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Subject Number 046-1536 June 2022 Removals from the List of Authorized Health Care Providers

Subject Numbers Regarding Health Provider Authorizations

August 11, 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
An, Huanlin Bronxville 218665-8W June 15, 2022
Anderson, Heather Elise Northport OT017994-5W June 15, 2022
Basler, Adam Joseph Rochester 295188-7W June 15, 2022
Benveniste, Paul Samuel Garner S12638-3W June 15, 2022
Bernhardt, Michael Nicholas Glenville C03206-0B June 15, 2022
Bierdumpfel-Bihari, Linda Ida Orangeburg 169613-7W June 15, 2022
Boccia, Raphael Joseph Flushing 096254-8W June 15, 2022
Bossert, Ronald Patrick Rochester 264592-7W June 15, 2022
Canfield, David Charles Syracuse 156011-9W June 15, 2022
Cantor, Richard Martin Syracuse 135054-5W June 15, 2022
Chapados, Gilles Schenectady 165443-3W June 15, 2022
Chisena, Ernest C. Fort Salonga 132029-0W June 15, 2022
Cline, William B. Grand Island 134269-0W June 15, 2022
Cohen, Randy E. Staten Island P02790-4W June 15, 2022
Cohen, Shimon L. Bergenfield 266251-8W June 15, 2022
Cohn, Lawrence Jerome New York 089480-8W June 15, 2022
Collins, Susan Marie Florida PT044173-3W June 15, 2022
Conheeney, Lauren Elizabeth New York OT017928-3W June 15, 2022
Connolly, Robert Edward Suffern AC000621-3W June 15, 2022
Conschafter, Gary W. Grand Island C02333-3B June 15, 2022
Conwell, Morgan John Elmira PA020133-5W June 15, 2022
Cooley, John H. Dundee 121291-9W June 15, 2022
D'Angelo, Mark Salvatore Brooklyn 259287-1B June 15, 2022
Davies, John Aloysius Endwell 163515-0W June 15, 2022
Devincentis, Joseph Orchard Park P02646-8B June 15, 2022
Doherty, Daisy Anne Buffalo PT044088-3W June 15, 2022
Drennon, Shannen Marie Rochester PT044407-5W June 15, 2022
Dunn, Emily Grace Johnson City PA023239-7W June 15, 2022
Fitzmaurice, Susan Rockfield Centre 160278-8W June 15, 2022
Forde, Cathy J. Apalachin OT008980-5W June 15, 2022
Frank, Doreen Kane East Greenbush PT007056-5W June 15, 2022
Freeman, Aloysius George New Hartford 158109-9W June 15, 2022
Frizzell, Sarah M. Ballston Spa PT044067-7W June 15, 2022
Gitlitz, Elliot Myles East Meadow P03465-2W June 15, 2022
Godec, Ciril J. Brooklyn 154270-3B June 15, 2022
Gorbal, Mayya Florham Park 295999-7W June 15, 2022
Gottsegen, Monroe G. Brooklyn S00095-0W June 15, 2022
Greydinger, David Hallandale Beach C09225-4W June 15, 2022
Grimshaw, Robert Stephenson, Jr. Somers 143759-9W June 15, 2022
Halpin, Dennis Patrick Sauquoit PT041316-1W June 15, 2022
Hannigan-White, Patricia A. Brooklyn S11325-8W June 15, 2022
Harrison, Neil Latham 302987-3W June 15, 2022
Hogan, Martin Patrick Linwood PT012985-8W June 15, 2022
Insler, Harvey Philip Erie 145724-1W June 15, 2022
Jacob, Donald James Southport 176605-4B June 15, 2022
Johnson, Ruth Ann Alden 165174-4W June 15, 2022
Jorgenson, Daniel Scott Lancaster 228554-2W June 15, 2022
Keller, Jodee S. Kingston C08860-9W June 15, 2022
Kim, Kyung Ho Stony Brook 235372-0B June 15, 2022
Kim, Tai Sik Melville 172223-0W June 15, 2022
Kulla, Michael Poughkeepsie S03413-2W June 15, 2022
Land, Jay M. Syracuse S03554-3W June 15, 2022
Lee, Jungeun Jay Niskayuna 108212-2W June 15, 2022
Leeds, Melvin New York 109477-0W June 15, 2022
Lifshutz, Harold I. New Rochelle S08003-6B June 15, 2022
Lim-Germano, Joon Voorhees C11489-2W June 15, 2022
Lipson, Stewart B. Sarasota 178296-0W June 15, 2022
Logan, Jonathan Canandaigua 089645-6W June 15, 2022
Longston, Stephanie Lyn Rock Island OT020918-9W June 15, 2022
Maquine, Melanie M. Bradenton 198062-2W June 15, 2022
Matloff, Mark A. Syracuse S06829-6B June 15, 2022
Mccullough, Timothy John Cornelius 149086-1W June 15, 2022
Mian, Tariq Mohammad Lodi 250155-9W June 15, 2022
Mockler, Daniel Christopher Reno 268255-7W June 15, 2022
Morris, Malik New Hyde Park PT044119-6W June 15, 2022
Nani, Frank G. Garnerville PT011225-0W June 15, 2022
Ovodenko, Boris Brooklyn 235346-4W June 15, 2022
Parvu, Mihaela Elena Niskayuna 277178-0W June 15, 2022
Poje, Christopher Peter Amherst 168537-9W June 15, 2022
Relation, Catharine Marie Ithaca PT040915-1W June 15, 2022
Richeson, John F. Honeoye Falls 127737-5W June 15, 2022
Richter, Richard J. West Hempstead P02975-1W June 15, 2022
Rothbart, Gary E. Rye 197267-8W June 15, 2022
Rudewicz, Robert J. Lancaster P02795-3W June 15, 2022
Saini, Satinder Pal Singh Apex 228790-2W June 15, 2022
Sanchez-Catanese, Betty Madison 159284-9W June 15, 2022
Schattner, Gerald E. Roslyn Heights 086286-2W June 15, 2022
Schechter, Naomi New York S06165-5W June 15, 2022
Sepulveda, Martin-Jose Saint Augustine 163043-3W June 15, 2022
Shah, Padmakan M. Albertson 120709-1W June 15, 2022
Singer, Carol Frances New York 118153-6W June 15, 2022
Snyder, Philip Michael Brooklyn OT023544-0W June 15, 2022
Soliman, Ahmed Said Brooklyn PT036280-6W June 15, 2022
Stadt, Samantha Katherine Ardsley PT044125-3W June 15, 2022
Stein, Nathan Great Neck 110178-1W June 15, 2022
Strickland, Robert G. Syracuse S05158-1B June 15, 2022
Sugalski, Matthew Thomas Franklin 219380-3W June 15, 2022
Tierney, James P. Southampton 093099-0W June 15, 2022
Tsai, Chao-Wei Redmond 298699-0W June 15, 2022
Vachna, Jerome Charles Thornwood C04067-5W June 15, 2022
Wang, William Cheng Flushing 220245-5W June 15, 2022
Weiner, Laurence A. Slingerlands 123991-2W June 15, 2022
Weinstein, Martin Jackson Heights PT001502-4W June 15, 2022
Weintrob, Alexander New York 086965-1W June 15, 2022
Witkop, Nathan Harry Massena C11523-8W June 15, 2022
Zaborowski, Joseph S. Amsterdam P02803-5B June 15, 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