BUSINESS_NAME PROVTYPE PROVIDER_NUMBER LICENSE COUNTY_CODE COUNTY_NAME ACTION_DATE CITY STATE ZIP ACTION_TYPE PROFESSION_DESC 1 STOP PHARMACY AND FOOD MART INC 02935959 61 Queens 02/03/2009 JACKSON HEIGHTS NY 11372 Exclusion - 18NYCRR515 14 LAWRENCE AVE PHARMACY CORP 00394330 00016123 47 Suffolk 08/31/1988 SMITHTOWN NY 11787 Exclusion - 18NYCRR515 149 EAST PHARMACY INC 00857676 00018340 58 Bronx 01/15/1992 BRONX NY 10451 Exclusion - 18NYCRR515 1491 DEKALB AVE PHARMACY INC 00883385 00018542 59 Kings 07/13/1992 BROOKLYN NY 11237 Exclusion - 18NYCRR515 168TH STREET DRUGS INC 00826004 00017963 61 Queens 10/27/1992 LONG ISLAND CITY NY 11101 Exclusion - 18NYCRR515 195 5 AVE FARMACIA INC 00399115 00016514 59 Kings 08/18/1998 BROOKLYN NY 11217 Exclusion - 18NYCRR515 1951 FLATBUSH AVE PHARM CORP 01710407 00016936 59 Kings 03/20/2009 BROOKLYN NY 11234 Exclusion - 18NYCRR515 SYSTEM GENERATED FROM PROVIDER 2001 BATH AVE PHARMACY INC Pharmacy 02681327 00027339 08/18/2011 BROOKLYN NY 11214 Exclusion - 18NYCRR515 203 WEST 231 STREET PHMCY INC 00732958 00017620 58 Bronx 10/20/1998 BRONX NY 10463 Exclusion - 18NYCRR515 2201 BROADWAY INC 00564030 00014503 60 New York 10/05/1992 NEW YORK NY 10024 Exclusion - 18NYCRR515 2258 PHARMACY INC 01993282 00024517 60 New York 07/10/2003 NEW YORK NY 10035 Exclusion - 18NYCRR515 DENTAL SCHOOL/DENTIST 227 NINTH AVENUE PHARMACY INC 00750110 00017646 60 New York 09/03/1997 NEW YORK NY 10011 Exclusion - 18NYCRR515 306 SUMNER PHARMACY INC 01071530 59 Kings 12/15/1992 BROOKLYN NY 11221 Exclusion - 18NYCRR515 343 DRUG MART INC Pharmacy 00868617 00018348 28 Nassau 02/08/2010 DIX HILLS NY 11746-5736 Exclusion - 18NYCRR515 3839 PHARMACY INC 00651249 00017274 60 New York 07/04/1991 NEW YORK NY 10032 Exclusion - 18NYCRR515 3890 BROADWAY PHARMACY IV INC 02703886 60 New York 08/13/2008 NEW YORK NY 10038 Exclusion - 18NYCRR515 67 EAST BURNSIDE PHARMACY INC 00911353 00018793 58 Bronx 04/28/1992 BRONX NY 10453 Exclusion - 18NYCRR515 701 PHARMACY CORP 00943999 00019015 60 New York 08/29/1991 NEW YORK NY 10031 Exclusion - 18NYCRR515 764 FRANKLIN AVENUE PHARMACY 00266766 00010439 59 Kings 12/29/1991 BROOKLYN NY 11238 Exclusion - 18NYCRR515 78-20 PHARMACY INC 00260182 00012847 61 Queens 10/05/1992 HOWARD BEACH NY 11414 Exclusion - 18NYCRR515 83-01 37TH AVE CORPORATION 01148521 00020257 61 Queens 02/09/1998 JACKSON HEIGHTS NY 11372 Exclusion - 18NYCRR515 882 EAST 180TH ST DRUG CORP 00695923 00017410 58 Bronx 09/02/1992 BRONX NY 10460 Exclusion - 18NYCRR515 A & H LEE PHARMACY INC 00728161 00017555 09/05/2002 BROOKLYN NY Exclusion - 18NYCRR515 SYSTEM GENERATED FROM PROVIDER A & M CARE INC 01105839 55 Westchester 07/29/1997 WHITE PLAINS NY 10601 Exclusion - 18NYCRR515 A & M CARE INC 01105839 55 Westchester 06/29/1996 WHITE PLAINS NY 10601 Exclusion - 18NYCRR515 A AND I HEALTH AIDS 00611505 60 New York 02/13/1996 NEW YORK NY 10002 Exclusion - 18NYCRR515 A&D PHARMACY INC 01175084 00019859 59 Kings 02/08/1993 BROOKLYN NY 11205 Exclusion - 18NYCRR515 AARON AMBULETTE SERVICE 00322303 0000P11Q 59 Kings 02/13/1992 BROOKLYN NY 11208 Exclusion - 18NYCRR515 AARON AMBULETTE&TRANS SVC INC 01167784 00B90215 59 Kings 03/01/1992 BROOKLYN NY 11208 Exclusion - 18NYCRR515 ABATE JOSEPH A III MD Physician 01768749 VT009529 99 Out Of State 09/21/2010 BURLINGTON VT 05401-4413 Exclusion - 18NYCRR515 ABBAS SYED R 01321026 00031156 58 Bronx 04/20/1998 1511 WESTCHESTER AVE NY 10472 Exclusion - 18NYCRR515 ABBOTT DEAN J 01300307 00039852 59 Kings 09/29/1992 BROOKLYN NY 11229 Exclusion - 18NYCRR515 ABBOTT PHARMACY AND SURGICAL 00629438 00014261 47 Suffolk 03/01/1994 BRENTWOOD NY 11717 Exclusion - 18NYCRR515 ABBOUR NORDDINE MASSAGE THERAPIST NM002144 00016109 06/20/2007 Island Park NY 11558 Exclusion - 18NYCRR515 SYSTEM GENERATED FROM CLAIM ABDI IZHAR A 00202162 00111937 61 Queens 07/09/2004 BROOKLYN NY 11208 Exclusion - 18NYCRR515 ABE & LEON SHOES OF BRIGHTON 00710449 59 Kings 07/22/1992 BROOKLYN NY 11235 Exclusion - 18NYCRR515 ABEL