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Subject Number 046-1026 Changes to the List of Health Care Providers Authorized to Render Services to Injured Workers Under the Workers' Compensation Law

Subject Numbers Regarding Health Provider Authorizations

February 12, 2018

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.

Adamson, Dale Brian Melbourne 212658-9W December 11, 2017
Adeeb, Nagui Emile Medina 114547-3W December 11, 2017
Ahmed, Saeed Cooperstown 273741-9W December 11, 2017
Amatrudo, Anthony Francis Franklin Square C01354-2W December 11, 2017
Ashby, Dallen Ben Jamestown 257914-2B December 11, 2017
August, Deborah Ann Pittsfield 199319-5W December 12, 2017
Bahr, Gerald S. Celebration 116250-2W December 11, 2017
Bell, David S. Fairport 132862-4W December 11, 2017
Bernardo, Diosdado L. Bayside 155998-8W December 11, 2017
Bettini, Guglielmina New York 113310-7W December 11, 2017
Bloom, Scott William Staten Island 257157-8W December 11, 2017
Boolukos George Peter Nicholas Plattsburgh 076054-6W December 11, 2017
Carr, Brian James Carthage 254960-8I December 11, 2017
Christensen, Steven Lynn Seneca 158105-7W December 11, 2017
Cokinos, Stephan G. West Islip 129950-2W December 11, 2017
Colp, Charlotte Rappaport New York 078311-8W December 11, 2017
D’Alessandro, Alessandro Port Jefferson 096114-4W December 11, 2017
Davidson, Morton I. New York 084267-4W December 11, 2017
Deutsch, Joseph E. Pomona 120473-4B December 12, 2017
Donis, Joshua Adam New York 210657-3I December 11, 2017
Duperval, Jacques Brooklyn 182104-0B December 11, 2017
Falanga, Richard F. Oswego C00099-4B December 11, 2017
Ginsberg, Stanley Arthur Palm Beach Gardens 085077-6W December 11, 2017
Guerrero, Gamoso Milagros Rhinebeck 123101-8W December 11, 2017
Haar, Jean George Buffalo 079546-8B December 11, 2017
Hamer, Harold Alec New York 096460-1W December 12, 2017
Hanna, Ingy Samir Watertown 276417-3W December 12, 2017
Hellreich, Alfred New York 084301-1W December 11, 2017
Holtzapple, Philip G. Syracuse 133319-4W December 11, 2017
Huggins Jennifer Lynn Cincinnati 172000-2W December 11, 2017
Isaacson, Sheldon A. Jupiter 169384-5W December 11, 2017
Izzo, Brian James John Saratoga Springs 142975-2W December 11, 2017
Jaffrey, Ira Sanford Glenwood Springs 097199-4W December 12, 2017
Jarosz, John Raymond, Jr. Rome C11243-5W December 12, 2017
Jonas, Stanislaw New York 115801-3W December 12, 2017
Julian, M Rose Reston C03740-0W December 11, 2017
Kanarek, Lewis Bruce Flushing 143485-1W December 12, 2017
Kantor, Gary A. Long Beach C04360-6W December 12, 2017
Khachadurian, Vartkes Franklin Square 093240-0B December 12, 2017
Klein, Bernard Robert Forest Hills 102133-6W December 12, 2017
Klinger, Allan Jay Longboat 183521-4W December 11, 2017
Kutin, Neil David Old Westbury 109722-9W December 11, 2017
Laskin, Leona C. Philadelphia 070771-1W December 11, 2017
Lee, Bum Suck Laguna Woods 111683-9W December 11, 2017
Lee, Keun Yong East Amherst 130040-9B December 11, 2017
Lehmann, Robert Aaron Goshen 248885-6W December 11, 2017
Levandusky, Ronald S. Freeland 111867-8W December 11, 2017
Lin, Sophia Vivian East Setauket C11650-1W December 11, 2017
Luczycki, Stephen Matthew Glastonbury 224045-5W December 11, 2017
Malseptic, Ronald George Plattsburgh 147599-5W December 11, 2017
Marks, Alfred William Lynbrook 081040-8W December 11, 2017
Matloff, Martha S. Geneva 107305-5W December 11, 2017
Menegas, Jeffrey G. Staten Island 190330-1W December 11, 2017
Menia, Todd Gene Glenham 208183-1W December 11, 2017
Merchant, Munir Suleman Kennedale 232160-2W December 11, 2017
Moreano, Augusto Guillermo Smithtown 096350-4W December 11, 2017
Mormino, Joseph Staten Island 114113-4W December 11, 2017
Munter, Heinz White Plains 091845-8W December 11, 2017
Murphy, Suzanne Amy Old Lyme C07566-5B December 11, 2017
Nash, Marvin Joseph Roslyn 101850-6W December 11, 2017
Neerukonda, Anu Radha Stony Brook 281285-7W December 11, 2017
Nobler, Myron Paul Fort Lee 081615-7W December 11, 2017
Oates, Theodore Kensell, II Rochester 114237-1W December 11, 2017
Oo, Aung Naing Rock Hill 281526-4W December 11, 2017
Owen, Michael P. Henderson 125796-3W December 11, 2017
Ozolins, Salma Arta Ingrida Scotia 175540-4W December 11, 2017
Pasternak, Robert Boca Raton 248483-0W December 11, 2017
Peltz, Leon Sag Harbor 094568-3W December 11, 2017
Saladin, Jose L. Valley Stream 128746-5W December 11, 2017
Salvaggio, Heather Leanne Milford 265454-9W December 11, 2017
Seong, Neil Naksul Melville 165368-2W December 11, 2017
Sette, Ducati Dominic J. Falmouth 097593-8W December 11, 2017
Shamaskin, Joel Alan Penfield 150580-9W December 11, 2017
Singh, Raena Gurparam Buffalo 281638-7B December 11, 2017
Solano, Charles R. Yonkers C01636-2B December 11, 2017
Stewart, Scott Rochester 116799-8W December 11, 2017
Sutaria, Bhagwandas L. Lakewood 119406-7B December 11, 2017
Varnis, Charlene Barbara Fairport 193226-8W December 11, 2017
Vetere, Patrick F. Garden City 125583-5W December 11, 2017
Viener, Seymour Jerome Pittsford 098146-4W December 11, 2017
Villamon Luis Froilan Fishkill 108290-8W December 11, 2017
Wilson, Joseph Paul Williamson C12549-4B December 11, 2017
Wirth, Carl R. Slingerlands 099341-0B December 11, 2017
Wood, Margaret Hicks New York 202962-7W December 11, 2017
Worden, Florentine R. Auburn 070774-5W December 11, 2017

* 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