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Subject Number 046-1506 January 2022 Removals from the List of Authorized Health Care Providers

Subject Numbers Regarding Health Provider Authorizations

March 9, 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
Abad, Edda M Y Forest Hills 121306-5W January 18, 2022
Ahmad, Jowairiyya Sarfraz Middletown 262563-0W January 18, 2022
Alam, Muna Tosnim Elmira 266899-4W January 18, 2022
Alvarez, Miguel A S Greenport 137761-3W January 18, 2022
Andolina, John Robert Pittsford 138110-2W January 18, 2022
Angeles, Esperanza San Miguel College Point 118229-4W January 18, 2022
Antohi, Petronela Hillsborough 263888-0W January 18, 2022
Auerbach, Jeffrey C Franklin Lakes 118009-0W January 18, 2022
Banwar, Nitin S. Canandaigua 148060-7I January 18, 2022
Basak, Jharna East Amherst 145614-4W January 18, 2022
Beckerman, Bruce Manalalpan 139837-9W January 18, 2022
Bernstein, Frederick Nathan Groveland 209488-6W January 18, 2022
Bernstein, Martin Yorktown Heights 077292-1W January 18, 2022
Borrie, Roderick A. Setauket S07931-9W January 19, 2022
Britvan, J. Allen Palm Beach Gardens 151295-3W January 18, 2022
Brooks, Michena Lubin East Rockaway P04062-7W January 19, 2022
Buchman, Myron Isaac New York 048761-1W January 19, 2022
Cacciatore, Joseph C. Glenwood Landing C01897-0W January 19, 2022
Capaccio, Michele Ann Rockville Centre PA013976-6W January 19, 2022
Capizzi, Robert Vero Beach 144630-1W January 19, 2022
Chokas, William Vasilios Great Neck 081931-8W January 19, 2022
Ciechorska, Maria New York 193143-5W January 19, 2022
Coniaris, Harry John Staten Island 171667-9W January 19, 2022
Curry, Michael J. East Aurora P02844-0W January 19, 2022
Daly, Susan Singleton Brewster S08503-5I January 19, 2022
Drayzen, Leonard Melville P01922-5W January 19, 2022
Ducey, Stephen Gerard Waterford 173701-4W January 19, 2022
Dydyn, Sara Katherine Staten Island OT022990-6W January 19, 2022
Eglauf, Douglas Roy White Plains C01515-8B January 19, 2022
Eichler, Harold L. Boca Raton 096921-2W January 19, 2022
Elibol, Tarik Kenmore 102346-4W January 19, 2022
Farrell, Joseph E. Laurel 075753-2W January 19, 2022
Fateh, Abul Flushing 152651-6W January 19, 2022
Feldman, Jacob Stephen Sedona 286751-3W January 19, 2022
Fernandez, Jose M. Woodside C01899-6W January 19, 2022
Friedman, Arthur Smithtown 160449-5W January 19, 2022
Golding, Mary Stella Rockville Centre C11914-1W January 19, 2022
Golonka, Joseph Emil Lake Luzerne 090923-4W January 19, 2022
Gordon, Jeffrey H. Oyster Bay 097030-1W January 19, 2022
Gray, Glenn G. Bay Shore 201751-5W January 19, 2022
Gulfaraz, Shaukat Ali Amsterdam 273799-7W January 19, 2022
Guo, Nianzu Fresh Meadows 212181-2W January 19, 2022
Hong, John S. Mountain View 117517-3W January 19, 2022
Horowitz, Charles David Latham S09357-5W January 19, 2022
Husa, Catherine Janine Ithaca 135834-0W January 19, 2022
Jain, Ajay Syracuse 272673-5W January 19, 2022
Kalman, Kenneth C. Islip C02218-8W January 19, 2022
Karls, Shawn New York 293539-3W January 19, 2022
Kavet, Jay A. New York 149555-5W January 19, 2022
Khine, Kay Thwe Culver City 293852-0W January 19, 2022
