Subject Numbers Regarding Health Provider Authorizations
March 12, 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 |
|---|---|---|---|---|
| Esch, Andrea Toufexis | Anesthesiology | Williamsville | 277873-6W | February 23, 2015 |
| Ingoglia, Michael Thomas | Anesthesiology | Rensselaer | 262870-9W | February 25, 2015 |
| Joseph, Samantha Amie | Anesthesiology | Rosedale | 277293-7W | February 25, 2015 |
| Grover, Michael James | Anesthesiology, Pain Management | Corning | 274555-2W | February 19, 2015 |
| Mcaleer, Patricia Anne | Dermatology | Mt. Kisco | 209140-3I | February 20, 2015 |
| Deyer, Timothy William | Diagnostic Radiology | New York | 226291-3W | February 24, 2015 |
| Gao, Yiming | Diagnostic Radiology | Garden City | 273952-2W | February 25, 2015 |
| Lee, Nicole Nakyung | Diagnostic Radiology | New York | 242553-6W | February 24, 2015 |
| Modi, Jignesh M | Diagnostic Radiology | Cornwall | 268013-0W | February 24, 2015 |
| Watson, A. Nina | Diagnostic Radiology | Garden City | 263404-6W | February 25, 2015 |
| Baccellieri, Angelo | Emergency Medicine | Pelham Manor | 201058-5B | February 24, 2015 |
| Colombo, Paul | Emergency Medicine | Dobbs Ferry | 259819-1W | February 11, 2015 |
| Czarnecki, Stanley John | Emergency Medicine | Norwich | 169803-4B | February 24, 2015 |
| Hanlon, Kim | Emergency Medicine | Olean | 277000-6W | February 11, 2015 |
| Kleinmaier, Matthew Charles | Emergency Medicine | Cooperstown | 276894-3W | February 20, 2015 |
| Pastula, Leonard Thomas Ii | Emergency Medicine | Old Brookville | 215143-9W | February 25, 2015 |
| Ranoewidjojo, Budiarto | Emergency Medicine | New York | 253948-4W | February 19, 2015 |
| Shih, David Yu-Chin | Emergency Medicine | Westbury | 235061-9W | February 19, 2015 |
| Bechan-Dugan, Cathleen Lynda | Family Practice | Yonkers | 272387-2W | February 19, 2015 |
| Campbell, Lorne Richard Sr. | Family Practice | Johnson City | 164798-1W | February 26, 2015 |
| Carlson, Joshua Edward | Family Practice | Clifton Park | 276179-9W | February 19, 2015 |
| Cooney, James Thomas | Family Practice | Seaford | 277387-7W | February 25, 2015 |
| Garcia, Zurbriggen Andrea Belen | Family Practice | Hamilton | 276487-6W | February 25, 2015 |
| Gaysynsky, July | Family Practice | Valley Stream | 240804-5W | February 25, 2015 |
| Kafa, Ammar | Family Practice | Massena | 270868-3W | February 20, 2015 |
| Khan, Najmul Hasan | Family Practice | Williamsville | 267792-0W | February 23, 2015 |
| King, Stella O. | Family Practice | Pittsford | 257810-2W | February 23, 2015 |
| Kless, Kevin Alexander | Family Practice | Rochester | 276459-5W | February 24, 2015 |
| Klinkman, Erin Lynn | Family Practice | Endicott | 274589-1W | February 19, 2015 |
| Lalley-Demong, Vanessa | Family Practice | Central Sq. | 275026-3W | February 11, 2015 |
| Salim, Suhail Mohammed | Family Practice | New Hyde Park | 263684-3W | February 25, 2015 |
| Ungar, Heidi Elizabeth | Family Practice | New York | 272864-0W | February 24, 2015 |
| Weaver, Daniel Craig | Family Practice | West Winfield | 277059-2W | February 19, 2015 |
| Kahn, Oren | Gastroenterology | Mt. Kisco | 186930-4B | February 19, 2015 |
| Mcgowan, Laura Ann | Internal Medicine | Williamsville | 274523-0W | February 23, 2015 |
| Mutic, Mario | Internal Medicine | New Rochelle | 257090-1W | February 20, 2015 |
