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Subject Number 046-1478 September 2021 Removals from the List of Authorized Health Care Providers

Subject Numbers Regarding Health Provider Authorizations

November 22, 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
Ahuja, Ankur Huntington 282168-4W September 16, 2021
Ajegba, Folashade Omodele Rocky Hill 274344-1W September 16, 2021
Amblard, Louis Leonce Cary 216663-5W September 16, 2021
Armenia, Donald Joseph Orchard Park 142442-3W September 16, 2021
Ascioti, Samuel Wallace Arlington C12862-1W September 16, 2021
Austin, John Holcombe Mcculloch New York 116390-6W September 16, 2021
Balmir, Serge Cedarhurst 141579-3W September 16, 2021
Barach, Bruce Kerry Schenectady 174007-5B September 16, 2021
Barkowski, Nancy Ann Catherine Schenectady 203198-7W September 16, 2021
Barnett, Natalie Renee New Hyde Park 280774-1W September 16, 2021
Becker, Peter Mark Fayetteville 140611-5W September 16, 2021
Bichala, Shalini Vestal 283713-6W September 16, 2021
Blanco, Barbara Salvia Danbury 231477-1W September 16, 2021
Blidaru, Ioana Alexandra Albany PA022042-6W September 16, 2021
Bryan, Flize A. Brooklyn 129936-1W September 16, 2021
Burdick, Jeffrey J. Albany 168614-6I September 16, 2021
Burman, Leonard Judah Canandaigua 186519-5W September 20, 2021
Camunas, Jorge Luis New York 116106-6W September 16, 2021
Chacko, Riya Susan Syracuse 264858-2W September 16, 2021
Chagnon, Denis Ernest Lake Placid 116548-9W September 16, 2021
Chiu, Felicia Y. Melville 281149-5W September 16, 2021
Consorte, James Huntington S09493-8W September 17, 2021
Coughlin, Kevin Michael Elmira 175328-4W September 17, 2021
Daly, Robert William Garden City 098212-4W September 17, 2021
Dicostanzo, Vincent John Orangeburg C02720-3W September 17, 2021
Eisenberg, Marvin Staten Island C01104-1W September 17, 2021
Falkoff, Michael D. Rochester 126288-0W September 17, 2021
Fink, Richard Maury Commack C02951-4B September 17, 2021
Fradlis, Alina Huntington Station 289626-4W September 17, 2021
Freedman, Marsha Bloomfield S10907-4W September 17, 2021
Gallos, George New York 229500-4W September 17, 2021
Goldbetter, Victor C. Brooklyn 187344-7W September 17, 2021
Goldstein, Asher C. New York 229572-3W September 17, 2021
Goldstein, Marvin H. New York 083659-3W September 17, 2021
Govindaraj, Shanthi Staten Island 115118-2W September 17, 2021
Green, Peter Warwick Brunt East Northport 143157-6B September 17, 2021
Gudavalli, Prasad R. Brooklyn 128146-8W September 17, 2021
Guffey, Jan Marie Dalton C11348-2B September 17, 2021
James, David Michael Getzville 209033-0W September 17, 2021
Jean-Jacques, Marie Laure Vestal 272841-8W September 17, 2021
Joseph, Shamfa Chrystal Cooperstown 289815-3W September 17, 2021
Kassoff, Aaron Albany 097181-2B September 17, 2021
Katzman, Marvin S. Irving C03920-8B September 17, 2021
Kaur, Surinder Teaneck 138315-7W September 17, 2021
Kennedy, John Joseph Naples 139092-1B September 17, 2021
Kim, Martin Minwoo Syracuse 299039-8W September 16, 2021
Kim, Samuel New York 246540-9W September 16, 2021
Koreishi, Faruk M. Buffalo 119187-3W September 16, 2021
Kpandeyenge, Tity Mae Buffalo 299099-2W September 16, 2021
Levin, Michael New York 148299-1W September 16, 2021
Levy, Vivian Joy Columbia 293243-2B September 16, 2021
Lieu, Kevin H. Fishkill 113564-9W September 16, 2021
Ling-Chung, Edmund K. P. Staten Island 153451-0W September 16, 2021
Lucariello, Ralph J. Bronx 072852-7W September 16, 2021
Luque, Francisco Antonio White Plains 173558-8W September 16, 2021
Mcmath, William Thoma, III Stony Brook S11069-2B September 16, 2021
Meza, David Bernard Lawrence Lyndonville 098292-6W September 16, 2021
Miller, Ryan Christopher Malvern 294076-5W September 16, 2021
Misholy, Haim Setauket 141725-2W September 16, 2021
Narins, David Joel White Plains 095039-4W September 16, 2021
Ni, Kimberly Vestal 290771-5W September 16, 2021
Nudelman, Zhanna Brooklyn 225176-7W September 16, 2021
Osborn, Elizabeth Valhalla S08261-0B September 16, 2021
Papperman, Theodore Joseph Seneca Falls S09401-1B September 16, 2021
Park, Eung Whan Rolling Hills Est 115322-0W September 16, 2021
Patheja, Jashen Singh Brooklyn 299073-7W September 16, 2021
Peer, Gerald Lawrence Amherst 154046-7B September 16, 2021
Pepper, Bert Sleepy Hollow 084424-1B September 16, 2021
Pillari, Vincent T. Bayville 090753-5W September 16, 2021
Pimentel, Mariano Cezar, Jr. West Nyack 166280-8W September 16, 2021
Poveda, Jose Filiberto Hempstead 102453-8W September 16, 2021
Preiser, Gary Walton 117128-9W September 16, 2021
Principe, Salvatore Raphael Unadilla C04382-0B September 16, 2021
Rajpal, Sanjeev Valley Stream 132687-5W September 16, 2021
Raoofi, William Seyed Reza Syracuse 299015-8W September 16, 2021
Sarwar, Chaudhry Muhammad Shahb Stony Brook 280074-6W September 16, 2021
Sawhney, Ramesh Kumar West Orange 154748-8B September 16, 2021
Selden, Reid V. Islandia 136326-6W September 16, 2021
Shariat, Panahi Jaleh Kingston 126628-7W September 16, 2021
Shumsky, David Joshua Montrose S09554-7W September 16, 2021
Sileo, Anthony Vincent Rego Park 107335-2W September 16, 2021
Simons, Calvin J. Brooklyn 085285-5W September 16, 2021
Singer, Elliot Roy Chappaqua 098745-3W September 16, 2021
Slota, Bozena Johnson City 208938-1B September 16, 2021
Solomon, Seymour Bronx 070209-2W September 16, 2021
Stemple, Diane M. Brooklyn S08475-6W September 16, 2021
Sundaram, Vishalakshi Roanoke 263210-7W September 17, 2021
Walsky, Robert Samuel Woodcliff 110318-3W September 17, 2021
Wilamowski, Henry G. Cheektowaga 140941-6W September 20, 2021
Yocono, Mark Anthony Albany 189746-1W September 17, 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