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Subject Number 046-1527 April 2022 Removals from the List of Authorized Health Care Providers

Subject Numbers Regarding Health Provider Authorizations

July 1, 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
Abiri, Michael Manovchehr Bryn Mawr 133068-7W April 18, 2022
Adcock, Stephen Randall Lowville 282871-3W April 18, 2022
Adrien, Jean R. Hollis 129912-2W April 18, 2022
Alexander, Gregory Stony Brook S08516-7W April 18, 2022
Alicandro, Jeanne M. New York 154227-3W April 18, 2022
Auh, Yong Ho New York 140300-5W April 18, 2022
Baldini, Gleda P. Cairo 154782-7W April 18, 2022
Balon, Walter A. Buffalo 144353-0W April 18, 2022
Banchs, Richard Jorge Chicago 196091-3W April 18, 2022
Baran, Galina Bedford Hills 233203-9W April 18, 2022
Basu, Niladri Dallas 285955-1W April 18, 2022
Bella, Sama Johnson City 296019-3W April 18, 2022
Bennett, Allen J. Flushing 124008-4W April 18, 2022
Bishara, Mary Ann Zavisca Wheatfield 084509-9B April 18, 2022
Blatt, Robert Little Neck P02158-5W April 18, 2022
Bleser, Karen Ann Schenectady 241705-3W April 18, 2022
Borowski, David Thomas Erie 167976-0W April 18, 2022
Bulauitan, Manuel C. Manhasset 121369-3W April 18, 2022
Bullitt, Clarissa Wardwell Stony Brook S14890-8W April 18, 2022
Chen, Chau Fang Rome 134917-4W April 18, 2022
Chen, Jacky Cortland 294629-1W April 18, 2022
Chow, Steve Pi-Hsiung Apex 174114-9W April 18, 2022
Cohen, Ian Laurence Amherst 160787-8W April 18, 2022
D'Alessandro, Frank M. Yonkers 083006-7W April 18, 2022
Dhanani, Harsha Narendra Secaucus 202952-8W April 18, 2022
Dhingra, Munish Kumar Staten Island 117595-9W April 18, 2022
Donela, Richard S. Keeseville P02533-8W April 18, 2022
Dossani, Rimal Hanif Buffalo 296758-6W April 18, 2022
Dow, Amanda Lynne Saratoga Springs 284405-8W April 18, 2022
Duvivier, Hubert New Paltz 100673-3W April 18, 2022
Dworkin, Paul Schenectady 136742-4W April 18, 2022
Ehrenberg, Morris Paul Cherry Hill S08897-1W April 18, 2022
Eisenberg, Henry M. Manlus 092148-6W April 18, 2022
Fastman, Norman S. Staten Island 081439-2W April 18, 2022
Ferro, John Alfred Poughkeepsie 179984-0W April 18, 2022
Fierro, Charles B. Greenwich 143905-8W April 18, 2022
Fogel, Alan Jeffrey Altamont 150260-8W April 18, 2022
Fort, Frank G. Schenectady 168019-8W April 18, 2022
Gardner, Sheila Fulton Delray Beach 216989-4W April 18, 2022
Grieg, Kristin Danielle Bethpage OT020806-6W April 18, 2022
Grossman, John A. I. Miami 182336-8W April 18, 2022
Gupta, Rahul Constable 273605-6W April 18, 2022
Hatwal, Namrata Mount Kisco 210985-8W April 18, 2022
Hoehn, James Gurney Loudonville 108079-5B April 18, 2022
Hoffman, David E. Williamsville 123532-4W April 18, 2022
Huang, Ching-Huang Warwick 164972-2W April 18, 2022
Hunt, Patrick Brian Levittown C08054-9B April 18, 2022
Jacobs, Morton New York 116305-4W April 18, 2022
Jean, Jacques Edner J. Wellington 121560-7W April 18, 2022
Kagan Bryan B. White Plains P03093-2W April 18, 2022
