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Subject Number 046-865 Newly Authorized Health Care Providers Approved to Render Services to Injured Workers Under the Workers' Compensation Law

Subject Numbers Regarding Health Provider Authorizations

July 15, 2016

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
Cardoso, John Paul A. Anesthesiology Rochester 284306-8W June 21, 2016
Cemer, Nurudin Anesthesiology Oneida 275085-9W June 30, 2016
Joseph, David Oommen Anesthesiology, Critical Care Medicine, Internal Medicine Syracuse 250530-3W June 30, 2016
Mahajan, Nakul Anesthesiology, Pain Management Staten Island 263983-9B June 30, 2016
Yung, Arvid Si Lik Anesthesiology Rochester 269023-8W June 28, 2016
Manganaro, Susan Nicole Child Neurology, Clinical Neurophysiology Stony Brook 274505-7B June 14, 2016
Carnes, Michael Peter Chiropractic Miller Place C11590-9W June 17, 2016
Fiore, Nicholas Joseph Chiropractic Webster C12825-8B June 17, 2016
Groelinger, Milton P. Chiropractic West Babylon C03475-3B June 17, 2016
Hulbert, Jennifer Lynn Chiropractic Sprakers C12441-4W June 17, 2016
Humphries, Leah Virginia Chiropractic Owego C12709-4W June 17, 2016
Kinee, Amanda E. Chiropractic Jamaica C12304-4W June 17, 2016
Lynk, Gary Elias Chiropractic Hudson C07862-8W June 17, 2016
Morgan, Shaun Michael Chiropractic Elma C12500-7W June 17, 2016
Perez, Crespo Vivian Vanessa Chiropractic Rego Park C12813-4W June 17, 2016
Subadya, Jeremy Tjandra Chiropractic Forest Hills C12806-8W June 17, 2016
Blair, Donald Joseph Diagnostic Radiology Bronx 251682-1W June 30, 2016
Gamss, Caryn A. Diagnostic Radiology New York 272598-4W June 3, 2016
Ikram, Nabia Shirin Diagnostic Radiology New Hartford 280121-5W June 9, 2016
Schielke, Jodi Lee Diagnostic Radiology East Syracuse 284075-9W June 14, 2016
Schielke, Lorenz H. Diagnostic Radiology East Syracuse 213928-5W June 14, 2016
Straub, Birva Ajaykumar Diagnostic Radiology New City 279549-0W June 3, 2016
Young, Neal H. Diagnostic Radiology, Vascular and Interventional Radiology Warsaw 257785-6B June 21, 2016
Schwab, Kristin Mary Emergency Medicine Ozone Park 262829-5W June 13, 2016
Smith, Richard Edward Emergency Medicine Queens Village 212407-1W June 2, 2016
Dennison, Patrick R. Family Practice Dunkirk 276924-8B June 17, 2016
Jellett, Carol Family Practice Hyde Park 222115-8W June 30, 2016
Kerzuma, Elina Family Practice Brooklyn 277432-1W June 13, 2016
Kim, Henry Lin Family Practice New York 280969-7W June 3, 2016
Siddique, Khawaja Asim Family Practice Brooklyn 280349-2W June 30, 2016
Sulaiman, Ramez Ahmad Family Practice Brooklyn 265709-6B June 13, 2016
Agheli, Aref Internal Medicine, Hematology, Medical Oncology East Syracuse 257893-8B June 21, 2016
Bisen, Nabamita Internal Medicine, Critical Care Medicine, Pulmonary Diseases Syracuse 277973-4W June 14, 2016
Bravo, Enrico Ayson Internal Medicine Saratoga Springs 271901-1W June 14, 2016
Isabell, Lee Jarrett Internal Medicine Kingston 229152-4W June 27, 2016
Kaufman, Brian E. Internal Medicine Wells 231186-8I June 29, 2016
