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Subject Number 046-1521 March 2022 Removals from the List of Authorized Health Care Providers

Subject Numbers Regarding Health Provider Authorizations

May 17, 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
Adams, Steven L. East Syracuse S11269-8W March 22, 2022
Afshani, Ehsan Bonita Springs 110393-6W March 22, 2022
Aicardi, Gina Jersey City PT043973-7W March 22, 2022
Amini, Manouchehr Roslyn 114689-3B March 22, 2022
Arnold, Richard Russell Evergreen S03954-5W March 22, 2022
Axt, Steven B. Patchogue P03178-2B March 22, 2022
Baillargeon, Neal Arthur Philmont 161495-7W March 22, 2022
Bakston, George A. Melville 150187-3W March 22, 2022
Bernstein, Michael L. Carmel 122662-0B March 22, 2022
Bevier, Becki L. Weedsport PA017035-7B March 22, 2022
Biller, Bob S. Land O Lakes P02835-8B March 22, 2022
Boman Thomas Edward Weems 185786-1W March 22, 2022
Borra, Sonia Iclea Pittsburgh 111163-2W March 22, 2022
Brett, Stanley Robert Brightwaters S03118-7W March 22, 2022
Burger, Andrew Alan New York 109083-6W March 22, 2022
Burns, Elisa E. Mount Kisco 154903-9W March 22, 2022
Butensky, Marlene Cheryl Amherst S07897-2W March 22, 2022
Campbell, Andray Ainsworth Brooklyn PT043956-2W March 22, 2022
Chamson, Sandra Potkorony New York S09105-8W March 22, 2022
Chen, Edward Melville 256103-3W March 22, 2022
Cohen, Martin B. Valhalla 148885-7W March 22, 2022
Colabella, Anthony Daniel Stamford PT043987-7W March 22, 2022
Cruz-Menoyo, Priscilla Marie Tampa 292679-8W March 22, 2022
Cudahy, Richard Purcell Little Genesee 141445-7W March 22, 2022
Dale, Priscilla Kathleen Springville 194016-2W March 22, 2022
Davidson, Emily Ann Rochester PT043881-2W March 22, 2022
Dematteo, Anthony A. Queensbury PT005650-7W March 22, 2022
Di Giovanna, Eileen Landenberge Smithtown 083191-7W March 22, 2022
Dib, Zulfikar Hassan New York C09280-1B March 22, 2022
Dormevil, Raymond Brooklyn 294631-7W March 22, 2022
Dubensky, Tracey Kim Allentown PT037006-4W March 22, 2022
Dudek, Gary Louis Honeoye Falls 177167-4W March 22, 2022
Efthimiou Elizabeth Maria Cape Coral 216577-7W March 22, 2022
Feder, Jay Mitchell Gainesville 233752-5W March 22, 2022
Fox, Roberta Guilford P04834-9W March 22, 2022
Frank, Mark Somerville S05950-1B March 22, 2022
Gajapathy, Murugesu Paramus 137347-1W March 22, 2022
Garelick, Marvin S. Fort Lee 091906-8B March 22, 2022
Garnett, Richard D. Clifton Park S05312-4W March 22, 2022
Gilbert, Pamela Dawn Norwich N550087-1W March 22, 2022
Gilman, Steven B. Westchester 295156-4B March 22, 2022
Girardi, Michele Melville 188171-3W March 22, 2022
Goldenberg, Melvyn S. New York P02161-9W March 22, 2022
Havner, Dean Eric Poughkeepsie PT018585-0W March 22, 2022
Herd, David A. Geneva C02460-6B March 22, 2022
Hito, Hassan West Islip 135520-5W March 22, 2022
Hogan, James Francis Binghamton P02430-8B March 22, 2022
Hudes, Eliot S. Wappingers Falls C01920-0B March 22, 2022
Hutter, Randolph Cooperstown 260186-2W March 22, 2022
Isseks, Theodore N. Rock Hill 117110-7W March 22, 2022
Jensen, Mark Robert Rochester 276356-3W March 22, 2022
Kansagra, Nina Marie New York PT043708-7W March 22, 2022
Kates, Jonathan Louis Dover 302805-7I March 22, 2022