| Nejati, Golali | Internal Medicine | Brooklyn | 254652-1W | February 11, 2015 |
| Reagan, Brian Francis | Internal Medicine | Cooperstown | 175603-0W | February 20, 2015 |
| Troitino, Anthony | Internal Medicine | Troy | 162591-2W | February 24, 2015 |
| Volovoy, Vitaly | Internal Medicine | Jamaica | 205549-9W | February 11, 2015 |
| Antecol, David H. | Internal Medicine, Cardiovascular Disease | Watertown | 209056-1B | February 11, 2015 |
| Nair, Smitha Gopinath | Internal Medicine, Critical Care Medicine, Pulmonary Diseases | Purchase | 277008-9W | February 20, 2015 |
| Shvets, Lyudmila | Internal Medicine, Endocrinology, Diabetes And Metabolism | Brooklyn | 277889-2W | February 20, 2015 |
| Ozden, Nuri | Internal Medicine, Gastroenterology | Syracuse | 255095-2W | February 24, 2015 |
| Camargo, Maria Jose Falotico | Internal Medicine, Geriatric Medicine, Hospice And Palliative Medicine | Cooperstown | 204029-3W | February 24, 2015 |
| Christensen, Diana | Internal Medicine, Infectious Diseases | Massena | 254435-1W | February 20, 2015 |
| Cohen, Anders Jonathan | Neurological Surgery | Brooklyn | 217215-3B | February 26, 2015 |
| Qureshi, Shahnawaz Hussain | Neurological Surgery | Big Flats | 277020-4W | February 13, 2015 |
| Radley, Michael Gerald | Neurological Surgery | Hagerstown | 181864-0I | February 27, 2015 |
| Reddy, Varun Venkatesh | Neurology | Johnson City | 276970-1W | February 20, 2015 |
| Liva, Jeffrey Scott | Occupational Medicine | Staten Island | 205179-5B | February 12, 2015 |
| Sadati, Sheler | Occupational Medicine | Rochester | 250130-2W | February 10, 2015 |
| Bromberg, Beth Shapiro | Ophthalmology | Rye | 164082-0W | February 19, 2015 |
| Mattern, Ruth Marie | Ophthalmology | Buffalo | 182871-4W | February 23, 2015 |
| Ackerman, George Peter | Orthopedic Surgery | Garden City | 263256-0W | February 25, 2015 |
| Cally, Donald James | Orthopedic Surgery | Syracuse | 181387-2B | February 24, 2015 |
| Chen, Darwin D. | Orthopedic Surgery | New York | 248092-9W | February 24, 2015 |
| Pompo, Frank Joseph | Orthopedic Surgery | Cortland | 277234-1W | February 20, 2015 |
| Tomaino, Matthew Michael | Orthopedic Surgery, Hand Surgery | Rochester | 171436-9W | February 27, 2015 |
| Chater, Michael George | Otolaryngology | Potsdam | 276048-6W | February 20, 2015 |
| O’brien, Brendan M. | Otolaryngology | Rochester | 273735-1W | February 23, 2015 |
| Leblanc, Kerri Kathleen | Pediatrics | Cooperstown | 277067-5W | February 20, 2015 |
| Wilson, Lekeyah Nicole | Pediatrics | Rochester | 257072-9W | February 17, 2015 |
| Oommen, Bobby Michael | Physical Medicine/Rehabilitation | Plattsburgh | 270078-9W | February 27, 2015 |
| Fontecha, Hernandez Jeisson Fer | Psychiatry | Stony Brook | 277689-6W | February 20, 2015 |
| Dipierro, Charles Gian | Public Health & General Preventive Medicine | Stony Brook | 264574-5B | February 20, 2015 |
| Liebling, Anne | Rheumatology | Rhinebeck | 191581-8B | February 19, 2015 |
| Armstrong, Robert Steven | Surgery | West Seneca | 274206-2W | February 23, 2015 |
| Gonzalez, Lorena | Surgery | Syracuse | 275512-2W | February 20, 2015 |
| Hatzoudis, Georgios Ioannis | Surgery | Elmira | 261793-4W | February 25, 2015 |
| Stanger, Jennifer Dawn | Surgery | Syracuse | 277238-2W | February 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