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Subject Number 046-1561 August 2022 Removals from the List of Authorized Health Care Providers

Subject Numbers Regarding Health Provider Authorizations

October 27, 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, Harold Van Laer, Jr. Galway 136049-4W August 11, 2022
Adelman, Robert Steven Boynton Beach P02651-9W August 11, 2022
Anderson, Laurie Michelle Vero Beach 306695-8W August 11, 2022
Annabel, Spencer P. Hornell 120290-2W August 11, 2022
Aquino, Michael D. Tonawanda P03386-1B August 11, 2022
Arena, Luigi Pelham 174471-3W August 11, 2022
Bae, Jung Rim Palisades Park AC005943-6W August 11, 2022
Beetlestone, Claire A. Philadelphia 139839-5W August 11, 2022
Ber, Leon Williamsville P03066-9W August 11, 2022
Beyzman, Andrew Harveys Lake 222087-9W August 11, 2022
Boal, Bernard Harvey Great Neck 097346-1W August 11, 2022
Bouchard, Chad Phillip Slingerlands 293837-1W August 11, 2022
Brooks, Richard B. Schenectady 133021-6B August 11, 2022
Buchbinder, Shalom Stanley Teaneck 158101-6W August 11, 2022
Burstein, Stephen David Roslyn 085302-8B August 11, 2022
Campbell, Sean Thomas New York 304219-9W August 11, 2022
Carroll, Michael P. Massapequa 133314-5W August 11, 2022
Chang, Kit Laura Annelise Albany 267591-6W August 11, 2022
Chauhdry, Mohammed Akram Horseheads 113338-8W August 11, 2022
Cunningham, Susan Lynn Levittown C07253-0W August 11, 2022
Dan, Sol J. Brooklyn 132576-0W August 11, 2022
Dingman, William Hanley Watertown C02721-1B August 11, 2022
Dionne, Pierre Eugene Olean 174130-5W August 11, 2022
Docimo, Salvatore, Jr. Stony Brook 285923-9W August 11, 2022
Donnelly, Annette T. Little Neck C03873-9W August 11, 2022
Drexler, Ellen Diane Brooklyn 138453-6B August 11, 2022
Elefant, Ronen West Hartford 277959-3W August 11, 2022
Elias, Mark Hans San Francisco 081605-8W August 11, 2022
Epstein, Susan Lynn Brooklyn C04699-7W August 11, 2022
Fam, Mourad Sourial Brooklyn 205653-9W August 11, 2022
Fisher, Robert Louis Mt. Kisco 225477-9W August 11, 2022
Friedman, Eli A. Brooklyn 080904-6W August 11, 2022
Gallagher, Susan J. Amherst 159666-7W August 11, 2022
Gashinskaya, Aleksandra Brooklyn 225779-8W August 11, 2022
Ghent, Garrett Stony Brook 304527-5W August 11, 2022
Giammarino, Philip A. Oceanside P02850-7W August 11, 2022
Goldman, Deberah Sue New York S08577-9B August 11, 2022
Gonzalez, Eulogio Montvale 176363-0W August 11, 2022
Guenthart, Andrew Diamond Stony Brook 304559-8B August 11, 2022
Gundappu, Reddy Prabhakar Reddy Macungie 304098-7B August 11, 2022
Hanjan, Tara Palm Desert 227925-5I August 11, 2022
Herrera-Paz, Edmundo Horacio New York 145740-7W August 11, 2022
Jacobs, Louis William Bronx P02380-5W August 11, 2022
Jiang, Qi Holmdel 214801-3W August 11, 2022
Jones, Bryan Paul Pasadena 288979-8W August 11, 2022
Justis, Gina Brigitte Chuluota 253368-5B August 11, 2022
Kampfer, Patricia Amityville C04943-9W August 11, 2022
Kaplan, Cynthia Gordon Stony Brook 135663-3W August 11, 2022
Kapur, Bal Krishna Williamsville 110550-1W August 11, 2022
Keilson, Joel C. Hewlett P02610-5W August 11, 2022
Kent, Warren L. Port Jefferson Station P03191-5W August 11, 2022
Kim, Yongjung Closter 250465-2W August 11, 2022
Kishkareva, Natalya Norwood 218070-1B August 11, 2022
Koch, Christine F. New York C07219-1W August 11, 2022
Kuehnel, Robert H. La Fayette S10209-5W August 11, 2022
Kurucz, Stefan Pearl River 128630-1W August 11, 2022
Kushner, Hillary Roslyn 154237-2B August 11, 2022