Klein, Radoslava Internal Medicine, Infectious Diseases Somers 255106-7B June 3, 2016
Pankewycz, Oleh George Internal Medicine, Nephrology Syracuse 221448-4W June 21, 2016
Poupalos, Shannon A. Internal Medicine Buffalo 276819-0W June 16, 2016
Vivenzio, Maria Internal Medicine Saratoga Springs 279760-3W June 7, 2016
Hillard, Virany Huynh Neurological Surgery Valhalla 223418-5W June 30, 2016
Gu, Eugene Yuejie Neurology Stony Brook 266560-2W June 14, 2016
Stevens, Perry Robert Neurology, Internal Medicine Great Neck 179574-9W June 6, 2016
Kostakoglu, Lale Nuclear Medicine New York 209952-1W June 3, 2016
Peskin-Stolze, Melissa Rebecca Obstetrics/Gynecology Stony Brook 264472-2B June 16, 2016
Ahn, Daniel Ophthalmology Cornwall 282296-3W June 14, 2016
Arogyasami, Roy Marie Nambeesan Ophthalmology Plattsburgh 275200-4W June 22, 2016
Afsarkeshmiri, Armin Orthopedic Surgery Glens Falls 235344-9B June 27, 2016
Fitzgerald, Michael Gabriel Orthopedic Surgery Syracuse 284814-1W June 30, 2016
Fitzpatrick, Thomas Michael Orthopedic Surgery Norwich 144692-1W June 24, 2016
Fontaine, Michelle Lee Orthopedic Surgery, Hand Surgery Middletown 275678-1B June 13, 2016
Yeger-McKeever Meira Ziva Orthopedic Surgery Utica 276946-1W June 13, 2016
Privitera, Danielle Harmon Pediatrics Fairport 269422-2W June 21, 2016
Mathew, Thresiamma Physical Medicine/Rehabilitation Brooklyn 247349-4I June 13, 2016
Pappas, Mike Menelaos Physical Medicine/Rehabilitation Riverhead 222059-8B June 28, 2016
Cervantes, Ana Natasha Psychiatry, Forensic Psychiatry Amherst 253447-7W June 21, 2016
Hasan, Abdullah Mohammad Reza Psychiatry Stony Brook 207305-4W June 21, 2016
Brayton, Kimberly J. Psychology Glens Falls S16568-8W June 21, 2016
Covington, Theresa M. Psychology Liverpool S12316-6B June 13, 2016
Delazar, Melinda E. Psychology Wallkill S19455-5W June 13, 2016
Filangieri, Carole Marie Psychology Port Jefferson Station S21489-0B June 13, 2016
Orenbakh, Grigory Psychology Valley Stream S14896-5B June 21, 2016
Popovich-Hymowitz, Genna Faith Psychology Stony Brook S20105-3W June 21, 2016
Teitelbaum, Lesley M. Psychology Fayetteville S20549-2B June 21, 2016
Wolfe, Rachel Psychology New York S15014-4I June 21, 2016
Beecher, Shenecia N. Public Health & General Preventive Medicine Brooklyn 263434-3I June 21, 2016
Franke, Hubert Roman Radiology – Diagnostic Radiology New York 237589-7W June 3, 2016
Hoshmand, Kochi Mahsa Radiology – Diagnostic Radiology Stony Brook 276850-5W June 1, 2016
Rodriguez, Manuel Radiology – Diagnostic Radiology Rochester 279535-9W June 21, 2016
Francis, Sheeja Rheumatology New Windsor 276903-2B June 27, 2016
Bevilacqua, William Frederick Surgery Orchard Park 283583-3B June 21, 2016
Chen, David Q. Surgery Kew Gardens 256140-5W June 13, 2016
Kasulke, Matthew David Surgery Auburn 284157-5W June 13, 2016
Laskowski, Igor Andrew Surgery, General Vascular Surgery Hawthorne 233999-2B June 30, 2016
Malhotra, Sandeep Surgery Middletown 222662-9B June 13, 2016
Grimaldi, Thomas Urology New Rochelle 196160-6B June 14, 2016

*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.

Kenneth J. Munnelly
Chair