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Subject Number 046-818 Newly Authorized Health Care Providers Approved to Render Services to Injured Workers Under the Workers' Compensation Law

Subject Numbers Regarding Health Provider Authorizations

October 7, 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 workersí compensation system.

NAME SPECIALTY AREA OF PRACTICE CITY OF PRACTICE AUTHORIZATION NUMBER* EFFECTIVE DATE
Cimic, Adela Anatomic Pathology Stony Brook 275567-6W September 8, 2015
Schwartz, Charles Frederick Anatomic Pathology, Clinical Pathology Amsterdam 204655-5I September 24, 2015
Akkerman, Albert Z. Anesthesiology Dunkirk 236688-8W September 21, 2015
Arekapudi, Anil Kumar Anesthesiology Rochester 278917-0W September 21, 2015
Binder, Michael Anesthesiology New York 233664-2W September 25, 2015
Gordon, Michael Elijah Jr. Anesthesiology Carthage 243854-7W September 22, 2015
Hanono, Daniel Moshe Anesthesiology Brooklyn 258518-0W September 2, 2015
Hassan, Mahmoud Abdalla Ahmed Anesthesiology Buffalo 277111-1W September 18, 2015
Khan, Ahmed Raza Anesthesiology Rochester 186875-1W September 18, 2015
Lu, Charlie Chenggang Anesthesiology Rochester 278202-7W September 18, 2015
Mikhail, Ashraf Anesthesiology Flushing 249789-9W September 21, 2015
Umholtz, Matthew James Anesthesiology Buffalo 280775-8W September 21, 2015
Weinshel, Sarah Michal Anesthesiology Mount Kisco 167405-0I September 2, 2015
Wong, Jan R. Anesthesiology Syracuse 264585-1W September 16, 2015
Lee, Robert Edward Anesthesiology, Pain Management Buffalo 269293-7W September 21, 2015
Iyer, Sriram Sadasivan Cardiovascular New York 207886-3B September 24, 2015
Lozeau, Daniel F. Dermatology, Pathology - Dermatopathology Stony Brook 263574-6W September 8, 2015
Annese, Christian Pasquale Diagnostic Radiology New York 275196-4W September 25, 2015
Gupta, Sanjay Kumar Diagnostic Radiology New York 227969-3W September 10, 2015
Iseman, Christine Marie Diagnostic Radiology Albany 256406-0B September 24, 2015
Komissarova, Maria Diagnostic Radiology Albany 274687-3B September 24, 2015
Maitland, Ceceleta Yvonne Diagnostic Radiology Latham 193936-2W September 29, 2015
Patel, Priyesh Diagnostic Radiology Brooklyn 278785-1B September 16, 2015
Tabone, Michael Frank Diagnostic Radiology Williamsville 279668-8W September 21, 2015
Mingos, Mark Allen Diagnostic Radiology, Nuclear Radiology Corning 279343-8W September 25, 2015
Glick, Scott Michael Emergency Medicine Ithaca 269561-7W September 16, 2015
Goldenberg, William D. Emergency Medicine Stony Brook 253213-3W September 8, 2015
Miao, Katharine Hsin Emergency Medicine White Plains 234900-9W September 2, 2015
Otterness, Karalynn Emergency Medicine Stony Brook 271990-4W September 8, 2015
Passanante, Joseph Anthony Emergency Medicine Brooklyn 273206-3W September 16, 2015
Spiegel, Rory J. Emergency Medicine Stony Brook 280512-5W September 24, 2015
Cameron, Christine Anne Family Practice Buffalo 276847-1W September 18, 2015
Cerklewich, Nicole Brianna Family Practice Champlain 272368-2W September 16, 2015
Flores, Zoila Z. Family Practice Hempstead 258387-0W September 25, 2015
Gift, Laura Elizabeth Family Practice Penfield 275094-1W September 23, 2015
Heim, Jacqueline Marie Family Practice Buffalo 275424-0W September 21, 2015
Jain, Akshat Family Practice Watertown 280426-8W September 25, 2015
Owen, Ira Davis Family Practice New York 275049-5W September 25, 2015
Panini, Aruna S. Family Practice Rock Hill 280543-0B September 10, 2015
Patel, Surag Suresh Family Practice Rochester 274797-0W September 24, 2015
Skyers, Princess Family Practice New York 257162-8W September 25, 2015
Teves, Michelle Andre Family Practice Ithaca 271156-2W September 17, 2015
Bonilla, Trejos Eduardo Internal Medicine Syracuse 280340-1W September 16, 2015
Garneau, John J., Jr. Internal Medicine Pittsford 174390-5W September 10, 2015
Hameed, Mazin Majeed Internal Medicine Rochester 273454-9W September 18, 2015
He, Jie Internal Medicine Watertown 277762-1W September 8, 2015
Jain, Eera Internal Medicine Stony Brook 280323-7W September 8, 2015
Khan, Shahida Akhter Internal Medicine Woodside 209073-6W September 16, 2015
Mani, Egesta Internal Medicine Briarcliff Manor 250339-9W September 21, 2015
