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Subject Number 046-1417 April 2021 Removals from the List of Authorized Health Care Providers

Subject Numbers Regarding Health Provider Authorizations

June 11, 2021

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
Akunne, Chima Paul Newburgh P06718-2W April 12, 2021
Alianell, Theresa Elizabeth Mount Morris C06354-7W April 12, 2021
Ariola, Hopkins Francisco G. Garden City 111125-1W April 12, 2021
Assalone, Natalie Port Jefferson 223450-8W April 12, 2021
Bapna, Jitendra Plano 221751-1W April 12, 2021
Berlin, Bruce Howard Northport 143789-6W April 12, 2021
Biasetti, John Philip East Setauket 096500-4W April 12, 2021
Boka, Ike Akos Bonita Springs 216493-7W April 12, 2021
Boyle, John Ridgewood PT035903-4W April 12, 2021
Brumberger, Keith Arthur Scarsdale 138875-0W April 12, 2021
Carmien-Rivard, Carol Avon C05226-8W April 12, 2021
Cera, Darryl P. New York C04009-9W April 12, 2021
Chander, Pranay Niagara Falls 296928-5W April 12, 2021
Cincotta, Armand J. Jamesville 104892-5W April 12, 2021
Cotanch, William Wayne Rochester 098806-3W April 12, 2021
Cruz-Soto, Aida M. Yonkers 182009-1W April 12, 2021
Cuneo, Peter W. New York 110132-8W April 12, 2021
Dapul, Geraldine Poscablo Rochester 279226-5W April 12, 2021
Elfaham, Basem S. Northport 129450-3W April 12, 2021
Ellwood, James William Brooklyn 162717-3W April 12, 2021
Facelle, Thomas L. Suffern 145054-3W April 12, 2021
Finkel, Morton Yonkers 086836-4W April 12, 2021
Friedman, Howard Samuel New York 101952-0W April 12, 2021
Gartner, Joseph Alvin Charlotte 160396-8W April 12, 2021
Gerbasi, Thomas R. Lewiston 131077-0W April 12, 2021
Golomb, Frederick Martin New York 070889-1W April 12, 2021
Gormley, Dennis J. Staten Island 109263-4B April 12, 2021
Grossman, James Ira White Plains 090924-2W April 12, 2021
Hashisho, Mazen M. Playa Vista 268410-8W April 12, 2021
Healy, Brian New York S13069-0W April 12, 2021
Herrington, Alyssa Marie Greenwood PT042705-4W April 12, 2021
Hsieh, Jong-Hwa Santa Clara 166076-0W April 12, 2021
Ivanick, Mark Joseph Elmira 139254-7W April 12, 2021
Jampol, Jesse Herbert New York 075885-4W April 12, 2021
Jimenez, Arthur C. New York 136726-7B April 12, 2021
Kachadourian, Aristaks Binghamton 094508-9B April 12, 2021
Kalnoki-Kis, Emese Concord 287964-1W April 12, 2021
Kapuscinska, Barbara Delmar 173869-9W April 12, 2021
Kaufman, Andrew Russell Syracuse 252397-5I April 12, 2021
Khan, Sardar Ali Setauket 113497-2W April 12, 2021
Kiamanesh, David Ashkan Stony Brook 271459-0W April 12, 2021
Kieler, Ann Delmar 129820-7W April 13, 2021
Klein, Guy Victor 282557-8W April 13, 2021
Korus, Adam Jeffrey New Haven 298901-0W April 13, 2021
LaPorta, Robert Frank Avon 180152-1W April 13, 2021
Liederson, Stuart Newburgh 209961-2W April 13, 2021
Light, Ruth Lewert Patterson 216660-1W April 13, 2021
Lingam, Diwakar Venkata Hanover 271833-6I April 13, 2021
Lloyd, John Mervyn Westwood 202611-0I April 13, 2021
Lups, Anna Hudson 093263-2W April 13, 2021
Lyapin, Alexander Potsdam 271546-4W April 13, 2021
Madani, M. Ali Kingston 097951-8W April 13, 2021
Manos, Christina Delray Beach 178740-7W April 13, 2021
McElroy, Laura Ann Rochester 271292-5W April 13, 2021
Mendiratta, Sham Sunder Manhasset 109980-3W April 13, 2021
Monks, James Joseph Valley Cottage C11289-8W April 13, 2021
Nadkarni, Prashant V. Syracuse 263201-6W April 13, 2021
Nayowith, Bruce E. Great Barrington 145956-9W April 13, 2021
Neubert, Lee Jacob Horseheads 280042-3W April 13, 2021
Novak, Larry I. Fayetteville 129876-9W April 13, 2021
Pal, Rakhi Corning 279561-5W April 13, 2021
Park, Ki Young Lewisville 200978-5W April 13, 2021
Patel, Manan Krishnakant Piscataway 262028-4B April 13, 2021
Patel, Pratima R. Roslyn 121706-6W April 13, 2021
Phillips, Howard Paul Hawthorne 137052-7W April 13, 2021
Pier, Linda Kennedy Syracuse 112949-3W April 13, 2021
Price, Erin Michelle San Diego 236112-9W April 13, 2021
Reyes, Reynaldo R. Dix Hills 113738-9W April 13, 2021
Rodgers, Thomas David Chapel Hill 283250-9W April 13, 2021
Salimi, Ali Huntington 194072-5W April 13, 2021
Schuster, Stephen Samuel Airmont 103202-8W April 13, 2021
Shah, Arvind R. Old Westbury 133221-2W April 13, 2021
Shapiro, Howard E. New York S06438-6B April 13, 2021
Sheikh, Ali H. Lebanon 269727-4W April 13, 2021
Silk, Paul R. Latham 130202-5W April 13, 2021
Soren, Stanley Staten Island 087892-6B April 13, 2021
Stelzer, Shelly Rae Landenberg 272307-0W April 13, 2021
Tecson, Maria Joycelynne Y. Staten Island 223429-2W April 13, 2021
Tillapaugh, Delaney Elizabeth Apalachin PT042797-1W April 13, 2021
Walker, Howard Alan Plattsburgh 098723-0W April 13, 2021
Walzer, James Paul Syracuse C08622-5W April 13, 2021

*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