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Subject Number 046-1516 February 2022 Removals from the List of Authorized Health Care Providers

Subject Numbers Regarding Health Provider Authorizations

April 18, 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
Abrahamson, Hal F. Rego Park P04608-7B February 23, 2022
Axelrod, Steven D. New York S06866-8W February 23, 2022
Babb, Richard Symonds New Rochelle S09293-2B February 23, 2022
Badola, Raghubar Prasad Poughkeepsie 112540-0W February 23, 2022
Balassone, Margaret Portland 184396-0W February 23, 2022
Barada, James Hunt Albany 172973-0W February 23, 2022
Barbera, Carl J. Poughkeepsie 159843-2B February 23, 2022
Barnes, Nicklaus Micah Horseheads C12338-2W February 23, 2022
Benivegna, Richard Louis Canandaigua 174990-2W February 23, 2022
Bernstein, Stephen Glenn Melville 140542-2W February 23, 2022
Boland, Thomas B. New York S04631-8B February 23, 2022
Braiman, Theodore Lewes 175903-4W February 23, 2022
Broffman, Gregg Hamburg 131752-8W February 23, 2022
Buonocore, John Anthony Fort Wayne 182693-2W February 23, 2022
Butera, Peter Gerard Carolina 172175-2W February 23, 2022
Cable, Ashley Christina Endwell OT023038-3W February 23, 2022
Cardenas-Crowley, Silvia Olga Brooklyn 161555-8W February 23, 2022
Chebes, Lukasz Potsdam 296288-4W February 23, 2022
Chmura, Ann Meredith Richardson Geneva 147027-7W February 23, 2022
Clarke, C. Biliston Tampa 161843-8W February 24, 2022
Dhillon, Jagpreet Singh Miller Place 210655-7B February 23, 2022
Evans, Evan J. Williamsville 126194-0W February 23, 2022
Fella, Eleanor A. Pawling C10245-1W February 23, 2022
Fields, Richard Miami Beach P06558-2I February 23, 2022
Fish, Alexander Forest Hills P04229-2W February 24, 2022
Franke, Kate Lynn Lincolnshire PT043638-6W February 24, 2022
Friedman, Jeffrey Mathew East Syracuse 284164-1W February 24, 2022
Galos, David K. East Meadows 277069-1W February 24, 2022
Ghiraldini, Rita Cassia New York C09958-2B February 24, 2022
Goldstein, Edward Barry Brooklyn 087745-6W February 24, 2022
Gordon, David H. Mattituck 104576-4B February 24, 2022
Gorey, Sheila M. Lewes PT004443-8W February 24, 2022
Greenblatt, Michael N. Plainview 092850-7W February 24, 2022
Gumbs, Milton Aubrey Bronx 104932-9W February 24, 2022
Haggarty, Marie Wilson Malone PA005121-9W February 24, 2022
Haley, Adriana Rosa Palmetto Bay S12229-1W February 24, 2022
Harper, Yusuf Norwich 204564-9W February 24, 2022
Hayes, Ron W. Millerton C04092-5W February 24, 2022
Helman, Jay D. Wimauma P02496-9B February 24, 2022
Henoch, Monica Jean Pittsford 169999-0W February 24, 2022
Heverly, Debra Niagara Falls 129779-5W February 24, 2022
Imai, Yosuke Hartsdale 111318-2W February 24, 2022
Incalcaterra, Gregory Syosset 137554-2W February 24, 2022
Jasti, Sirisha Creve Coeur 274137-9W February 24, 2022
Judge, Peter Adam East Setauket 167263-3W February 24, 2022
Kacprzyk, Daria Anna Vestal PA022845-2W February 24, 2022
Kahanowicz, Zwi New York 117559-5W February 24, 2022
Kaplan, Gary Paul Lake Success 165837-6W February 24, 2022
Karan, David S. Brooklyn 082410-2W February 24, 2022
Kasowitz, Mark H. Syracuse 119538-7W February 24, 2022
Keegan, Kerry John West Islip C06502-1W February 24, 2022
Kessler, Richard E. Demascus 090224-7W February 24, 2022
Khan, Sara Atiq Stony Brook 294424-7W February 24, 2022
Kluger, Martin A. Great Neck S10139-4B February 24, 2022