Mezu, Ngozi Catherine Internal Medicine Cortland 277390-1W September 24, 2015
Nat, Amitpal Singh Internal Medicine Syracuse 280151-2W September 2, 2015
Petkovich, Bradley William Internal Medicine Rochester 274682-4W September 4, 2015
Saleem, Sheikh Abdul Salam Internal Medicine Cooperstown 280710-5W September 25, 2015
Schamel, Shannon Shea Internal Medicine Watkins Glen 275728-4B September 16, 2015
Suter, Zachary David Internal Medicine Rochester 278430-4W September 25, 2015
Manheimer, Eric David Internal Medicine, Cardiovascular Disease Middletown 257983-7B September 2, 2015
Marino, Brian Scott Internal Medicine, Cardiovascular Disease Ithaca 271050-7W September 8, 2015
Parikh, Puja Bipin Internal Medicine, Cardiovascular Disease, Interventional Cardiology Stony Brook 253318-0W September 8, 2015
Arif, Muhammad Osman Internal Medicine, Geriatric Medicine Syracuse 278465-0W September 16, 2015
Eisenberg, Spencer M. Internal Medicine, Geriatric Medicine Johnson City 271528-2W September 16, 2015
Arnold, Florence Internal Medicine, Hematology, Medical Oncology Watertown 278825-5W September 29, 2015
Salman, Huda Internal Medicine, Hematology, Medical Oncology Stony Brook 280386-4B September 8, 2015
Branche, Angela Ramona Internal Medicine, Infectious Diseases Rochester 267782-1W September 11, 2015
Neumann, Henry Jonathan Internal Medicine, Infectious Diseases Stony Brook 281000-0W September 8, 2015
Babayeva, Natela Internal Medicine, Pediatrics New York 237865-1W September 25, 2015
Diefenbach, William Paul Neurological Surgery Erie 162170-5I September 25, 2015
Kinon, Merritt Drew Neurological Surgery Bronx 253201-8W September 10, 2015
Ahmed, Omar F. Neurology New York 240578-5W September 21, 2015
Dennis, Lyle James Neurology Suffern 205562-2W September 21, 2015
Malkani, Brijesh Neurology Yonkers 260515-2B September 14, 2015
Masoud, Hesham Elmiselhy Neurology Syracuse 280838-4W September 29, 2015
Berg, Michel Justus Neurology, Clinical Neurophysiology Rochester 165979-6W September 24, 2015
Bernbaum Melissa L. Neurology, Clinical Neurophysiology Islip 242531-2W September 2, 2015
Ahmed, Fatima Ophthalmology Slingerlands 279117-6W September 10, 2015
Chaudhary, Khurram Mahmood Ophthalmology Stony Brook 258035-5B September 24, 2015
Marcus, Edward Ophthalmology Great Neck 255287-5W September 8, 2015
Balkissoon, Rishi Orthopedic Surgery Rochester 280557-0W September 18, 2015
Bruneau, Pierre Andre Orthopedic Surgery Brewster 245411-4B September 21, 2015
Glaser, Jordan Michael Orthopedic Surgery Albany 273705-4W September 17, 2015
Insel, Aaron Noah Orthopedic Surgery Harrison 274535-4W September 11, 2015
Saleh, Ahmed Orthopedic Surgery Rochester 279136-6W September 18, 2015
Scordino, Laura Weiss Orthopedic Surgery Albany 280376-5W September 10, 2015
Stanton, Michael Christopher Orthopedic Surgery Rochester 273247-7W September 8, 2015
Stein, Matthew Isaac Orthopedic Surgery Albany 278524-4W September 28, 2015
Tayrose, Gregory Abram Orthopedic Surgery Potsdam 262166-2W September 2, 2015
Van Gorder, Robert Thomas Orthopedic Surgery Johnson City 281306-1W September 25, 2015
Hadi, Joseph Mehrdad Physical Medicine/Rehabilitation Brooklyn 270398-1W September 16, 2015
Qureshi, Adnan Anwer Physical Medicine/Rehabilitation Yonkers 277493-3B September 25, 2015
Riolo, Thomas Antonio Physical Medicine/Rehabilitation Forest Hills 274398-7W September 29, 2015
Lago, Jesus Angel Psychiatry, Addiction Psychiatry Purchase 182355-8B September 11, 2015
Popivker, Zoya Psychiatry, Child Psychiatry Stony Brook 263231-3W September 24, 2015
Chang, Michael Chia Hsiu Radiology - Diagnostic Radiology Liverpool 279202-6W September 2, 2015
Kaufman, Theodor Irving Surgery Cooperstown 198863-3W September 17, 2015
Kim, Joseph Surgery Stony Brook 280363-3B September 8, 2015
Nitzkorski, James Ryan Surgery Poughkeepsie 238729-8W September 10, 2015
Qi, Yanjie Surgery Rochester 251347-1W September 10, 2015
Rubano, Jerry A. Surgery Stony Brook 261957-5W September 29, 2015
Tan-Tam, Clara Chia-Hua Surgery Cooperstown 278741-4W September 25, 2015
Sikalas, Nicholas Surgery, General Vascular Surgery Stony Brook 270038-3B September 16, 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 Directorís Office at 1 (800) 781-2362.

Robert E. Beloten
Chair