Endres, Richard F. Sodus 126286-4W August 20, 2020
Fiordalisi, John Joseph Hampton Bays 169238-3W August 20, 2020
Fiore, John Leonard Warwick 139294-3W August 20, 2020
Gardner, Amy Hauppauge 143928-0W August 20, 2020
Garner, Steven C. Brooklyn 131074-7W August 20, 2020
Hantman, Stuart S. Pittsford 124087-8W August 20, 2020
Hawley, Ryan John Kirkwood 268891-9W August 20, 2020
Hughes, Cindy Weiss Slingerlands 177230-0W August 20, 2020
Jacobson, Lenard Eduard Boca Raton 096272-0W August 20, 2020
Jeyapalan, Soosaipillai G. Naples 128590-7W August 20, 2020
Kanterman, Richard Neal Harriman C04463-8W August 20, 2020
Keenan, Stephen R. Brooklyn C08327-1B August 20, 2020
Koganti, Baburao Manlius 109803-7W August 20, 2020
Lucas, Charles Clement, Jr. Larchmont 147930-2B August 20, 2020
Maiorino, William East Setauket 083069-5W August 20, 2020
Maluf, Fued Nazer Jamaica 104749-7W August 20, 2020
Maneyapanda, Bidappa G. Buffalo 114710-7W August 20, 2020
McAulliffe, Thomas Bruce Watertown C10867-2B August 20, 2020
Miller, Jean Deborah New York 166662-7W August 20, 2020
Miller, Lynn E. Owego 160299-4W August 21, 2020
Nayee, Sandip Natvarlal Robinsville 268468-6W August 24, 2020
Nourollah-Zadeh, Emad Albany 284685-5W August 21, 2020
O'Malley, Michael Calhoun 184073-5W August 21, 2020
Paez, Jorge A. East Setauket C02599-1W August 21, 2020
Rahill, Thomas F. Hicksville C02451-5W August 21, 2020
Rodriguez, Anthony J. Miami Beach C11645-1W August 21, 2020
Rosas, Augusto Monroe 107325-3W August 24, 2020
Rosenblum, Charles I. New York 090063-9W August 24, 2020
Roufaiel, David Magdy Greenlawn 274935-6W August 21, 2020
Shaftan, Gerald W. New York 071328-9W August 24, 2020
Shah, Ashokkumar Ratanlal Farmingdale 139003-8W August 21, 2020
Sokolsky, Lawrence T. New York 149091-1W August 21, 2020
Solomon, Scott Eric Scottsdale 160179-8W August 24, 2020
Southerst, Danielle New York C12871-2W August 24, 2020
Strauss, Barry Leslie Southampton 116994-5W August 21, 2020
Susarla, Ahalya Vestal 151434-8W August 21, 2020
Swerdloff, Allan P. Scarsdale 144197-1W August 21, 2020
Tatarian, Talar Stony Brook 293675-5W August 24, 2020
Taylor, Gregory Warwick Bloomfield 226502-3W August 24, 2020
Tysz, Samantha Uniondale 267181-6W August 24, 2020
Warner, Carolyn Hazard New York 144383-7W August 24, 2020
Weiss, Marshall F. New York 081053-1W August 24, 2020
White, Charles New York P06462-7B August 24, 2020
Woltjer, Thomas Allen Slingerlands 287833-8W August 24, 2020
Woodle, Joanne Slocum Peconic 145978-3W August 24, 2020
Wunsh, Stuart Eugene West Caldwell 092459-7W August 24, 2020
Yadlapalli, Janaki Old Westbury 174957-1W August 24, 2020
Yi, Christie Hyunsu Tenafly 213161-3W August 24, 2020
Silagy, Frank New York 146879-2W August 25, 2020

*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