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Subject Number 046-1450 July 2021 Removals from the List of Authorized Health Care Providers

Subject Numbers Regarding Health Provider Authorizations

September 16, 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
Abraham, Alfred Eyal South Ozone Park 231106-6W July 12, 2021
Al-Kass, Younis Binghamton 096656-4W July 12, 2021
Aluri, Bhanu Sri Mahwah 210871-0W July 12, 2021
Alwan, Abdalsalam Husain Suwanee 174099-2W July 12, 2021
Arora, Jodh Singh Jericho 109798-9W July 12, 2021
Ates, Meltem Brooklyn P06922-0I July 12, 2021
Athanasiou, Robert The Villages 134653-5W July 12, 2021
Baron, Richard John Endwell 136006-4W July 12, 2021
Bernhardt, Bernard Larchmont 093496-8W July 12, 2021
Bigbie, Robert P. Lexington C02481-2W July 12, 2021
Blattberg, Kyla Josie Syosset S12259-8W July 12, 2021
Bodner, Mitchell Neal Davie 162843-7W July 12, 2021
Breindel, Monique Lee New York 151477-7W July 12, 2021
Brisman, Ronald New York 098085-4B July 12, 2021
Brown, Andrew Michelson Stony Brook 298197-5W July 12, 2021
Campbell, Meghan Tampa PT043093-4W July 12, 2021
Cassis, Karine Garden City C09950-9W July 12, 2021
Chen, Jung Wen Schenectady 120972-5W July 12, 2021
Chiu, Kuan Ping L. Hartsdale 111199-6W July 12, 2021
Coman, John C. Douglaston 154282-8W July 12, 2021
Cuomo, Rick Charles Norwalk C05664-0I July 12, 2021
Dashiff, Jonathan Ephraim Westbury 171578-8W July 12, 2021
Della Rocca, Robert Claude Rye Brook 104343-9W July 12, 2021
Dhanjal, Satbachan S. Port Washington 135215-2W July 12, 2021
Eggert, Richard Warren Brooklyn C04698-9W July 12, 2021
Fang, Xiao Johnson City 231141-3W July 12, 2021
Filippone, Mark A. P. Wallington 124054-8W July 12, 2021
Fornes, Mark New York C04141-0W July 12, 2021
Francis, Faiz D. Troy 298246-0B July 12, 2021
Francisco, Timothy Tremain Utica PT021787-7W July 12, 2021
Freudenberger, Stephanie Elisab Charlotte OT014685-2W July 12, 2021
Frohm, Karl Douglas East Aurora S09497-9W July 12, 2021
Gahtan, Vivian Maywood 230018-4W July 12, 2021
Gandhi, Brett Ratilal Utica 183530-5W July 12, 2021
Goldberg, Barbara J. Richmond S05320-7W July 12, 2021
Goldfarb, Ivan Arthur Valley Stream C01126-4W July 12, 2021
Greenspan, Joel Roslyn Heights 107499-6W July 12, 2021
Horowitz, Laurie H. Mamaroneck OT000206-3W July 12, 2021
Ippolito, Elio Joseph Ossining 086623-6W July 12, 2021
Jameson, Gerardus Lee Burnt Hills 199653-7W July 12, 2021
Janof, Richard M. New Paltz C04533-8B July 12, 2021
Javit, Daniel Joel New York 178656-5W July 12, 2021
Kaledzi, Yao Leonard Bronx 167844-0W July 12, 2021
Karkee, Ashraya Syracuse 290329-2W July 12, 2021
Kessler, Robert Blake Albany 169259-9W July 12, 2021
Khurana, Bhupinder K. Miami Beach 147111-9W July 12, 2021
Kintzoglou, Alexander Bellmore 166870-6W July 12, 2021
Krawitt, Donald Robert Rhinebeck 073274-3W July 12, 2021
Kulbaski, Mark John Wappingers Falls 221866-7W July 12, 2021
Kung, David Chi Yu Elmira 145874-4W July 12, 2021
Lesser, Gerson T. Bronx 043708-7W July 12, 2021
Lotlikar, Ulhas A. Syosset 140943-2W July 12, 2021
Lutnick, Robert Edward Grand Island 168164-2W July 12, 2021
Malik, Komal Anwar New York 253891-6W July 12, 2021
Masri, Sammy I. Upper Saddle River 263317-0W July 12, 2021
Massad, Susan New York 135574-2W July 12, 2021
Mc Veigh, Robert Charles Pittsford 081316-2W July 12, 2021
Mcgroarty, James Brooklyn 104034-4W July 12, 2021
Medwid, Irene Carol New York C05256-5W July 12, 2021
Meyers, Harvey Pendell Iii Charlotte 298255-1W July 12, 2021
Mogelof, Jeffrey S. Fresno 116723-8W July 12, 2021
Morris, Garret Kenn Canandaigua 262901-2W July 12, 2021
Nael, Kambiz New York 280711-3W July 12, 2021
Ortiz, Jose Carlos New York 163531-7W July 12, 2021
Orzano, Michael Anthony Rockville Centre 159754-1W July 12, 2021
Pavone, Michael Carmel C09890-7W July 12, 2021
Rodal, Stewart Jay Sea Cliff 147501-1W July 12, 2021
Schwartz, Gale F. Boynton Beach S06430-3W July 12, 2021
Shah, Anuja T. Uniondale 289683-5W July 12, 2021
Sidoti, Eugene John, Jr. Scottsdale 175407-6B July 12, 2021
Sigamony, Manohar Brooklyn 200124-6W July 12, 2021
Sime, Patricia Janet Rochester 223543-0W July 12, 2021
Simkin, Linda Marie Aurora 109406-9W July 12, 2021
Singer, Bella Elwood 123971-4W July 12, 2021
Sireci, Joan Karen Whitestone C05449-6W July 12, 2021
Smith, David Wade Peru 190218-8W July 12, 2021
Sternlieb, Cheryl M. New York 096617-6W July 12, 2021
Surace, Joseph John Boca Raton 270547-3W July 12, 2021
Sweet, John Paul Oneonta 153630-9W July 12, 2021
Urban, Michael Kevin Scottsdale 180702-3W July 12, 2021
Vlasic, Niksa Ishpeming 207073-8W July 12, 2021
Walford, Gary David Perry Hall 185574-1I July 12, 2021
Wertalik, Louis F. Clifton Park 101537-9W July 12, 2021
White, Karen Ann St. Petersburg S07677-8W July 12, 2021
Wise, Robert John Mt. Pleasant 183910-9W July 12, 2021
Yamamoto, Julienne Ashley Syracuse 298079-5W July 12, 2021
Yaseen, Zaneb Ithaca 280400-3W July 12, 2021
Yip, Virginia Y. Austin 214150-5W July 12, 2021
Zimmer, Andrew Howard C13114-6W July 12, 2021
Zukerman, Raymond Rancho Mission Viej 102569-1W July 12, 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