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Subject Number 046-1566 September 2022 Removals from the List of Authorized Health Care Providers

Subject Numbers Regarding Health Provider Authorizations

November 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
Aaltonen, Eric Tapio New York 260748-9B September 22, 2022
Ansari, Masood Ul Hassan Tampa 205218-1W September 22, 2022
Arp-Sandel, Jeffrey Bruce Canaan 162674-6W September 22, 2022
Assa, Andrej Durham 288440-1W September 22, 2022
Baskin, Howard Franklyn West Orange P02350-7W September 22, 2022
Beaty, Robert Harwood Glens Falls 171995-4W September 22, 2022
Bell, Frank Brian Kerrville C05565-7B September 22, 2022
Benway, Jamie Lynn Glens Falls 278242-3W September 22, 2022
Bernstein, Lawrence Joel New York 083227-9W September 22, 2022
Bogart, Sydney David Bayside 097175-4W September 22, 2022
Boufal, Margaret Auburn 234265-7B September 22, 2022
Bratman, Steven Slingerlands 307145-3W September 22, 2022
Busque, John Dale Manchester PT044346-5W September 22, 2022
Cacatian, Aurelia Staten Island 111172-3W September 22, 2022
Calandrino, Joseph Saint Augustine 182606-4W September 22, 2022
Calhoun, Kathryn Elizabeth Richmond Hill PA020389-3W September 22, 2022
Canita, Marvin Palacio Phippsburg PT024074-7W September 22, 2022
Carthy, John J. Temple Terrace 099273-5B September 22, 2022
Chandran, Latha East Setauket 186838-9W September 22, 2022
Chirel, Elba E. Lakeland P04641-7W September 22, 2022
Clark, Vivian Louise Cooperstown 233275-7W September 22, 2022
Cobbs, Winston H. Elmont 150250-9W September 22, 2022
Deiparine-Sygaco, Maria Teresa West Islip 186018-8W September 22, 2022
Demishev, Michael Mineola 253127-5W September 22, 2022
Dennis, Charles R. Stuart 126943-0W September 22, 2022
Duhl, Jay L. Long Beach P02244-2W September 22, 2022
Eranki, Ambika Pallavi Syracuse 277363-8W September 22, 2022
Feldman, Robert Fayetteville 189128-2W September 22, 2022
Fellows, David Gunnar Ithaca 180913-6W September 22, 2022
Freeley, Douglas A. Brooklyn 124780-8W September 22, 2022
Gahr, Herbert M. New York 083345-9W September 22, 2022
Galatzan, Russell Elliott Vestal 174482-0W September 22, 2022
Giuliani, Edoardo New York 102360-5W September 22, 2022
Gleasman, Douglas Wayne Sylvan Beach C07257-9B September 22, 2022
Gnecco, Margarita Rosa Pembroke Pines PT015337-9W September 22, 2022
Goetz, James Joseph North Babylon P04737-3W September 22, 2022
Goldstein, Jeffrey Mark Monticello C04643-3B September 22, 2022
Goroza, Lynn P. Parlin PT015995-4W September 22, 2022
Gosselin, Richard Robert Poughkeepsie 252409-8W September 22, 2022
Green, Christopher Michael Estero C10993-4W September 22, 2022
Greenan, Timothy John Bethesda 205142-3B September 22, 2022
Hartle, Marcy Ann Dubois 161877-6W September 22, 2022
Herrington, Valerie Rose Helendale 307293-1W September 22, 2022
Hladki, Cynthia Diane Plainview C05486-6B September 22, 2022
Hummel, Mark Robert Elizabethtown PT023994-7W September 22, 2022
Hutchings, James Curtis Cooperstown 171698-4W September 22, 2022
Ibrahim, Ihab John South Amboy 244271-3W September 22, 2022
Inzerillo, Catherine Bruckner Venice C07420-3W September 22, 2022
Johnson, Sarah Bryn Pleasant Valley PT038433-9W September 22, 2022
Kalvar, Patricia Nicole Huntington P03834-9W September 22, 2022
Kamdar, Jayesh C. New York 164457-4W September 22, 2022
Kantu, Sanjay Brooklyn 179541-8W September 22, 2022
Kaplan, Jay S. Baldwin 122621-6W September 22, 2022
Kay, Martin Mitchell Bayside 114358-5W September 22, 2022
Kleene, Bruce Metcalf Rochester 139382-6W September 22, 2022
