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Subject Number 046-793 Newly Authorized Health Care Providers Approved to Render Services to Injured Workers Under the Workers' Compensation Law

Subject Numbers Regarding Health Provider Authorizations

August 5, 2015

The following have been added to the list of providers authorized to treat injured workers and/or perform independent medical examinations within the New York State workers’ compensation system.

NAME SPECIALTY AREA OF PRACTICE CITY OF PRACTICE AUTHORIZATION NUMBER* EFFECTIVE DATE
Flanagan, Joseph William Allergy And Immunology, Internal Medicine Ithaca 200087-5W July 13, 2015
Wang, Yafei Anatomic Pathology, Clinical Pathology, Cytopathology Elmira 234101-4B July 13, 2015
Beniamin, Myriam Nimr Shafik Anesthesiology Ogdensburg 273223-8W July 29, 2015
Brooks, John Roderick Anesthesiology Schenectady 278350-4W July 24, 2015
Chen, Donghui Anesthesiology Short Hills 232253-5W July 20, 2015
Enyinna, Chinedum Steven Anesthesiology Mount Kisco 278181-3W July 20, 2015
Kalsi, Mandip Singh Anesthesiology New York 261472-5W July 1, 2015
Kim, Jennifer Hee Anesthesiology Rockville Centre 277350-5W July 1, 2015
Patterson, Robert Andrew Anesthesiology Johnson City 216746-8B July 28, 2015
Pulli, Emily Carroll Anesthesiology Buffalo 279452-7W July 20, 2015
Rutkowski, Piotr Stanislaw Anesthesiology Williamsville 278603-6W July 20, 2015
Saxena, Vikram Vidiasagar Anesthesiology New York 273740-1W July 20, 2015
Schwagerl, Anthony L Anesthesiology West Islip 278475-9W July 29, 2015
Wade, Gabriel Charles Anesthesiology Mount Kisco 278433-8W July 20, 2015
Wise, Christopher Scott Anesthesiology Melville 273119-8W July 1, 2015
Wong, Sai-Kit Anesthesiology Melville 243586-5W July 1, 2015
Wu, Isaac Y Anesthesiology New York 274670-9W July 20, 2015
Besleaga, Diana L Anesthesiology, Pain Management West Islip 277724-1W July 24, 2015
Arnold, Gregory Chiropractic Hauppauge C12159-2B July 30, 2015
Bolsenbroek, Jodi Chiropractic Monroe C11412-6W July 30, 2015
Cracchiola, Peter Thomas Chiropractic West Seneca C12648-4W July 30, 2015
Crawford, John Allen Chiropractic Rochester C12576-7W July 30, 2015
Dornink, Marshall Eugene Chiropractic Buffalo C12627-8W July 30, 2015
Heffron, Allison Deane Chiropractic Hollis Hills C12565-0B July 30, 2015
Johnson, Sarah Ashley Chiropractic Montgomery C12621-1W July 30, 2015
Kahn, Harry Nathan Chiropractic Slingerlands C12412-5W July 30, 2015
Leder, Mark Eric Chiropractic Great Neck C06079-0W July 30, 2015
Masia, Nicholas Gino Chiropractic Williamsville C12530-4W July 31, 2015
Mayrkovich, Inna Chiropractic Staten Island C09330-4B July 31, 2015
Mills, Saglara B Chiropractic Brooklyn C11887-9W July 31, 2015
Murray, Stacie Amanda Chiropractic Buffalo C12640-1B July 31, 2015
Przybyla, Scott David Chiropractic Orchard Park C12624-5W July 31, 2015
Ryan, Nicholas Andrew Chiropractic Batavia C12389-5B July 31, 2015
Sickler, Thomas Joseph Chiropractic Buffalo C12628-6W July 31, 2015
Walia, Amandeep Singh Chiropractic Oyster Bay C12469-5W July 31, 2015
Amin, Sejal Patel Diagnostic Radiology Rye Brook 277283-8W July 20, 2015
Axel, Leon Diagnostic Radiology New York 222568-8B July 21, 2015
Deipolyi, Amy Diagnostic Radiology New York 274375-5B July 20, 2015
Longley, Deborah Gay Diagnostic Radiology Syracuse 277616-9W July 20, 2015
Mason, Derek Mell Diagnostic Radiology New York 247784-2B July 20, 2015
Sanchez, Laurie Sophia Diagnostic Radiology, Neuroradiology New York 229667-1B July 1, 2015
Lala, Shailee V Diagnostic Radiology, Pediatric Radiology New York 255516-7B July 20, 2015
Cyr, Risa Dubin Emergency Medicine Ithaca 271060-6W July 13, 2015
Fisher, Hope Charmaine Emergency Medicine Buffalo 225511-5W July 24, 2015
Haque, Masood Ul Emergency Medicine Mont Kisco 187927-9B July 20, 2015