Labonte, Judy Martin Gabriels N765900-3W August 11, 2022
Levine, Sheldon Elliot Woodcliffe Lake 176154-3W August 11, 2022
Mang, George Nie-Ling Flushing 188903-9W August 11, 2022
Marafino, Susan Elizabeth Hamilton C08099-6W August 11, 2022
Markowitz, Lee Carmel P03951-2W August 11, 2022
Meagher, Brian Declan Jamestown 199207-2W August 11, 2022
Mena, Jorge Eduardo West Hempstead C07356-1W August 11, 2022
Meyer, Joy Marie Leuchten Voorheesville 183252-6W August 11, 2022
Middeldorf, Jeffrey Edwin Troy 223884-8I August 11, 2022
Minge, M. Ronald Wallkill S04073-3W August 11, 2022
Mintz, Edward Lester Silver Spring P04263-1W August 11, 2022
Monaghan, Constance M. Leland PT009334-5W August 11, 2022
Morduchowitz, Stuart M. Mineola 198685-0W August 11, 2022
Newman, Maureen Ithaca 243402-5W August 11, 2022
Nwako, Janerita Hillside PT044803-4W August 11, 2022
Onyekaba, Igwebuike Duluth 198714-8I August 11, 2022
Panitch, Deborah H. Albany S06384-2B August 11, 2022
Panter, Gideon G. Palisades 088027-8W August 11, 2022
Park, Ahyoung Little Neck PT041416-8W August 11, 2022
Pathy, Venkatachala Madison 114601-8W August 11, 2022
Pavlov, Helene New York 117221-2W August 11, 2022
Porcarelli, Francesco Luigi Seattle 100031-4W August 11, 2022
Postma, Christopher Joel Denver PT041700-5W August 11, 2022
Quill, Timothy E. Rochester 131983-9W August 11, 2022
Ramos, Sharena Nichell Jamaica C12493-5B August 11, 2022
Reatiraza, Jocelin N. Poughkeepsie 242551-0W August 11, 2022
Reichman, Meryl Janice Fishkill 203173-0B August 11, 2022
Rengarajan, Harish Kumar Saint James 296877-4W August 11, 2022
Rimlawi, Bassem M. Dallas 130574-7W August 11, 2022
Roche, Kevin Joseph New Hope 173170-2W August 11, 2022
Root, Daniel T. Glenfield 164940-9W August 11, 2022
Rosenblum, Martin Bernard Woodbury 091087-7W August 11, 2022
Rothman, Seymour Judah New York 090502-6W August 11, 2022
Saunders, Convard Alicia Carmen Brooklyn 275988-4W August 11, 2022
Schiffman, Richard Gary Brooklyn 135639-3W August 11, 2022
Schnur, Michael J. Rye Brook 131193-5W August 11, 2022
Shaikh, Khizer Salim Lake Havasu City 269527-8W August 11, 2022
Sifain, Andrew Rami Rochester 251789-4W August 11, 2022
Silver, Robert A. New York 081977-1W August 11, 2022
Simon, Marilyn Gillen Baldwin S06768-6W August 11, 2022
Simpkins, Cuthbert O. Kansas City 127916-5W August 11, 2022
Sobhani, Arman Amin Port Jefferson 304139-9W August 11, 2022
Stillman, Michael Allen Waccabuc 101234-3W August 11, 2022
Tanenbaum, Mark New York P03136-0W August 11, 2022
Tang, Shiu Ching Elmhurst 119415-8W August 11, 2022
Taylor, Jill Tivoli PT005587-2W August 11, 2022
Tepfer, Karl S. Bellmore S06111-9B August 11, 2022
Thalmann, James P. Albany S07450-0B August 11, 2022
Travaglione, Leonard Saratoga Springs S11531-1W August 11, 2022
Tursi, William Nanuet 139729-8W August 11, 2022
Vaccaro, Frank J. Palm Beach Gardens S08483-0W August 11, 2022
Warshall, Frederick I. Brooklyn S09598-4B August 11, 2022
Wasylyshyn, Marina Lubow Johnson City 193327-4W August 11, 2022
Weena, Ul Babylon 304156-3W August 11, 2022
Whittington, Robert Anthony New York 194291-1W August 11, 2022
Williams, Catherine Louise Glenfield 160319-0W August 11, 2022
Wilson, Christopher Allen North Springfield N767292-3W August 11, 2022
Wludyka, Dorothy A. Staten Island 090367-4W August 11, 2022
Yang, Jie Scarsdale PT012218-7W August 11, 2022
Youssef, Bishoy Wagih Passaic PT044253-2W August 11, 2022
Zax, Melvin Rochester S01383-9B August 11, 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