Kobak, Martin Muttontown P02501-5W September 22, 2022
Lederman, Marvin Pittsford 092771-5B September 22, 2022
Lodha, Ajay Kumar Corona 189688-5W September 22, 2022
Lowenberg, Jennifer Michele Roslyn PT044359-8W September 22, 2022
Manzo, Andrew Albert Farmingdale P01862-2W September 22, 2022
Martin, David Joseph Elbridge 137277-0W September 22, 2022
Mazhari, Amir Buffalo 234311-9W September 22, 2022
Miller, Ronald Peter Newark C04739-9W September 22, 2022
Mitchell, John P. New York 120632-5W September 22, 2022
Monroe, Claudia Anne Westfield PT010920-7W September 22, 2022
Morasco, Christopher Michael Batavia C12024-6B September 22, 2022
Noorzad, Sara Ann Elmira PA020335-6W September 22, 2022
O'Connell, April Danielle Long Island City OT014804-9W September 22, 2022
Overland, Keith Scott Norwalk C02810-0I September 22, 2022
Owens, Terrance A. Rochester 162088-9W September 22, 2022
Perdios, Athanassios O. Staten Island 104988-1W September 22, 2022
Perlmutter, Steven Sayville 116754-3B September 22, 2022
Pillalamarri, Eswar Dutt Baldwin 130961-6W September 22, 2022
Pitaro, Maria Teresa Astoria 186087-3W September 22, 2022
Portzer, James Leonard Savannah 203724-0W September 22, 2022
Pradhan, Amit Prakash Phoenix 279586-2W September 22, 2022
Prophete, Harry Brooklyn 186316-6W September 22, 2022
Qamar, Wafa New Hyde Park 279270-3W September 22, 2022
Quraishi, Nisar Ali New York 117801-1W September 22, 2022
Radwan, Hussien Abdelmohsen Tha Garland 261813-0W September 22, 2022
Ramirez, Paul Michael Woodstock S11602-0W September 22, 2022
Rattotti, Richard Raymond Bronx 175462-1W September 22, 2022
Ravanmehr, Arash Acworth 285900-7B September 22, 2022
Rayher, Ronald Gerard Clifton Park C03944-6B September 22, 2022
Reddy, Gaddum Duemani Syracuse 289515-9W September 22, 2022
Riccione, Michael Angelo Syracuse 168710-2W September 22, 2022
Richman, Robert Alan Clifton C09129-8I September 22, 2022
Rohan, William Gustave Malta 171585-3B September 22, 2022
Root, David R. Deltona C03178-1B September 22, 2022
Rosen, Herman New York 085198-0W September 22, 2022
Rossmer, Irene Epelboym Mineola 269483-4W September 22, 2022
Ryback, Hyman A. White Plains 129907-2B September 22, 2022
Sandison, Michael Raymond Lewis Delmar 180087-9W September 22, 2022
Santos, Jose A. Rockville Centre 123259-4W September 22, 2022
Shanal, Monica Summit PT044360-6W September 22, 2022
Shethna, Avni Vijay Edison PT044348-1W September 22, 2022
Simmons, Danielle Paige Sloan N767226-4W September 22, 2022
Slear, Jeffrey Charles Herndon PT008157-0W September 22, 2022
Stahl, Gregory David Venice 142773-1B September 22, 2022
Straus, Lisa Ann Millerton 181394-8W September 22, 2022
Swift, Robert D. Southfield 266664-2W September 22, 2022
Tainsh, Cynthia Shearn Nashville 268620-2W September 22, 2022
Tamarkin, Arthur Neal Bellmore 151808-3W September 22, 2022
Thompson, Carolyn Henne Norwalk 170097-0W September 22, 2022
Trostle, Douglas R. Bethlehem 242683-1W September 22, 2022
Ventimiglia, Thomas R. Forest Hills C02558-5B September 22, 2022
Vento, Joseph Thomas Bonita Springs 162446-9W September 22, 2022
Wang, Long Qin Brooklyn 305038-2W September 22, 2022
Weckerle, Christine M. Williamsville 175914-1W September 22, 2022
Weiskopf, Richard Walter Syracuse 079726-6W September 22, 2022
White. Merritt Burke Southampton 112975-8W September 22, 2022
Winkler, Barbara Anne Mt. Kisco 142342-5B September 22, 2022
Wood, Rory Dewitt Schenectady 195792-7B September 22, 2022
Yoo, Kyung Sook Colts Neck 182528-0W September 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