NANCY CNA NM006182 339313550890W 06/20/2011 Cohoes NY 12047 Exclusion - 18NYCRR515 ABERNATHY STANLEY RN RN 02264139 00530047 47 Suffolk 01/10/2012 CALVERTON NY 11933-1124 Exclusion - 18NYCRR515 ABERNATHY YVEANNE RN RN 01780923 00423173 47 Suffolk 01/10/2012 CALVERTON NY 11933 Exclusion - 18NYCRR515 ABI GEZUNT PHARMACY INC 01039927 00019524 59 Kings 08/10/1994 BROOKLYN NY 11213 Exclusion - 18NYCRR515 ABIR FEREYDOON MD Physician 00227330 00121310 60 New York 07/19/2011 NEW YORK NY 10002 Exclusion - 18NYCRR515 ABRAHAM AKIVA D MD Physician 01768758 00206885 38 Rensselaer 06/20/2011 CLIFTON PARK NY 12065 Exclusion - 18NYCRR515 ABRAHAMSEN SVEND EGENES DPM 00405734 00002366 58 Bronx 07/17/1994 BRONX NY 10453 Exclusion - 18NYCRR515 ABRAM DANIEL FISHER Massage Therapist NM006401 00016811 02/20/2011 New York NY 10024 Exclusion - 18NYCRR515 SYSTEM GENERATED FROM CLAIM ABRAMS IRVING 01319135 00030410 59 Kings 04/20/2000 BROOKLYN NY 11224 Exclusion - 18NYCRR515 ABRAR HUSSAIN LABORATORY OWNER NM001986 05/20/2007 Brooklyn NY 11214 Exclusion - 18NYCRR515 ABREU-BOSWELL JUDY CNA NM000562 342213621104E 11 Cortland 02/20/2008 BRONX NY 10454 Exclusion - 18NYCRR515 ABUSERIDZE OLGA Home Health Aide NM002931 08/20/2009 Brooklyn NY 11235 Exclusion - 18NYCRR515 ABUSERIDZE VICTOR Home Health Aide NM002930 08/20/2009 Brooklyn NY 11235 Exclusion - 18NYCRR515 ACCARDI VINCENT Occupational Therapist NM005247 00012049 08/03/2009 Stony Brook NY 11790 Exclusion - 18NYCRR515 ACCESSIBILITY DESIGNS MGT TBI Home Care Agency 01597864 TBI00096 26 Monroe 09/20/2011 CHURCHVILLE NY 14428-9775 Exclusion - 18NYCRR515 ACCULAB 00756083 5150A030 47 Suffolk 11/01/1993 DEER PARK NY 11729 Exclusion - 18NYCRR515 ACCURATE MEDICAL PC Medical Group NM007486 00035376 09/26/2011 New York NY 10040 Exclusion - 18NYCRR515 SYSTEM GENERATED FROM CLAIM ACE AMBULETTE SERVICES INC 01154181 00031037 62 Richmond 03/03/1993 STATEN ISLAND NY 10308 Exclusion - 18NYCRR515 ACHARA GLORIA CHIOUMGA 01449018 00189645 01/31/2007 BROOKLYN NY 11215 Exclusion - 18NYCRR515 ACKERMAN NORMAN M MD 00083069 00048087 60 New York 11/09/1992 NEW YORK NY 10023 Exclusion - 18NYCRR515 ACKMAN JOSEPH Pharmacist 01371044 00028022 59 Kings 10/30/2007 BROOKLYN NY 11211-8424 Exclusion - 18NYCRR515 ACOSTA MARCELLO Unlicensed Physician Assistant NM006599 61 Queens 10/11/2009 Flushing NY 11367 Exclusion - 18NYCRR515 ACOSTA PEDRO Clinic Owner NM006262 61 Queens 08/18/2011 Queens NY 11377 Exclusion - 18NYCRR515 ADAM HEALTHCARE EQUIP CORP 00838537 55 Westchester 11/08/1994 NEW ROCHELLE NY 10801 Exclusion - 18NYCRR515 ADAM MARY J NURSE NM002228 00254399 05/28/2007 Delanson NY 12053 Exclusion - 18NYCRR515 PRACTICAL NURSE ADAMO TRANSPORTATION INC Transportation Company 02750723 00B90615/00036222 59 Kings 08/10/2011 BROOKLYN NY 11236-1610 Exclusion - 18NYCRR515 ADAMS BEVERLY JEAN SHACKELFORD MD NM004886 00150308 03/31/2009 Libertyville IL 60048 Exclusion - 18NYCRR515 PHYSICIANS ADAMS CYNTHIA CNA NM000422 342013460803E 01/20/2006 BUFFALO NY 14212 Exclusion - 18NYCRR515 ADAMS RICHARD N JR DO 00964287 00142256 09 Clinton 06/20/2006 PLATTSBURGH NY 12901 Exclusion - 18NYCRR515 ADAMS ROBERTA RN NM005192 00581934 02/20/2011 Brooklyn NY 11203 Exclusion - 18NYCRR515 REGISTERED NURSE ADAPTED WHEELCHAIR RESTR CORP 01257414 00000000 05/07/2001 FLUSHING NY 11355 Exclusion - 18NYCRR515 ADASHZODA SITORA Home Health Aide - Unlicensed NM002682 04/26/2010 Queens NY 11435 Exclusion - 18NYCRR515 ADDO-YOBO CHARLES 00808911 00152883 59 Kings 07/17/1994 BROOKLYN NY 11206 Exclusion - 18NYCRR515 ADES ALBERT MD 01077105 00158341 60 New York 10/11/1990 NEW YORK NY 10035 Exclusion - 18NYCRR515 ADIRONDACK HOME CARE INC 01018491 41 Saratoga 07/06/1992 CLIFTON PARK NY 12065 Exclusion - 18NYCRR515 ADLER M STUART MD Physician 00132641 00086077 58 Bronx 09/04/2011 BRONX NY 10462 Exclusion - 18NYCRR515 ADLER STEPHEN C. M.D NM000691 00114544 09/12/2005 MOLINE IL 61265 Exclusion - 18NYCRR515 ADMINISTRATOR ONE MOM INC. Medical Management