Kelly, Russell Stephen Honolulu 160060-0W March 22, 2022
Khambatta, Hoshang Jal Engelwood 107289-1W March 21, 2022
Khulpateea, Neekianund Malverne 131509-2W March 21, 2022
Kieran, Owen P. New York 132067-0W March 21, 2022
Krauss, Leo Woodbury 075331-9W March 21, 2022
Kruger, Paul S. Hamilton 117005-9W March 21, 2022
Lints, Sherry Anne Rome C09244-7W March 22, 2022
Lipson, Robert A. East Falmouth 131128-1W March 21, 2022
Lubicz, Stephanie Riverdale 139630-8W March 23, 2022
Magoolaghan, Anne Keeler New York PT037162-5W March 21, 2022
Maher, John Michael Eden Prairie 157061-3W March 21, 2022
Mascioli, Anthony H. Newark P02308-6B March 21, 2022
Master, Mumtaz Kaizer Nanuet 159742-6W March 21, 2022
McDermott, Rebecca Carol Christianberg S21940-2W March 21, 2022
McElligott, Thomas John, Jr. Miami Lake 138557-4W March 21, 2022
McNeal, Marisa Binghamton 272423-5W March 21, 2022
Mednick, Adam Seth Fort Meyers 187059-1B March 21, 2022
Megarr, John Charles, III Bronx 186735-7B March 21, 2022
Menendez, Desi M. Smithtown C06087-3B March 21, 2022
Miceli, Nicholas Patchogue C03364-9W March 21, 2022
Mishkit, Alison Dee Huntington 181617-2W March 21, 2022
Molnar, Rene Hampton Bays 250712-7B March 22, 2022
Murphy, Colleen Marie Port Jefferson Station PT040980-5W March 22, 2022
Naik, Ramesh Sidda Scarsdale 174770-8W March 22, 2022
Nguyen, David Huong Santa Ana 292900-8B March 22, 2022
Ogiste, Jason Stephen New York 242427-3W March 22, 2022
O'Leary, John M. New Rochelle 084846-5W March 22, 2022
Perfetti, Claire M. Plainview PT043904-2W March 22, 2022
Poster, Robert Brian Ballston Spa 156854-2W March 22, 2022
Rivera, Hector Anibal Bronx S10436-4B March 22, 2022
Rivieccio, Joseph Brooklyn PT040735-3W March 22, 2022
Romeo, Anthony Albert Harrison 294351-2B March 22, 2022
Sande, Hervey Allen Brooklyn P02169-2W March 22, 2022
Saretsky, Theodore Atlantic Beach S03087-4W March 22, 2022
Schwartz, Alan Gelber Southbury 082868-1W March 22, 2022
Schwartz, Leonard Jules Brightwaters S01907-5B March 22, 2022
Scott, Richard L. Pittsford P02986-9B March 22, 2022
Shah, Vijaykumar Ratilal Glenhead 185592-2W March 22, 2022
Shery, Steven Barry Oceanport 182235-2W March 23, 2022
Siciliano, Michael Anthony Lakewood 266364-9W March 22, 2022
Silverberg, Gary A. Levittown C03018-1W March 22, 2022
Singer, Gordon Mark Encino 268834-9B March 22, 2022
Sinha, Lalendra K. Far Rockaway 108268-4W March 22, 2022
Stanca, Carmen Magdalena Plano 259189-9W March 22, 2022
Sutaria, Pragna B. Mclean 149275-0W March 22, 2022
Toman, Mark Boris Brooklyn 167820-0W March 22, 2022
Traykovski, Alexander New York 093363-0B March 22, 2022
Troutner, Alyssa Morgan Sherman C13219-3B March 22, 2022
Tuckman, Monte Mark Purchase P02475-3B March 22, 2022
Unger, Benjamin Daniel Watertown 239359-3W March 22, 2022
Verma, Shalini New Hyde Park PT043828-3W March 22, 2022
Viglietta, Martha Booth Manlius S08485-5W March 22, 2022
Weissman, Allan M. Passaic 194536-9W March 22, 2022
Wung, Jen Tien Engelwood Cliffs 111954-4I March 22, 2022
Yanchus, Stephen L. Owego PT043850-7W March 22, 2022
Zakariyya, Hasan Fulton 152899-1W March 22, 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