Kane, Gerald S. Huntington S08335-2W April 18, 2022
Kantounis, Stratos George Rockville Centre 082880-6W April 18, 2022
Kaplan, Ralph Victor Roslyn S07310-6W April 15, 2022
Kaufman, Jeffrey Woodbury 197625-7W April 19, 2022
Kaye, Stanley B. Scarsdale S03698-8W April 15, 2022
Kelly, Lawrence P. Cutchogue 152310-9W April 15, 2022
Kilfoil, Peter J. Southold P03001-5W April 15, 2022
Kim, Jae Chan Nyack 117579-3W April 15, 2022
Kogan, Melanie G. New Rochelle 165430-0W April 15, 2022
Kore, Michael Mikelis A. Herkimer 233450-6W April 15, 2022
Kozlyansky, Yelena Mount Kisco C10979-3W April 15, 2022
Lee, Sung K. Hoboken 133531-4W April 15, 2022
Levy, Walter Joseph Ithaca 202288-7W April 15, 2022
Lobo, Warren Daniel Palm Beach Gardens 175268-2W April 15, 2022
Makrides, Michael East Setauket 097149-9W April 15, 2022
Malik, Ali Saad New York 278053-4W April 15, 2022
Mayrkovich, Inna Staten Island C09330-2W April 15, 2022
Meng, Marie-Louise Durham 269894-2W April 15, 2022
Meringolo, John Joseph Neponsit 200302-8W April 15, 2022
Metcalf, Harry Leonard Buffalo 087718-3W April 15, 2022
Minnerop, Carol A. New York 116588-5W April 15, 2022
Moloff, Harry East Northport P01938-0B April 15, 2022
Mull, Sears Curtiss Orchard Park 302348-8I April 15, 2022
Needelman, Andrew Poughkeepsie 130452-6W April 15, 2022
Nichols, Abram Harold Binghamton C07948-3B April 15, 2022
Oleyar, Michael Joseph Chicago 276686-3W April 15, 2022
O'Neill, Daniel John New York 292446-2W April 15, 2022
Patel, Jonah Harshad Boston 278425-4W April 15, 2022
Prasad, Srinivasa B. R. Johnson City 144345-6W April 15, 2022
Rangaswamy, Leela Wilmington 133986-0W April 15, 2022
Rea-Sarkis, Lucy Ann Staten Island 107394-9W April 15, 2022
Rubin, Charles Glen Allen 101191-5B April 15, 2022
Salierno, Anthony Milford 210497-4I April 15, 2022
Secchi, Jorge Enrique Manhasset 093337-4W April 15, 2022
Sennett, Margaret Anne Skaneateles 250679-8W April 18, 2022
Shapiro, Warren Bruce New York 100379-7W April 18, 2022
Sharahy, Tatiana Wayne 217994-3W April 18, 2022
Shelly, Robert Jon Williamsville 208628-8W April 18, 2022
Siegal, Andrew Wayne Babylon S08053-1B April 18, 2022
Singh, Amarjit Williamsville 119393-7W April 18, 2022
Steinberg, Esther Pleasant Hill 135637-7W April 18, 2022
Stolzberg, Mark Elliott Boynton Beach S10826-6I April 18, 2022
Studentsova, Yana West Roxbury 218867-0B April 18, 2022
Testa, Nicholas Noel New York 098948-3W April 18, 2022
Treitler, Byron M. Roslyn 078136-9W April 18, 2022
Tumminello, Nicholas Charles Lynbrook P04919-7W April 18, 2022
Villafuerte, Ceferino Reyes Greenwich 105492-3W April 18, 2022
Volosin, Seldman Mirta E. Manhasset 120695-2W April 18, 2022
Wolek, Robert Madison 212980-7W April 18, 2022
Wormer, Thomas Andrew Canandaigua 168688-0W April 18, 2022
Wyatt, Gina Elmira PT044030-5W April 18, 2022
Yaddanapudi, Kavitha Tucson 276715-0W April 18, 2022
Yee, Eric Uriah Little Rock 304178-7W April 18, 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