Office NM001587 06/18/2009 BROOKLYN NY 11204 Exclusion - 18NYCRR515 SYSTEM GENERATED FROM CLAIM ADOFF ARNOLD 01307322 00024704 55 Westchester 06/07/2005 YONKERS NY 10701 Exclusion - 18NYCRR515 PHARMACISTS ADULT HOME PHARMACY INC 00919939 00018830 26 Monroe 06/19/1989 ROCHESTER NY 14610 Exclusion - 18NYCRR515 ADUWA PHARMACY CORP 01803281 00023542 61 Queens 05/14/2004 JAMAICA NY 11434 Exclusion - 18NYCRR515 PHARMACISTS ADVANCED CHIROPRACTIC HEALTH CARE PC Chiropractic Office NM006113 PSC 47090 05/19/2010 Garden City NY 11530 Exclusion - 18NYCRR515 ADVANCED MEDICAL SERVICE NM003942 00204777 06/25/2008 Bronx NY 10463 Exclusion - 18NYCRR515 ADVANCED PHYSICIANS P C Physician Group 03320349 00068705 61 Queens 12/25/2011 FOREST HILLS NY 11375-3787 Exclusion - 18NYCRR515 SYSTEM GENERATED FROM CLAIM AFANASYEV ALEKSANDR Unknown NM007596 62 Richmond 11/20/2011 Staten Island NY 10306-5514 Exclusion - 18NYCRR515 AFRIKYAN NAIRA Home Health Aide NM003603 11/19/2009 Brooklyn NY 11224 Exclusion - 18NYCRR515 AGMA DRUG INC 01253983 00021105 59 Kings 01/18/1999 BROOKLYN NY 11208 Exclusion - 18NYCRR515 AGPAOA RODRIGO DORONIO MD 00759802 00153148 59 Kings 01/02/1994 BROOKLYN NY 11237 Exclusion - 18NYCRR515 AGRAWAL CHANDRAKUMAR B MD 00758223 00153744 61 Queens 08/11/1997 JACKSON HEIGHTS NY 11372 Exclusion - 18NYCRR515 AGU DORATHY RN NM005183 00559316 58 Bronx 09/20/2011 Bronx NY 10472 Exclusion - 18NYCRR515 AGUIAR SANDRA Unlicensed Dentist NM003562 06/18/2009 Tenafly NJ 07670 Exclusion - 18NYCRR515 SYSTEM GENERATED FROM CLAIM AGUILAR PHARMACY INC 01204571 00020821 60 New York 10/20/1999 NEW YORK NY 10025 Exclusion - 18NYCRR515 AHMAD ABDULLAH OWNER SEVEN D PHARMACY NM001391 02/19/2009 JERSEY CITY NJ 07302 Exclusion - 18NYCRR515 SYSTEM GENERATED FROM CLAIM AHMAD FAZAL PC MD 00238591 00129915 59 Kings 06/26/1985 BROOKLYN NY 11212 Exclusion - 18NYCRR515 AHMAD JABBAR Pharmacist 01290495 00029068 59 Kings 09/24/2009 BROOKLYN NY 11203 Exclusion - 18NYCRR515 AHMAD MALAK I 00316005 00016241 59 Kings 02/22/1995 BROOKLYN NY 11221 Exclusion - 18NYCRR515 AHMAD MALAK I 00272555 00016051 59 Kings 02/22/1995 NEW YORK NY 11206 Exclusion - 18NYCRR515 AHMAD MIRZA N 01202799 00020686 31 Onondaga 08/16/1995 SYRACUSE NY 13205 Exclusion - 18NYCRR515 AHMAD MIRZA NASEER 01288077 00031442 31 Onondaga 06/22/1993 SYRACUSE NY 13205 Exclusion - 18NYCRR515 AHMAD MUHAMMAD EJAZ MD Physician 01867752 00211706 59 Kings 07/20/2010 BROOKLYN NY 11206 Exclusion - 18NYCRR515 AHMAD MUHAMMAD NAWAZ Business Owner NM001288 59 Kings 03/25/2010 BROOKLYN NY 11230 Exclusion - 18NYCRR515 AHMAD RAUF OWNER SEVEN D PHARMACY NM001400 09/21/2008 JERSEY CITY NJ 07302 Exclusion - 18NYCRR515 AHMED EMAD ALI Owner of RZAN Medical Transp. NM002482 31 Onondaga 03/18/2010 Syracuse NY 13204 Exclusion - 18NYCRR515 AHMED HALIMA P.C. physician NM003943 00204777 06/25/2008 Bronx NY 10463 Exclusion - 18NYCRR515 AHMED MIRZA A/K/A Mirza Ahmed OTHER NM003389 04/22/2008 Bellerose NY 11426 Exclusion - 18NYCRR515 AHMED MUHAMMAD K MD 01163175 00118996 59 Kings 04/09/1992 BROOKLYN NY 11206 Exclusion - 18NYCRR515 AIELLO ANGELO MICHAEL 01270319 00002464 58 Bronx 02/12/1992 BRONX NY 10456 Exclusion - 18NYCRR515 AIM AMBULETTE SERVICE INC 01158612 59 Kings 02/25/1992 BROOKLYN NY 11223 Exclusion - 18NYCRR515 AIM PHARMACY SURGICALS CORP Pharmacy 02721108 00027520 28 Nassau 09/04/2011 NORTH BALDWIN NY 11510-1846 Exclusion - 18NYCRR515 AITI MOHAMMED MD PHYSICIAN NM003582 04/30/2008 Morgantown WV 26507 Exclusion - 18NYCRR515 AKE LAURIE ANN LPN LPN 02680284 00281031 54 Wayne 09/20/2011 WILLIAMSON NY 14589-9504 Exclusion - 18NYCRR515 AKHTAR MUHAMMAD NASIM MD Physician 01688779 00209940 22 Jefferson 02/20/2011 WATERTOWN NY 13601-3211 Exclusion - 18NYCRR515 PHYSICIANS AKINBILE MORUFU OLADIPUPO Nurse NM006707 00477535 01 Albany 06/17/2010 Carson CA 90746 Exclusion - 18NYCRR515 AKINWUNMI JAMES Physical Therapist 03076597 00014823 99 Out Of State 04/06/2011 FISHKILL NY 12524-1621 Exclusion - 18NYCRR515 AKPAN ADELIYA