Keating, James O'malley Emergency Medicine White Plains 233007-4W July 31, 2015
Schwaner, Robert Allen Emergency Medicine, Medical Toxicology Stony Brook 223774-1W July 27, 2015
Del Pilar, Alberto Saludes Jr Family Practice Liverpool 266776-4W July 20, 2015
Houpt, Darren Clifford Family Practice Rochester 260033-6W July 9, 2015
Nesheiwat, Janette Family Practice Springdale 275185-7W July 31, 2015
Saribekyan, Arpine Family Practice Middletown 271272-7W July 21, 2015
Lurvey, Gabriel Cullen Family Practice, Sports Medicine Auburn 276638-4W July 29, 2015
Aiello, Dana Christopher Internal Medicine Liverpool 278381-9W July 20, 2015
Bansal, Nidhi Internal Medicine Syracuse 278315-7W July 20, 2015
Fahoury, Alex Ibrahim Internal Medicine Brockport 237262-1W July 31, 2015
Gamarnik, Paul Hernan Internal Medicine Mount Kisco 268339-9B July 20, 2015
Monserrate, Nicole Marie Internal Medicine Delmar 249693-3W July 1, 2015
Ruoff, Carl Alex Internal Medicine Lake Success 270030-0W July 1, 2015
Salas, Stephanie Ann Internal Medicine Bronx 243065-0W July 14, 2015
Schwam, Ariel Sergio Internal Medicine Albany 236972-6W July 21, 2015
Shah, Janki Ranjit Internal Medicine Massena 275875-3W July 13, 2015
Wasileski, Heather L Internal Medicine Auburn 234048-7W July 29, 2015
Baker, Marc Louis Internal Medicine, Cardiovascular Disease Auburn 241055-3W July 24, 2015
Sodums, Marcis T Internal Medicine, Cardiovascular Disease, Interventional Cardiology Ithaca 154828-8W July 13, 2015
Amin, Hossam Hassan Internal Medicine, Pulmonary Diseases, Critical Care Medicin Brooklyn 204538-3W July 28, 2015
Shannon, Larry Roland Ii Neurological Surgery Cooperstown 249631-3W July 14, 2015
Yassari, Reza Neurological Surgery Bronx 258644-4W July 24, 2015
Manning, Erin Elizabeth Neurology New York 266012-4W July 1, 2015
Meyers, Clifford William Neurology Rochester 267152-7W July 20, 2015
Lian, Xun Obstetrics/Gynecology Stony Brook 278302-5W July 1, 2015
Yao, Michelle Ophthalmology Mineola 252006-2W July 1, 2015
Lager, Sean Louis Orthopedic Surgery New York 221926-9B July 20, 2015
Rogers, Roger Warren Orthopedic Surgery Lewiston 275135-2W July 20, 2015
Mirza, Justin Bruno Orthopedic Surgery, Hand Surgery Saint James 258198-1W July 27, 2015
Plancher, Kevin D Orthopedic Surgery, Hand Surgery New York 181664-4B July 31, 2015
Namon, Ari J Otolaryngology Poughkeepsie 215691-7B July 24, 2015
Jurkowich, Michael R Physical Medicine/Rehabilitation Valley Stream 270951-7B July 20, 2015
Masaba, Oliver Mate Physical Medicine/Rehabilitation Rego Park 278585-5W July 24, 2015
Patel, Rakesh H Physical Medicine/Rehabilitation Middletown 279096-2W July 24, 2015
Al-Tariq, Quazi Saifullah Psychiatry Middletown 176250-9W July 14, 2015
Buch, Sandip Pradip Psychiatry New York 240099-2B July 1, 2015
Kiblitsky, Irina Psychiatry Brooklyn 246958-3B July 28, 2015
Quinn, Marie Elaine Radiology - Diagnostic Radiology Williamsville 278564-0W July 20, 2015
Selvaraj, Dhana Rekha Radiology - Diagnostic Radiology White Plains 278344-7W July 28, 2015
O'connor, Catherine Eileen Surgery Oneonta 277802-5W July 20, 2015
Abodeely, Adam J Surgery, Colon And Rectal Surgery Saranac Lake 257000-0W July 13, 2015
Rorabaugh, James Douglas Surgery, Colon And Rectal Surgery Corning 277940-3W July 13, 2015
Ambrosino, John Joseph Surgery, General Vascular Surgery Kingston 278100-3W July 24, 2015

*Providers authorized to treat only, have an authorization number ending in "W" – Providers authorized to treat and perform independent medical examinations, have an authorization number ending in "B" – Providers authorized to perform independent medical examinations only, have an authorization number ending in "I"


Any questions regarding the authorized lists should be referred to the Medical Director’s Office at 1 (800) 781-2362.

Robert E. Beloten
Chair