Kistler, Brian Joseph Santa Maria 274343-3W January 19, 2022
Krinsky, Glenn Andrew Saddle River 178700-1W January 19, 2022
Lahiri, Asok K. Wappingers Falls 113539-1W January 19, 2022
Lamb, Anna Marie Batavia 212349-5W January 18, 2022
Lane, Patricia Elise Clinton 174555-3W January 18, 2022
Lichtenfeld, William Jay Alpharetta 202476-8I January 18, 2022
Markman, Lisa Hannah Irvine 258086-8W January 18, 2022
McNamee, Joseph E. East Quogue S05405-6W January 18, 2022
Medina, Christopher Ariel Aledo 283559-3W January 18, 2022
Miguel, Kimberly A. Port Jefferson Station PT022294-3W January 18, 2022
Minetti, Helen Higgins Englewood 109210-5W January 18, 2022
Mofidian, Mehdi Cooperstown 295293-5W January 18, 2022
Myerson, Merle Cooperstown 203952-7W January 18, 2022
Nacht, Robert I. New York 094951-1W January 18, 2022
Nath, Sanjeev Jackson Heights 129570-8W January 18, 2022
Nattell, Daniel Francis Dover 190824-3W January 18, 2022
Negrini, Clelia Pittsford 238045-9W January 18, 2022
Pelletier, Valmore Alexis, Jr. Slingerlands 094412-4W January 19, 2022
Polly, Kathleen Bronchetti Liverpool PT036608-8W January 19, 2022
Por, Nicholas New York PT022183-8W January 18, 2022
Prasad, Sukanya Srinivasa Vestal 156502-7W January 18, 2022
Prouse, Deborah Marisa Tarrytown PA022661-3W January 18, 2022
Rabent, Michael J. Jamestown PT005764-6W January 18, 2022
Rachlin, Jordan W. Monroe P02464-7W January 18, 2022
Reiter, Paul Michael Hurley 136910-7W January 18, 2022
Ruggiero, Samuel F. Cheektowaga P03433-1W January 18, 2022
Ryu, Hak Yong Staten Island 138045-0W January 18, 2022
Sadel, Scott Michael Scotch Plains 217617-0W January 18, 2022
Sandhu, Aqeel A. Syracuse 195462-7W January 18, 2022
Schmidt, Philip New York 086468-6W January 19, 2022
Schnide, Kenneth Ben Red Hook 155162-1W January 19, 2022
Schwartz, Mark F. Boynton Beach S06431-1W January 19, 2022
Seo, Gwy Suk Aurora 226450-5W January 19, 2022
Simoni, Payman Beverly Hills 224593-4I January 19, 2022
Smith, Richard M. Plattsburgh S05148-2W January 19, 2022
Soucy, Anne Judith Fort Fairfield 217342-5W January 19, 2022
Spadola, Madeline L. Newport S20032-9W January 19, 2022
Stephan, Linda Beth Hamden S07861-8W January 19, 2022
Sternberg, Marc B. Queens Village S05795-0W January 19, 2022
Stout, David Paul Lewiston 284388-6W January 19, 2022
Subadya, Jeremy Tjandra Woodland Hills C12806-8W January 19, 2022
Summers, Jessica Ida Syracuse 295711-6W January 19, 2022
Testa, Joseph S. Tonawanda 154759-5W January 19, 2022
Tomasello, Jessica Wynn Scottsdale 225831-7W January 19, 2022
Vujovic, Ljubomir Ridgewood 126930-7W January 19, 2022
Waters, Heather Holmes Westport 272636-2W January 19, 2022
Werter, Howard D. Deer Park P02033-0W January 19, 2022
Wexler, Rima Irene Glen Oaks P05007-1W January 19, 2022
Wist, Kim L. Farmingdale C06556-7W January 19, 2022
Witte, Sally Schaum South Nyack S10529-6W January 19, 2022
Yang, Neil Chia Chan Melville 292228-4W January 19, 2022
Young, Stephanie Telesetsky Sheperdstown 256595-0W January 19, 2022
Yovanoff, James Queensbury 170014-5W January 19, 2022
Yuhasz, Mikell Margaret New York 292413-2W January 19, 2022

*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