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Subject Number 046-915 Newly Authorized Health Care Providers Approved to Render Services to Injured Workers Under the Workers' Compensation Law

Subject Numbers Regarding Health Provider Authorizations

January 19, 2017

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
Cymerman, Diane Hoffman Allergy and Immunology, Internal Medicine East Setauket 161005-4B December 30, 2016
DiCostanzo, Damian Paul Anatomic Pathology, Dermatopathology Port Chester 168313-5W December 29, 2016
Demma, Linda Jean Anesthesiology Cooperstown 282528-9W December 2, 2016
Mane, Shamee Paresh Anesthesiology Albany 286562-4W December 30, 2016
Yu, Suzanne Ge Anesthesiology New York 226996-7W December 20, 2016
Tallman, Mark Patrick Cardiovascular Stony Brook 191442-3W December 29, 2016
Carter, Stacy Marie Chiropractic Syracuse C12209-5W December 30, 2016
Castro, Michael Ralph Chiropractic Pearl River C12777-1B December 30, 2016
Davis, Jeremiah Evan Chiropractic Kenmore C12603-9W December 30, 2016
Fialkov, Ross Alan Chiropractic Brooklyn C12532-0W December 30, 2016
Flores, Manuel Enrique Chiropractic Red Hook C11153-6B December 30, 2016
Mendelblatt, Brendt Ross Chiropractic Bardonia C12837-3B December 30, 2016
Thomas, Noble A. Chiropractic Rye Brook C12866-2B December 30, 2016
Tirimacco, Sarah Chiropractic Rochester C12600-5B December 30, 2016
Hogge, Mark Wayne Diagnostic Radiology Jamestown 286556-6W December 22, 2016
Ishtiaq, Bakhtiar Emergency Medicine Yorktown Heights 204974-0B December 27, 2016
Lardner, Deborah Anne Emergency Medicine, Family Practice Brooklyn 233670-9W December 5, 2016
Cunningham, Daniel Joseph Edwar Family Practice Schenectady 284338-1W December 7, 2016
Duroseau, Yvel Family Practice, Geriatric Medicine Bronx 268166-6B December 27, 2016
Fresneda, Caridad Irene Family Practice Yonkers 190207-1B December 22, 2016
Kolaj, Brunilda Family Practice Liverpool 286472-6W December 5, 2016
Kudria, Inna Family Practice Hudson 211095-5W December 30, 2016
Mekhoubad, Shahram Family Practice Oakland Gardens 273033-1B December 19, 2016
Pant, Shradha Family Practice Syracuse 285887-6W December 30, 2016
Thomashefski, Matthew Robert Family Practice Le Roy 283849-8W December 27, 2016
Bien, Harold Internal Medicine, Hematology, Medical Oncology Stony Brook 267100-6B December 30, 2016
Lazo, Dante Torrijos Internal Medicine Flushing 185982-6W December 7, 2016
Mustafa, Nadia Muhammad Internal Medicine Middletown 259759-9W December 19, 2016
Sterns, Richard H. Internal Medicine, Nephrology Rochester 116909-3W December 5, 2016
Tomy, Mercy Kuttentharappel Internal Medicine Syracuse 285204-4W December 30, 2016
Waters, Theresa Anne Internal Medicine Fayetteville 285798-5W December 19, 2016
Sevush-Garcy, Jennifer Lori Neurology Mount Kisco 280736-0B December 19, 2016
Murthy, Rajan Nuclear Medicine, Diagnostic Radiology Astoria 219585-7W December 19, 2016
Crane, William Grace, Jr. Ophthalmology Watertown 190088-5W December 7, 2016
Casagrande, Danielle Joy Orthopedic Surgery Brooklyn 270892-3W December 22, 2016
Cicoria, Anthony David Orthopedic Surgery Norwich 174322-8W December 29, 2016
Echenique, Jose Javier Orthopedic Surgery Bronx 284074-2B December 5, 2016
Chang, Richard Ginlung Physical Medicine/Rehabilitation Brooklyn 262319-7B December 5, 2016
Hilderbrand, Rene Frances Ann Physical Medicine/Rehabilitation New York 252229-0W December 30, 2016
Simpson, Scott Albert Physical Medicine/Rehabilitation Stony Brook 285022-0W December 27, 2016
Akunne, Chima Paul Podiatry Newburgh P06718-2W December 29, 2016
Lee, Charles Podiatry Bronx P06605-1W December 29, 2016
Leon, Stuart Brian Podiatry Briarwood P05513-8W December 29, 2016
Piselli, Elizabeth Hope Podiatry Rockville Ctr P06716-6W December 29, 2016
Gill, Poonamdeep Kaur Psychiatry, Child Psychiatry Stony Brook 285021-2W December 30, 2016
Lobosco, Matthew Psychiatry, Internal Medicine Stony Brook 271894-8B December 30, 2016
Swain, James Edward Psychiatry Stony Brook 284951-1W December 30, 2016
Branson, Brittany Rachel Radiology – Diagnostic Radiology Mount Kisco 284215-1W December 1, 2016
Taylor, Jennifer Nicole Radiology – Diagnostic Radiology Syracuse 271234-7W December 2, 2016
Allam, Medhat E. Surgery Southampton 193888-5W December 29, 2016
Ayers, Joseph Daniel Surgery, General Vascular Surgery Cooperstown 233964-6W December 7, 2016
Sbayi, Samer Surgery Stony Brook 286000-5B December 27, 2016
Tannous, Henry Jean Surgery, Thoracic Surgery Stony Brook 239983-0W December 27, 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