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Subject Number 046-1499 December 2021 Removals from the List of Authorized Health Care Providers

Subject Numbers Regarding Health Provider Authorizations

February 8, 2022

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
Ahmad, Nina Ravena 276142-7W December 16, 2021
Alfenito, Ralph F. Huntington 082754-3W December 16, 2021
Angelos, George Christopher Sioux Falls 267730-0W December 16, 2021
Armengol, Sonia New York 098763-6W December 16, 2021
Baker, Laurence S. White Plains S00343-4W December 16, 2021
Bhatia, Nitin White Plains 262359-3W December 16, 2021
Bilen, Ziya Elmira 191671-7W December 16, 2021
Brunoski, Thomas T. Westport 114994-7W December 16, 2021
Calabrese, Peter W. Syracuse P03038-8W December 16, 2021
Devine, Terence M. Vestal 131307-1W December 16, 2021
Dhingra, Usha Rochester 140428-4W December 16, 2021
Dominguez, Gliceria Cavas Forest Hills 153077-3W December 16, 2021
Dougherty, Gwendolyn Elizabeth Syracuse PT043120-5W December 16, 2021
Einwohner, Ethel Joan New York S02996-7W December 16, 2021
Ellis, Leslie Spivack Pendery New York 300509-7W December 16, 2021
Fayemi, Ayodeji Bodunrin White Plains 119113-9W December 16, 2021
Fitzpatrick, Thomas Michael Norwich 144692-1W December 16, 2021
Gallagher, Michael S. Stony Brook C08735-5W December 16, 2021
Garcia, Patrick Einstein Cruz Spring 302367-8W December 16, 2021
Garman, Anna Grace Pittsford PT043538-8W December 16, 2021
Gatewood, Caroline Valenta Hampton Bays 203316-5W December 16, 2021
Gelberg, Burt W. Woodmere 116289-0W December 16, 2021
Glass, Peter Stanley Abraham Washington 216050-5W December 16, 2021
Goodman, David Alan Burnsville 292125-2I December 16, 2021
Grandville, Grace Rose Holbrook C09982-2W December 16, 2021
Hagadus, Ronald J. New York 099965-6W December 16, 2021
Hagen, Mark R. Westfield 143041-2W December 16, 2021
Hannigan, R. John Wappingers Falls C03660-0W December 16, 2021
Harris, Louise Marie St. Augustine 195893-3W December 16, 2021
Hassani, Nasser H. S. Old Westbury 108189-2W December 16, 2021
Hayman, Judy Ann Syracuse S14760-3W December 17, 2021
Heckman, Bruce H. Millwood 101999-1W December 17, 2021
Herzl-Betz, Kenneth Joseph Elmira 169700-2W December 17, 2021
Hirsch, Jessica Elizabeth Levittown PT043166-8W December 17, 2021
Hodorski, William Robert Hyde Park 210066-7W December 17, 2021
Hundal, Satvir Kaur Bay Shore PT043173-4W December 17, 2021
Jacobucci, Nicola Joseph Brooklyn 296566-3W December 17, 2021
Karimi, Sara Englewood Cliffs 210909-8W December 17, 2021
Karpf, Andrew J. New York S04736-5W December 17, 2021
Katz, Robert Syracuse S05997-2W December 17, 2021
Kazam, Elias Bronx 107167-9W December 17, 2021
Kenning, Tyler James Albany 265757-5W December 17, 2021
Kidd, Kassidy Ellen Niagara Falls PT043545-3W December 17, 2021
Klein, Leslie Alan Brooklyn C02242-8B December 17, 2021
Kokotos, William J. Garden City 190141-2W December 17, 2021
Kotkin, Lawrence Robert Melville S06339-6W December 16, 2021
Kresse, Teresa Ann Whitestone AC001067-8W December 16, 2021
Lee, Christine Ann New York PT043279-9W December 16, 2021
Levine, Donald M. New York S09958-0W December 16, 2021
Levine, Robert Aaron Brookline 116082-9I December 16, 2021
Lin, Min Chung Bath 125455-6W December 16, 2021
Mahoney, Shannon Elizabeth Tallman PT043258-3W December 16, 2021
Mandelblat, Zarina Brooklyn 227160-9W December 16, 2021
Mangcoy, Bobby Sadiua Wallington PT026088-5W December 16, 2021
McCormick, Toni M. Syracuse S11223-5W December 16, 2021
McCoy, Kieran Scott Johnstown PT043287-2W December 16, 2021
Miguel, Arturo Dumlao Port Jefferson Station PT022287-7W December 16, 2021
Morrongiello, Michael Anthony Corning S10784-7W December 16, 2021
Notaristefano, Luigia Gina West Nyack 203453-6W December 16, 2021
Nugent, Craig Timothy New City C11438-1W December 16, 2021
Olson, Carl Patchogue PT032366-7W December 16, 2021
Pappous, Emmanuel Glen Head 148387-4W December 16, 2021
Pardes, Morton N. New Hyde Park S03164-1W December 16, 2021
Patel, Devayani M. Staten Island 124260-1W December 16, 2021
Perkal, Andrew Flushing S07382-5W December 16, 2021
Petrini, Anthony Joseph Syosset 147882-5W December 16, 2021
Platt, Bruce Lee Buffalo 137318-2W December 16, 2021
Plotkin, Scott Norman Buffalo 177070-0W December 16, 2021
Podolsky, Scott Jon Queensbury 183558-6W December 16, 2021
Putignano, Joseph D. Shelter Island 097285-1W December 16, 2021
Randev, Sonika Ashland 302519-4W December 16, 2021
Reed, Nathan Parker Delmar 093700-3W December 16, 2021
Rehman, Abdul Staten Island 115368-3W December 16, 2021
Reyner, Kaylyn Lee Johnson City OT016274-3W December 16, 2021
Sabah, Maira Eastvale C12807-6W December 16, 2021
Schaefer, Luke Thomas Buffalo PT043480-3W December 16, 2021
Schulze, Gerald John East Islip 145787-8W December 16, 2021
Schwartz, Douglas Bryan Albany 175566-9W December 16, 2021
Seketa, Nicholas Frank Johnson City P02900-0W December 16, 2021
Seleverstov, Oleksandr Plattsburgh 284310-0W December 16, 2021
Shah, Rajnikant P. Manhasset Hills 117861-5W December 16, 2021
Sher, Lawrence M. Lawrence 140157-9W December 16, 2021
Sims, Lewis J. Poughkeepsie P02446-4B December 16, 2021
Sisler, Hampson Albert New York 081897-1B December 16, 2021
Sjem, Suzanne Athens PT026321-0W December 16, 2021
Sorkin, Arnold Boca Raton S05472-6W December 16, 2021
Thomas, Joel Stony Brook 295788-4W December 16, 2021
Thomas, Neila Jeanne Horseheads PT043461-3W December 16, 2021
Weinstein, Pearl A. Great Neck S07463-3W December 16, 2021
Weisel, Susan Michele Fishkill 174222-0W December 16, 2021
Wolder, Margaret New York S09777-4W December 16, 2021
Wong, Winston C. Latham 123644-7W December 16, 2021
Yee, Wilfred W. B. Hyde Park 129448-7W December 16, 2021
Zhang, Yue Stony Brook 275430-7W December 16, 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