Krems, Sheldon M. Sunderland S05375-1W February 24, 2022
Kresse, Mark R. Erie PT006600-1W February 24, 2022
Lalia, Joseph F. Brightwaters P02773-1B February 24, 2022
Lang, Anthony E. Albany 086939-6W February 24, 2022
Lawlor, Mary Ellen Queensbury S10781-3B February 24, 2022
Lazar, Ronald M. Birmingham S07023-5W February 24, 2022
Lazzaro, Thomas Anthony Syracuse S03867-9W February 24, 2022
Lee, Melissa Anne Gansevoort PT040017-6W February 24, 2022
Leonard, Shannan Maria Vestal N602170-3W February 24, 2022
Lepore, Lisa Ann Port Jefferson Station C06301-8W February 24, 2022
Lester, Thomas J. Mount Kisco 145145-9W February 24, 2022
Lewish, Gregory D. Rochester 156391-5W February 24, 2022
Lockwood, Kourtney Buffalo C11845-7W February 24, 2022
Lupinacci, Louis Saint James C02295-6B February 24, 2022
Lynch, Thomas Sean New York 275201-2W February 24, 2022
Madhavan, Arjun New Brunswick 258161-9B February 24, 2022
Mincey, Tyran Gregory Montclair C09049-0W February 24, 2022
Mirabile, Matthew P. Ballston Spa C04479-4W February 24, 2022
Modi, Kalpana J. Poughkeepsie 163632-3W February 24, 2022
Monaco, Vincent Joseph Albany 113631-6W February 24, 2022
Murad, Jeff E. Deal 145006-3W February 24, 2022
Nguyen, Rachelle Bordlee Brooklyn PT040813-8W February 24, 2022
Nigen, David Lawrence Astoria 284105-4W February 24, 2022
Nussbaum, Jeffrey Kenneth Babylon 147879-1W February 24, 2022
Pantuck, Eugene Joel New York 092342-5W February 24, 2022
Paul, Niharendu New York 144590-7W February 24, 2022
Perry, Jeanell Matawan S10328-3W February 24, 2022
Phillips, Michael Edward Plattsburgh 185433-0W February 24, 2022
Pusateri, Scott Thomas New York PA019690-7W February 23, 2022
Raab, Thomas Albert Buffalo 135705-2B February 23, 2022
Raab, Thomas J Dix Hills S04507-0W February 23, 2022
Ravi, Ananth Kumar Hermantown 284688-9W February 23, 2022
Richards, John C. Mechanicville 119629-4B February 23, 2022
Richardson, John Troy, Jr. Atlanta 217653-5W February 23, 2022
Rouse, Lucien Maltby, Jr. Rochester 181386-4W February 23, 2022
Sanders, Sara Grace New York PA022696-9W February 23, 2022
Schneider, Arlene Terry Brooklyn 103750-6W February 23, 2022
Scott, James Matthew Cooperstown 276530-3W February 23, 2022
Senat, Junior Desir Brooklyn PT040321-2W February 23, 2022
Serini, Danielle Michele Staten Island C10938-1B February 23, 2022
Shafer, Carolyn Hardy Mechanicville PA008030-9W February 23, 2022
Shahnawaz, Zainab Syracuse 296045-8W February 23, 2022
Sharma, Suresh C. Amherst 123946-6W February 23, 2022
Shaughnessy, John F. Aiken C04243-4B February 23, 2022
Simon, Mitchell Steven Springfield C13165-8W February 23, 2022
Singh, David Oradell 253221-6W February 23, 2022
Singh, Prithi Pal Syosset 152970-0W February 24, 2022
Smith, Jennifer Lynn Rochester OT003790-3W February 23, 2022
Solodnik, Tatyana Forest Hills 176637-7W February 23, 2022
Spatz, Eileen M. New York 121190-3W February 23, 2022
Stewart, Kendall Basil Brooklyn P03320-0W February 23, 2022
Tan, Michael Rome 137867-8W February 23, 2022
Thompkins, Allen Paul New York PT043673-3W February 23, 2022
Vandervort, Megan Marie Vestal PT040598-5W February 23, 2022
Weiss, Allen Johnathan Bronx 293992-4W February 23, 2022
Wolhandler, Howard Mark Jamesville P02524-8B February 23, 2022
Wu, Yaojie Middletown 273658-5W February 23, 2022
Yitzhaki, Izik Fort Lee 208954-8B February 23, 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