ISAAKOVNA MD 00974965 00167698 59 Kings 05/18/2000 BROOKLYN NY 11235 Exclusion - 18NYCRR515 AKPAN EMMANUEL Nurse NM006058 00529572/00266876 01/20/2010 McKinney TX 75070 Exclusion - 18NYCRR515 AKPAN GODWIN DME Owner NM006637 08/20/2009 Texarkana TX 75505 Exclusion - 18NYCRR515 AKPAN GRACE RN NM005203 00578575 01/19/2011 Brooklyn NY 11236 Exclusion - 18NYCRR515 AKPAN IFIOK RN NM005185 00578575 59 Kings 01/19/2011 Brooklyn NY 11236 Exclusion - 18NYCRR515 AKUMU JOSEPH Executive Director NM007366 99 Out Of State 08/08/2011 Bushkill PA 18324 Exclusion - 18NYCRR515 AKYUZ MICHAEL LAWRENCE DPM Podiatrist 01602515 00005241 26 Monroe 05/26/2010 ROCHESTER NY 14606-5743 Exclusion - 18NYCRR515 AL-CARE C S W P C 00930516 P0005388 01 Albany 05/24/1998 ALBANY NY 12205 Exclusion - 18NYCRR515 AL-SALIHI FAROUK L Physician NM005105 00103223 07/06/2009 Florham Park NJ 07932 Exclusion - 18NYCRR515 ALAIMO ROSEMARIE Unlicensed HHA NM005205 01/19/2011 Shirley NY 11967 Exclusion - 18NYCRR515 ALAM DRUG CORP 00883023 00018494 59 Kings 10/24/1991 BROOKLYN NY 11212 Exclusion - 18NYCRR515 ALAS ANN MARGARET CNA NM001044 340874291196E 06/20/2006 BRONX NY 10465 Exclusion - 18NYCRR515 ALBANESE ANTHONY PHARMACY OWNER NM001054 03/29/2005 BROOKLYN NY 11232 Exclusion - 18NYCRR515 ALBELO-JOHNSON ILIANA NM006607 03/20/2009 Freeport NY 11520 Exclusion - 18NYCRR515 SYSTEM GENERATED FROM CLAIM ALBERTI CARL ROBERT RN NM007253 00317018 61 Queens 08/02/2011 Fresh Meadows NY 11366 Exclusion - 18NYCRR515 ALBRECHT MICHAEL Social Worker NM005123 12/06/2010 Niagara Falls NY 14304 Exclusion - 18NYCRR515 ALCALEN GLORIA S MD 00939482 00165450 60 New York 11/04/1993 NEW YORK NY 10009 Exclusion - 18NYCRR515 ALCARE RESPIRATORY SVC INC 00519966 39 Rockland 01/07/1997 NYACK NY 10960 Exclusion - 18NYCRR515 ALCINDOR PATRICK Pharmacist 01993791 00041631 60 New York 12/12/2010 NEW YORK NY 10031-4604 Exclusion - 18NYCRR515 ALCINDOR SOEURETTE President of RX Now NM006758 06/01/2011 New York NY 10031-4604 Exclusion - 18NYCRR515 SYSTEM GENERATED FROM CLAIM ALEKSIC S N MD PC 00214388 00115870 59 Kings 02/13/1991 NEW YORK NY 11206 Exclusion - 18NYCRR515 ALEXANDER EARLE FITZROY MD 00879612 00105080 59 Kings 09/05/1996 BROOKLYN NY 11238 Exclusion - 18NYCRR515 ALEXANDER LORI W Nurse 01576374 00373545 26 Monroe 03/10/2010 ROCHESTER NY 14612-4324 Exclusion - 18NYCRR515 ALEXANDERIAN HARRY MD 00277665 PA028808 99 Out Of State 02/20/2006 WEST PITTSTON PA 18643 Exclusion - 18NYCRR515 ALI SYED Z Pharmacist 01300825 00030672 55 Westchester 03/18/2010 WHITE PLAINS NY 10601 Exclusion - 18NYCRR515 ALIM ALBERT PSYCHIATRIC RESIDENT NM001047 06/20/2006 BRONX NY 10468 Exclusion - 18NYCRR515 ALL CARE PHYSICAL THERAPY REHABILITATION NM003544 05/14/2008 Baldwin NY 11510 Exclusion - 18NYCRR515 ALL STAR SHOES INC 00870700 60 New York 02/27/1992 NEW YORK NY 10002 Exclusion - 18NYCRR515 ALL-SHURE CORPORATION MEDICAL CLINIC NM002517 09/20/2007 Albion NY 14411 Exclusion - 18NYCRR515 ALLEN LAURAL CNA NM001333 3417892304 05/20/2007 GLOVERSVILLE NY 12078 Exclusion - 18NYCRR515 ALLEN MARY S NURSE NM004029 08/24/2008 Schenectady NY 12303 Exclusion - 18NYCRR515 ALLEN VALERIE CNA NM007810 342490631006E 02/05/2012 Spencer NY 14883 Exclusion - 18NYCRR515 SYSTEM GENERATED FROM CLAIM ALLONCE ETIENNE OWNER OF MEDICAL EQUIPMENT COMPANY NM002923 01/19/2008 Hicksville NY 11801 Exclusion - 18NYCRR515 ALM ROBERT F. JR. Nurse NM000683 00268971 08 Chenango 08/04/2005 SOUTH PLYMOUTH NY 13844 Exclusion - 18NYCRR515 ALMASRI JAMAL UNEMPLOYED NM001907 05/10/2007 Bayside NY 11360 Exclusion - 18NYCRR515 SYSTEM GENERATED FROM CLAIM ALMONTE ANA I. Pharmacy Owner NM001524 08/20/2008 NEW YORK NY 10033 Exclusion - 18NYCRR515 ALPER STEPHEN H MD 00782403 00123904 28 Nassau 05/06/2004 ROCKVILLE CENTRE NY 11570 Exclusion - 18NYCRR515 PHYSICIANS ALSTON CHERYL CNA NM000619 3420009307 10/06/2005 DEER PARK NY 11729 Exclusion - 18NYCRR515 CHIROPRACTOR/PORT-XRAY-SVC (QMB) ALSTON QUINCY L. NM002683 03/15/2008 Albany NY 12206 Exclusion - 18NYCRR515 ALTEZA ANTONIO A MD 01116009 00142649 60 New York 06/20/1995 NEW YORK NY 10033 Exclusion - 18NYCRR515 ALTHEALTH PARK SLOPE LLC 02742276 00027602 59 Kings 02/25/2008 BROOKLYN NY 11215 Exclusion - 18NYCRR515 ALTIDOR MARQUISE CNA NM001423 61 Queens 07/20/2009 CAMBRIA HEIGHTS NY 11411 Exclusion - 18NYCRR515 ALTIDOR REJEANNE RN 01172292 00439115/00173310 28 Nassau 10/06/2005 ELMONT NY 11003 Exclusion - 18NYCRR515 ALTIERI JOSEPH J NM004451 00157995 11/08/2008 Vero Beach FL 32960 Exclusion - 18NYCRR515 ALTIMA TRANSPORTATION LLC 02494484 0B905059 28 Nassau 11/20/2006 INWOOD NY 11096 Exclusion - 18NYCRR515 ALTOBELLI JOHN A Physician NM007143 00117087 05/03/2011 Allentown PA 18103 Exclusion - 18NYCRR515 ALVARADO HERNANDO LPN NM000922 09/03/2006 LEVITTOWN NY 11756 Exclusion - 18NYCRR515 ALVERIO MEGAN M RN 01740041 00465316 14 Erie 05/06/2004 TONAWANDA NY 14150 Exclusion - 18NYCRR515 REGISTERED NURSE ALVIR RENE BARETTO Physician NM001284 00111666 09/13/2006 ANNADALE VA 22003 Exclusion - 18NYCRR515 ALVO JEANNINE R DPM 01022417 00004187 59 Kings 02/19/1998 BROOKLYN NY 11229 Exclusion - 18NYCRR515 ALWYN DRUGS INC 00860288 00016246 60 New York 07/13/1992 NEW YORK NY 10019 Exclusion - 18NYCRR515 ALY-ELHAW TAREK LOTFI PHYSICIAN NM001670 00148036 02/02/2007 BOISE ID 83712 Exclusion - 18NYCRR515 AM CAR ASSOCIATES INC 00897594 00B90296 28 Nassau 06/29/1993 FLORAL PARK NY 11001 Exclusion - 18NYCRR515 AMADO ABRAHAM Transportation Owner NM006830 28 Nassau 09/20/2011 Glen Cove NY 11542 Exclusion - 18NYCRR515 AMATO FRANK J. Chiropractor NM000639 00005294 06/07/2005 BELLPORT NY 11713 Exclusion - 18NYCRR515 AMATO JOACHIM MD 00967831 00153319 14 Erie 06/08/1997 BUFFALO NY 14222 Exclusion - 18NYCRR515 AMATO STEVEN P Chiropractor NM005347 00003998 10/20/2009 Sheridan OR 97378 Exclusion - 18NYCRR515 AMBROSE DEAN OSTEOPATH NM001080 05/19/2005 MERCHANTVILLE NJ 08109 Exclusion - 18NYCRR515 AMBULETTE PRN INC Transportation 01123344 61 Queens 10/20/2011 KEW GARDENS NY 11415-2210 Exclusion - 18NYCRR515 AMEEKA PHARMACY INC 01167000 00020140 59 Kings 01/25/1992 BROOKLYN NY 11215 Exclusion - 18NYCRR515 AMENDOLIA ROSEMARIE DOROTHEA Psychologist 01787677 00011270 42 Schenectady 05/19/2011 SCHENECTADY NY 12308-3407 Exclusion - 18NYCRR515 AMERICAN MEDICAL TECH SYS INC 01594572 99 Out Of State 06/22/1998 LAKEWOOD NJ 08701 Exclusion - 18NYCRR515 AMERICAN NEUROLOGISTS AND RADIOLOGISTS NM002823 00229319 10/25/2007 Arlington Heights IL 60004 Exclusion - 18NYCRR515 AMERILOU PHARMACY CORP 01676466 00022938 59 Kings 02/20/2001 BROOKLYN NY 11232 Exclusion - 18NYCRR515 AMIABLE PHARMACY INC 01049834 00019644 59 Kings 10/19/2000 BROOKLYN NY 11208 Exclusion - 18NYCRR515 AMICO RICHARD NM001076 00033903 05/18/2006 DANBURY CT 06810 Exclusion - 18NYCRR515 DENTAL SCHOOL/DENTIST AMICUCCCI DIANE CAROL LPN 01123486 00198401 37 Putnam 11/20/1997 CARMEL NY 10512 Exclusion - 18NYCRR515 AMIN ABDULLAH A 01128174 00042017 09/04/2002 ASTORIA NY 11105 Exclusion - 18NYCRR515 AMINI SHAMIM M NM006610 00238694 99 Out Of State 04/14/2009 Moorpak CA 93021 Exclusion - 18NYCRR515 PHYSICIANS AMINOV RADION Business Owner NM007254 61 Queens 06/20/2011 Jamaica NY 11435 Exclusion - 18NYCRR515 AMO PAMELA RN NM007607 00513740 99 Out Of State 08/18/2011 Cherryville NC 28021 Exclusion - 18NYCRR515 AMY-NISCO SANDRA NM003462 01/01/1998 Unknown ZZ 00000 Exclusion - 18NYCRR515 AN INTERNATIONAL, LLC Dental Clinic NM006407 09/29/2010 Jamacia NY 11432 Exclusion - 18NYCRR515 ANAGNOSTOPULOS MATTHEW NM004865 00037067 04/14/2009 Gloversville NY 12078 Exclusion - 18NYCRR515 PHARMACISTS ANAND VIKRAMJIT S DDS PC 01446271 00044777 03/10/2004 ITHACA NY 14850 Exclusion - 18NYCRR515 ANASTASIOW MARY A PHD 02112738 00006188 60 New York 06/20/2006 NEW YORK NY 10016 Exclusion - 18NYCRR515 PSYCHOLOGIST ANAYOOR ABDUL PHARMACIST NM001143 00037709 07/20/2006 HOWELL NJ 07731 Exclusion - 18NYCRR515 ANCIER STEPHEN L MD 01414891 PA32139E 99 Out Of State 12/20/2006 SAYRE PA 18840 Exclusion - 18NYCRR515 