Subject Numbers Regarding Health Provider Authorizations
November 4, 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 |
|---|---|---|---|---|
| Ansari, Farrukh Aziz | Anesthesiology | Flushing | 269588-0W | October 28, 2015 |
| Antoniou, Robert Basil | Anesthesiology | Melville | 278983-2W | October 6, 2015 |
| Barnett, Natalie Renee | Anesthesiology | Melville | 280774-1W | October 6, 2015 |
| Hasan, Aysha | Anesthesiology | Stony Brook | 279601-9W | October 21, 2015 |
| Pal, Rakhi | Anesthesiology | Corning | 279561-5W | October 8, 2015 |
| Palma, Tegan Marie | Anesthesiology | Rochester | 266789-7W | October 23, 2015 |
| Park, Gerald Young | Anesthesiology | New York | 277617-7W | October 8, 2015 |
| Park, Sherwin | Anesthesiology | Stony Brook | 278258-9W | October 14, 2015 |
| Poli, Joseph John | Anesthesiology | Bronx | 275330-9W | October 23, 2015 |
| Soffin, Ellen Marie | Anesthesiology | New York | 276749-9W | October 30, 2015 |
| Wendel, Pamela Kate | Anesthesiology | New York | 276724-2W | October 6, 2015 |
| Zabirowicz, Eric Scott | Anesthesiology | Stony Brook | 274896-0W | October 14, 2015 |
| Bennett-Guerrero, Elliott | Anesthesiology, Critical Care Medicine | Stony Brook | 203369-4W | October 14, 2015 |
| Burducea, Aristide | Anesthesiology, Pain Management | Deer Park | 243366-2W | October 19, 2015 |
| Amy, Justin Kyle | Chiropractic | East Greenbush | C12716-9W | October 26, 2015 |
| Botta, Leslie J | Chiropractic | Latham | C07407-2B | October 26, 2015 |
| Chen, Yu Cheng | Chiropractic | New York | C12612-0W | October 26, 2015 |
| Davies, Lori Anne | Chiropractic | Corning | C12516-3B | October 26, 2015 |
| Degorter, Jonathan Shea | Chiropractic | Syosset | C12214-5W | October 26, 2015 |
| Engl, Lindsay Marie | Chiropractic | Buffalo | C12710-2B | October 26, 2015 |
| Fakhari, Alexi O | Chiropractic | Buffalo | C11485-2B | October 26, 2015 |
| Fiore, Alexandra Kathleen | Chiropractic | New Hartford | C12707-8B | October 27, 2015 |
| Houle, Melinda Ann | Chiropractic | Buffalo | C12708-6W | October 27, 2015 |
| Joseph, Jasmine Lee | Chiropractic | Brooklyn | C12672-4W | October 27, 2015 |
| Kapoor, Sunjay Nath | Chiropractic | Amherst | C12625-2W | October 27, 2015 |
| Kunzwiler, Krysten Marguerite | Chiropractic | Delmar | C12664-1W | October 27, 2015 |
| Saal, Brett Robert | Chiropractic | Jackson Heights | C09798-2W | October 27, 2015 |
| White, Bryan Michael | Chiropractic | Owego | C12693-0W | October 27, 2015 |
| Williams, Daniel A Iii | Chiropractic | Rochester | C12618-7B | October 27, 2015 |
| Wilson, Joseph Paul | Chiropractic | Williamson | C12549-4B | October 27, 2015 |
| Zempel, Tara Nicole | Chiropractic | Rochester | C12682-3W | October 27, 2015 |
| Saltz, Joel Haskin | Clinical Pathology | Stony Brook | 272214-8W | October 6, 2015 |
| Landskowsky, Adam Louis | Diagnostic Radiology | Brooklyn | 245523-6W | October 8, 2015 |
| Thrall, Matthew Michael | Diagnostic Radiology | Rochester | 270990-5W | October 23, 2015 |
| Williams-Weekes, Terri Antrenas | Diagnostic Radiology | Latham | 203223-3W | October 22, 2015 |
| Yang, John B | Diagnostic Radiology, Nuclear Medicine | East Islip | 257664-3W | October 14, 2015 |
| Corey, William Christian | Diagnostic Radiology, Vascular And Interventional Radiology | Jamestown | 279790-0W | October 21, 2015 |
| Lu, Christina Jennifer | Emergency Medicine | Stony Brook | 278415-5W | October 14, 2015 |
| Nguyen, Ann Phuong Duy | Emergency Medicine | Nanuet | 224313-7W | October 30, 2015 |