ANDA MANAGEMENT CORP NM002527 09/20/2007 Cliffside Park NJ 07010 Exclusion - 18NYCRR515 ANDERSEN MARGUERITE Nurse NM001683 00079298 42 Schenectady 03/20/2007 Schenectady NY 12304 Exclusion - 18NYCRR515 ANDERSON ANITA ELIZABETH A/K/A JANNEN Social Worker NM005848 00057763 03/15/2010 West Fulton NY 12194 Exclusion - 18NYCRR515 ANDERSON CARLA NURSE NM004126 00341163 07/20/2008 Chattanooga TN 37521 Exclusion - 18NYCRR515 ANDERSON JEFFREY S Physician NM006689 00151852 10/14/2010 Morehead City NC 28557 Exclusion - 18NYCRR515 ANDERSON LISA 01658180 00218273 03 Broome 09/10/2003 POUGHKEEPSIE NY 12603 Exclusion - 18NYCRR515 ANDRADA EDITHA DUYAG RN NM007934 00369074 12/20/2011 Winter Garden FL 34787 Exclusion - 18NYCRR515 REGISTERED NURSE ANDREA SAPONE D/B/A BUFFALO MEDICAL SUPP 01088568 06/20/2007 BUFFALO NY 14213 Exclusion - 18NYCRR515 SYSTEM GENERATED FROM CLAIM ANDREEVA SVETLANA Owner of Global Line Transportation NM007268 59 Kings 09/06/2011 Brooklyn NY 11204-5260 Exclusion - 18NYCRR515 SYSTEM GENERATED FROM CLAIM ANDREWS CHESTER LPN NM007807 00255212 02/05/2012 Bridgeport NY 13030 Exclusion - 18NYCRR515 PRACTICAL NURSE ANDREWS DAWN CNA NM005869 342602140907R 09 Clinton 09/20/2011 Plattsburgh NY 12901 Exclusion - 18NYCRR515 ANDREWS MOLLY NURSE NM004030 00198113 06/30/2008 Camillus NY 13031 Exclusion - 18NYCRR515 ANDREWS ROBERT P MD Physician 02442262 00223251 36 Otsego 08/16/2011 COOPERSTOWN NY 13326-1394 Exclusion - 18NYCRR515 ANDRIA ROBERT A MD 00589304 00145351 59 Kings 06/26/1985 BROOKLYN NY 11235 Exclusion - 18NYCRR515 ANDRIES VLADIMIR G Physician NM007531 00163619 33 Orange 10/03/2011 Middletown NY 10940 Exclusion - 18NYCRR515 ANDRIES VLADIMIR G PC Physician 01084091 00163619 33 Orange 10/03/2011 MIDDLETOWN NY 10940-5409 Exclusion - 18NYCRR515 ANG ROSA D MD 00235781 00126399 59 Kings 04/10/1995 NEW YORK NY 11206 Exclusion - 18NYCRR515 ANGELL WALTER FREDERICK MD 01346143 FL055211 99 Out Of State 04/20/1998 ORLANDO FL 32803 Exclusion - 18NYCRR515 ANGHEL MARIA LUCIA MD Physician 01142341 00171848 28 Nassau 12/20/2009 EAST MEADOW NY 11554-2136 Exclusion - 18NYCRR515 ANGRAND LEONIE CNA NM000549 3415253609 28 Nassau 02/16/2006 BRENTWOOD NY 11717 Exclusion - 18NYCRR515 ANNEX PHARMACY INC 01083150 60 New York 08/02/1991 NEW YORK NY 10026 Exclusion - 18NYCRR515 ANR ADVANCE HOME CARE SVCS IN Home Care Agency 02022379 59 Kings 12/29/2009 BROOKLYN NY 11229-5010 Exclusion - 18NYCRR515 ANSELMENT JOSEPH Executive Director NM006583 01 Albany 10/20/2008 ALBANY NY 12205 Exclusion - 18NYCRR515 ANTHONY M ESQUIRE DO A/K/A MELVIN 01636539 00196459 61 Queens 01/23/2009 JAMAICA NY 11418 Exclusion - 18NYCRR515 PHYSICIANS ANTHONY NEVILLE N MD 00832637 00116536 59 Kings 05/19/1986 BROOKLYN NY 11213 Exclusion - 18NYCRR515 ANTONIE-CAMEAU MARIE VICTORIA Physician's Assistant NM007275 00005015 99 Out Of State 06/30/2011 East Stroudsburg PA 18301 18NYCRR504.1(d)(19) ANTONIO AMELITA ABAN MD 00825769 00156980 55 Westchester 07/14/1993 MT VERNON NY 10552 Exclusion - 18NYCRR515 ANWAR FATEN Physician NM005329 00219373 99 Out Of State 04/20/2011 Seattle WA 98177 Exclusion - 18NYCRR515 PHYSICIANS ANWAR ROMILLA Physician 01584629 00195639 28 Nassau 05/12/2010 EAST MEADOW NY 11554-1859 Exclusion - 18NYCRR515 APPELGATE FRANK JOSEPH MD 00983775 00164462 09/04/2002 SUFFERN NY Exclusion - 18NYCRR515 APPLE MEDICAL SUPPLIES CORP 01336130 55 Westchester 04/16/1997 ELMSFORD NY 10523 Exclusion - 18NYCRR515 APPLEWHITE MONICA MD 01081525 00168151 10/02/2001 AMHERST NY 14221 Exclusion - 18NYCRR515 APTAKER LISA GAIL MD Physician 02107160 00214070 05/20/2009 BROOKLYN NY 11201 Exclusion - 18NYCRR515 AQUINO NILVIO RAMON MD 01541395 FL039969 99 Out Of State 12/20/2000 HIALEAH FL 33016 Exclusion - 18NYCRR515 AQUINO ROBERT J MD Physician/Healthcare CEO 01410508 00166358 61 Queens 04/18/2011 LONG ISLAND CITY NY 11102-2418 Exclusion - 18NYCRR515 AR MEDICAL ART PC Medical Office NM006071 PSC# 40196 05/29/2011 Brooklyn NY 11218 Exclusion - 18NYCRR515 ARABATZIS, KONSTANTINOS A/K/A KOSTA Wellness Teacher NM005699 02/16/2010 Allegany NY 14760 Exclusion - 18NYCRR515 ARCA WILLIAM 01318625 00030677 10/23/2003 OCEANSIDE NY 11572 Exclusion - 18NYCRR515 ARCHANA PERFUMES INTERNATIONAL NM004982 02/03/2009 New York NY 10001 Exclusion - 18NYCRR515 ARCHIN YVES HHA NM006083 59 Kings 08/02/2011 Brooklyn NY 11234 Exclusion - 18NYCRR515 ARDEHALI MOHAMMAD MD 00691185 00142736 58 Bronx 02/20/2001 BRONX NY 10455 Exclusion - 18NYCRR515 ARGUEDAS WALTER DPM 01447098 FL002274 03/01/2002 HIALEAH FL 33016 Exclusion - 18NYCRR515 ARIANA FAMILY CARE LLC 01676131 00203260 01 Albany 10/19/2006 ALBANY NY 12205 Exclusion - 18NYCRR515 PHYSICIANS ARIAS DOREEN NURSE NM001558 00223722 08/20/2007 OCEANSIDE NY 11572 Exclusion - 18NYCRR515 PRACTICAL NURSE ARIAS ROGELITA R NURSE NM002729 00250329 10/30/2007 Hauppauge NY 11787 Exclusion - 18NYCRR515 ARNETT JAN M MD 046-Physician 00593137 00136859 60 New York 06/18/2009 NEW YORK NY 10003 Exclusion - 18NYCRR515 ARNOLD DAVID NUR NM000625 N/A 10/06/2005 ATHENS PA 18810 Exclusion - 18NYCRR515 ARNOLD MARY J Pharmacy Owner NM000665 02/09/2010 SHUSHAN NY 12873 Exclusion - 18NYCRR515 ARONOV ALEXANDER Physician 01586850 00191740 60 New York 02/16/2010 NEW YORK NY 10029 Exclusion - 18NYCRR515 ARRILLAGA ABENAMAR MD 00523708 00089811 60 New York 06/05/1995 NEW YORK NY 10023 Exclusion - 18NYCRR515 ARTHUR AVE PHARMACY INC 01745239 00023274 58 Bronx 10/28/2005 BRONX NY 10458 Exclusion - 18NYCRR515 CLINICAL SOCIAL WORKER ARTHUR GREGORY L DDS 01066531 00040615 58 Bronx 12/18/1997 BRONX NY 10461 Exclusion - 18NYCRR515 ASA DRUGS INC Pharmacy 02459401 00026258 05/24/2010 REGO PARK NY 11374 Exclusion - 18NYCRR515 ASANTE KWAKU A LPN NM007042 00263782 04/03/2011 Bronx NY 10457 Exclusion - 18NYCRR515 ASHKAR MICHAEL G MD 00249436 00094802 06/02/2004 NEW YORK NY 10021 Exclusion - 18NYCRR515 ASHLEY HEATHER LYNN LPN LPN 02637236 00278433 35 Oswego 12/20/2011 PHOENIX NY 13135-2137 Exclusion - 18NYCRR515 ASHRAF BAHMAN MD 01009769 00169387 62 Richmond 02/02/1993 STATEN ISLAND NY 10305 Exclusion - 18NYCRR515 ASKANAZI JEFFREY MD 00431301 00127263 60 New York 10/07/1998 NEW YORK NY 10029 Exclusion - 18NYCRR515 ASONYE MARSHALL G MD 01237732 00175446 61 Queens 12/20/1998 JAMAICA NY 11436 Exclusion - 18NYCRR515 ASTOR MEDICAL MEDICAL CARE FACILITY NM002243 00206480 07/09/2007 New York NY 10016 Exclusion - 18NYCRR515 SYSTEM GENERATED FROM CLAIM ASTORIA MEDICAL SERV NM001923 00094241 05/15/2007 Brooklyn NY 11224 Exclusion - 18NYCRR515 ASTRACHAN STEVEN B MD 01118336 00156866 08/06/2001 CARMEL NY 10512 Exclusion - 18NYCRR515 AT HOME HEALTH CARE SUPP INC 00727862 55 Westchester 01/20/1998 MOUNT VERNON NY 10550 Exclusion - 18NYCRR515 ATKIN ANTHONY MD 00896566 60 New York 11/24/1991 NEW YORK NY 11029 Exclusion - 18NYCRR515 ATKINSON ORAN WINSLOW DDS 01029583 00033253 12/10/2002 BRONX NY 10469 Exclusion - 18NYCRR515 ATLAS RUTH M. Physician NM006084 00154394 05/17/2010 Houston TX 77079 Exclusion - 18NYCRR515 ATOYNATAN HARALANBOS 02197822 00213669 58 Bronx 04/17/2008 BRONX NY 10463 18NYCRR504.1(d)(19) ATTIA NADER 01451436 00041592 07/05/2001 BROOKLYN NY 11214 Exclusion - 18NYCRR515 AUBUT KATELYNNE Pharmacy Technician NM006166 04/20/2010 Fort Edward NY 12828 Exclusion - 18NYCRR515 AUDIO DISPENSARY CORPORATION 01030280 60 New York 02/27/1992 NEW YORK NY 10016 Exclusion - 18NYCRR515 AUDIO DISPENSARY CORPORATION 01030280 63AU9000 60 New York 06/08/1991 NEW YORK NY 10016 Exclusion - 18NYCRR515 AUDIONICS CORP 00322789 63AU1590 60 New York 02/08/1993 NEW YORK NY 10165 Exclusion - 18NYCRR515 AUGIER LOUIS I Massage Therapist NM004939 00005148 04/20/2009 Farmingville NY 11738 Exclusion - 18NYCRR515 SYSTEM GENERATED FROM CLAIM AUGUSTIN GESNER MD 01081598 00101270 61 Queens 05/22/1997 JAMAICA NY 11434 Exclusion - 18NYCRR515 AULOVA ZINAIDA DDS 01927682 00047882 09/09/2003 FOREST HILLS NY 11375 Exclusion - 18NYCRR515 AURICCHIO PETER Nurse NM006768 00327692 10/20/2010 Holbrook NY 11741 Exclusion - 18NYCRR515 