| Norton, Jennifer Victoria | Emergency Medicine | Stony Brook | 275227-7W | October 14, 2015 |
| Sundaram, Julie Jeannette | Emergency Medicine | New York | 258934-9W | October 30, 2015 |
| Vazquez, Catalina | Emergency Medicine | Bronx | 236905-6W | October 19, 2015 |
| Carthy, John J | Family Practice | Star Lake | 099273-5B | October 28, 2015 |
| Devaraj, Chander E | Family Practice | New York | 216586-8W | October 23, 2015 |
| Flores, Marialourdes Ramiro | Family Practice | Bronx | 276394-4B | October 8, 2015 |
| Hourizadeh, Joshua Benjamin | Family Practice | Merrick | 263399-8W | October 6, 2015 |
| Lee, Sylvia | Family Practice | Liverpool | 280293-2W | October 6, 2015 |
| Nichols, Kellyrose Mary | Family Practice | Leroy | 279405-5W | October 23, 2015 |
| Parikh, Toral Shailesh | Family Practice | Levittown | 275913-2W | October 6, 2015 |
| Taich, Liliana Monica | Family Practice | Bronx | 277132-7B | October 7, 2015 |
| Tiwari, Purushottam | Family Practice | Newburgh | 281036-4B | October 14, 2015 |
| Weber-Lopez, Joseph W | Family Practice, Sports Medicine | Glen Cove | 276754-9B | October 6, 2015 |
| Betit, Steven Kyle | Internal Medicine | Penfield | 278752-1W | October 14, 2015 |
| Garcia, Christine Ann | Internal Medicine | Stony Brook | 281665-0W | October 21, 2015 |
| Javanmard, Pedram | Internal Medicine | Stony Brook | 281586-8W | October 14, 2015 |
| Johnson, Jarred Micah | Internal Medicine | Ithaca | 274233-6W | October 8, 2015 |
| Kuzhikatil, Achuthan Vindya | Internal Medicine | Goshen | 246477-4B | October 28, 2015 |
| Lee, Stephen A | Internal Medicine | Elmira | 263007-7B | October 21, 2015 |
| Miller, Hanan | Internal Medicine | Cedarhurst | 209678-2W | October 6, 2015 |
| Neerukonda, Anu Radha | Internal Medicine | Stony Brook | 281285-7W | October 14, 2015 |
| Oo, Aung Naing | Internal Medicine | Rock Hill | 281526-4W | October 28, 2015 |
| Sarwar, Chaudhry Muhammad Shahb | Internal Medicine | Stony Brook | 280074-6W | October 14, 2015 |
| William, Christina Faig | Internal Medicine | Brockport | 254972-3W | October 8, 2015 |
| Chaudhuri, Debanik | Internal Medicine, Cardiovascular Disease | Fayetteville | 279621-7W | October 13, 2015 |
| Gallagher, James Daniel | Internal Medicine, Cardiovascular Disease, Clinical Cardiac Electrophysiology | Rochester | 256225-4W | October 23, 2015 |
| Tzimas, Demetrios James | Internal Medicine, Gastroenterology | Stony Brook | 260464-3W | October 14, 2015 |
| Greenberg, Lior Jacob | Internal Medicine, Infectious Diseases | Rochester | 238164-8W | October 22, 2015 |
| Abdullah, Robert | Internal Medicine, Pediatrics | Stony Brook | 280916-8W | October 14, 2015 |
| Ryan, Anne Bowman | Internal Medicine, Pediatrics | Rochester | 271348-5W | October 23, 2015 |
| Szczupak, Walter | Internal Medicine, Pulmonary Diseases | Stony Brook | 147105-1B | October 14, 2015 |
| Garretto, Diana Janet | Obstetrics/Gynecology, Maternal/Fetal Medicine | Stony Brook | 265210-5W | October 14, 2015 |
| Holt, Claudine Noela | Occupational Medicine | New York | 279674-6W | October 30, 2015 |
| Miller, Adam Michael | Ophthalmology | Cortland | 264139-7W | October 14, 2015 |
| Phelps, Paul Owen | Ophthalmology | Slingerlands | 276931-3W | October 14, 2015 |
| Rastogi, Shobit | Ophthalmology | Brooklyn | 227952-9B | October 21, 2015 |
| Shah, Shetal Amit | Ophthalmology | Commack | 258433-2W | October 1, 2015 |
| Choi, Lisa Eunju | Orthopedic Surgery | Middletown | 260347-0B | October 28, 2015 |
| Cuellar, John C | Orthopedic Surgery | Babylon | 278797-6W | October 14, 2015 |
| Gomez, Hernandez Jaime Andres | Orthopedic Surgery | New York | 280176-9W | October 6, 2015 |
| Hardcastle, John M | Orthopedic Surgery | Middletown | 258584-2W | October 14, 2015 |
| Larkin, Thomas Gerard | Orthopedic Surgery | Brooklyn | 177786-1B | October 21, 2015 |
| Liporace, Frank Anthony | Orthopedic Surgery | New York | 218037-0B | October 30, 2015 |
| Mathen, Santosh | Orthopedic Surgery | Plainveiw | 271742-9W | October 6, 2015 |
| Pryce, Michael Lindsey | Orthopedic Surgery | Cortland | 280178-5W | October 8, 2015 |
| Shen, Wei | Orthopedic Surgery | Great Neck | 278364-5W | October 6, 2015 |
| Wilbur, Danielle Marie | Orthopedic Surgery | Rochester | 280741-0W | October 23, 2015 |
| Yaseen, Zaneb | Orthopedic Surgery | Ithaca | 280400-3W | October 8, 2015 |
| Dapul, Geraldine Poscablo | Physical Medicine/Rehabilitation | Rochester | 279226-5W | October 8, 2015 |
| Green, Jonah Steven | Physical Medicine/Rehabilitation | Brooklyn | 229690-3B | October 21, 2015 |
| Mccarthy, Dayna | Physical Medicine/Rehabilitation | Carmel | 264785-7W | October 5, 2015 |
| Brown Samuel Pearce | Physical Medicine/Rehabilitation, Pain Management | Port Jefferson | 279703-3W | October 14, 2015 |
| Chang, Jerry Weiger | Plastic Surgery | Garden City | 257199-0W | October 23, 2015 |
| Bortniker, Keith Eric | Podiatry | Tappan | P06715-8W | October 19, 2015 |
| Ellie, John Jr | Podiatry | Rochester | P06649-9W | October 19, 2015 |
| Frankel, Richard Harris | Podiatry | New York | P03732-6B | October 19, 2015 |
| Habib, Ayaz Ahmed | Podiatry | Rochester | P06595-4W | October 19, 2015 |
| Majdanski, Waldemar | Podiatry | Brooklyn | P06577-2B | October 19, 2015 |
| Patel, Niral V | Podiatry | Hudson | P06719-0W | October 19, 2015 |
| Rivera, Morell Mariola | Podiatry | White Plains | P06721-6B | October 19, 2015 |
| Tolli, John Joseph | Podiatry | Poughkeepsie | P06677-0B | October 19, 2015 |
| Ward, Buckley Katherine Ann | Podiatry | Pearl River | P04924-8B | October 19, 2015 |
| Nazneen, Salma | Psychiatry | Stony Brook | 264818-6W | October 21, 2015 |
| Pradhan, Amit Prakash | Psychiatry | Cooperstown | 279586-2W | October 8, 2015 |
| Eagle, Stacy Marie | Psychiatry, Child Psychiatry | Stony Brook | 259629-4W | October 14, 2015 |
| Jasti, Sirisha | Radiology - Diagnostic Radiology | Johnson City | 274137-9W | October 8, 2015 |
| Talati, Ronak Kiran | Radiology - Diagnostic Radiology | West Islip | 278278-7W | October 6, 2015 |
| Alli, Vamsi V | Surgery | Stony Brook | 280728-7W | October 14, 2015 |
| Bates, Andrew Tyler | Surgery | Stony Brook | 266055-3W | October 14, 2015 |
| Kim, Pamela S | Surgery | Stony Brook | 280575-2W | October 14, 2015 |
| Sasson, Aaron Raphael | Surgery | Stony Brook | 281708-8W | October 21, 2015 |
| Warner, Courtney Jill | Surgery - General Vascular Surgery | Saratoga Springs | 279367-7W | October 23, 2015 |
| Ahmad, Nawaiz | Surgery, Hand Surgery, Plastic Surgery | Staten Island | 223289-0B | October 21, 2015 |
| Cooper, Vincent Theodore | Urology | Glens Falls | 236133-5W | October 30, 2015 |
| Slatch, Harry Harmendra | Urology | Glens Falls | 214079-6W | October 21, 2015 |
| Thompson, Rupert Anthony | Urology | Uniondale | 186206-9B | October 21, 2015 |
| Ansari, Farrukh Aziz | Anesthesiology | Flushing | 269588-0W | October 28, 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