AUSTIN CORY CNA NM005278 34136737099E 01/24/2011 Angola NY 14006 Exclusion - 18NYCRR515 AUSTIN TOMEKA MENTAL HEALTH CLINIC EMPLOYEE NM003542 05/20/2008 Brooklyn NY 11206 Exclusion - 18NYCRR515 AVAKYAN AZA HOME HEALTH AIDE NM001491 03/20/2009 BROOKLYN NY 11230 Exclusion - 18NYCRR515 SYSTEM GENERATED FROM CLAIM AVANESOVA NATALYA OLEG Physician NM005098 00229063 08/01/2009 Old Bridge NJ 08857 18NYCRR504.1(d)(19) AVELLINI JAMES R MD Physician 00969824 00148049 59 Kings 11/01/2011 BROOKLYN NY 11209 Exclusion - 18NYCRR515 AVERY SHERYL L NM001325 00545003 11/20/2006 SENECA FALLS NY 13148 Exclusion - 18NYCRR515 AVETSYAN LUSYA Home Health Aide NM004492 99 Out Of State 06/17/2010 Los Angeles CA 90027 Exclusion - 18NYCRR515 AVIAN MEDICAL P.C. MEDICAL FACILITY NM002582 00214667 10/11/2007 Uniondale NY 11556 Exclusion - 18NYCRR515 AVILA-RONDON MIGUEL MD Physician 01806968 00193694 58 Bronx 01/09/2000 BRONX NY 10458 Exclusion - 18NYCRR515 AWAN ABDUL REHMAN BUSINESS OWNER NM006578 59 Kings 03/20/2006 BROOKLYN NY 11218 Exclusion - 18NYCRR515 AWAN DRUGS INC 01163368 00020364 58 Bronx 08/15/1991 BRONX NY 10454 Exclusion - 18NYCRR515 AYALA CIANI LPN RN LPN 02141862 00243250/ 00548149 28 Nassau 08/16/2011 LONG BEACH NY 11561-2109 Exclusion - 18NYCRR515 REGISTERED NURSE AYMAT ROBERTO R Physician 01859118 00201729 60 New York 10/03/2010 NEW YORK NY 10003-2746 Exclusion - 18NYCRR515 AYUEL NHIAL Employee NM006144 04/20/2005 Syracuse NY 13206 Exclusion - 18NYCRR515 AYYUB RASHID MD Physician 00841598 00136065 24 Livingston 03/08/2011 DANSVILLE NY 14437-1601 Exclusion - 18NYCRR515 AZEB ASHRAF MD Physician 01538930 00196243 02 Allegany 02/18/2010 WELLSVILLE NY 14895-1150 Exclusion - 18NYCRR515 AZIZ ABID SHAMIM PHYSICIAN NM001673 00216920 02/16/2007 PRINCETON JUNCTION NJ 08550 Exclusion - 18NYCRR515 AZIZ MUMLIKAT DDS Dentist 00873643 00038898 99 Out Of State 12/19/2006 JERSEY CITY NJ 07306 Exclusion - 18NYCRR515 SYSTEM GENERATED FROM CLAIM AZURIN MAMERTO J MD 00624855 00100652 14 Erie 03/17/1991 BUFFALO NY 14220 Exclusion - 18NYCRR515 Adegboye Adedayo O Business Owner NM007445 59 Kings 10/19/2011 Brooklyn NY 11207-1604 Exclusion - 18NYCRR515 B AND B PHARMACY INC 00263016 00015759 58 Bronx 05/18/1983 BRONX NY 10452 Exclusion - 18NYCRR515 B AND C PHARMACY CORP 00959022 00016980 59 Kings 07/17/1993 BROOKLYN NY 11207 Exclusion - 18NYCRR515 B S MINI MED INC 00690446 0000P22B 58 Bronx 07/14/1994 BRONX NY 10461 Exclusion - 18NYCRR515 B Z M ROYALTY INC 01003263 58 Bronx 06/05/1995 BRONX NY 10466 Exclusion - 18NYCRR515 BABECK YURY M 01260640 00043746 58 Bronx 09/20/2007 BRONX NY 10453 Exclusion - 18NYCRR515 BABER JAMES RANDELL Physician NM006275 00246597 06/15/2010 Little Rock AR 72223 Exclusion - 18NYCRR515 BABUADZE GEORGE HOME HEALTH AIDE NM001484 07/20/2008 BROOKLYN NY 11223 Exclusion - 18NYCRR515 BADR OMAIMA N Pharmacist NM005440 00035972 09/05/2011 Medford NY 11763 Exclusion - 18NYCRR515 BAGHAI KERMANI ABDOLHOSEIN MD 00911968 00163949 60 New York 05/09/1993 NEW YORK NY 10128 Exclusion - 18NYCRR515 BAHNA MAMDOUH S Physician NM004406 00125704 11/19/2009 San Pedro CA 90731 Exclusion - 18NYCRR515 BAILEY CHRISTOPHER Unknown NM007808 02/05/2012 Brooklyn NY 11234 Exclusion - 18NYCRR515 SYSTEM GENERATED FROM CLAIM BAILEY COLIN DAVID HOWARD MD 01121402 00173281 59 Kings 04/30/1992 BROOKLYN NY 11201 Exclusion - 18NYCRR515 BAILEY JULIE A Speech Pathologist NM006831 00012887 26 Monroe 08/18/2011 Spencerport NY 14559 Exclusion - 18NYCRR515 BAILEY LLEWELLYN F. Nurse NM001304 00165034 10/19/2006 ROSEDALE NY 11422 Exclusion - 18NYCRR515 BAILEY STEVEN Nurse NM000572 00217083 03/20/2006 BELLPORT NY 11713 Exclusion - 18NYCRR515 BAIN DOROTHY LPN/ RN NM007065 00140207/ 00334092 02/05/2012 Tobyhanna PA 18466 Exclusion - 18NYCRR515 SYSTEM GENERATED FROM CLAIM BAJWA LATIF AHMAD NM005146 000671 12/18/2008 Langhorne PA 19047 Exclusion - 18NYCRR515 SYSTEM GENERATED FROM CLAIM BAJWA MUHAMMAD Unknown NM007570 59 Kings 09/20/2011 Brooklyn NY 11214 Exclusion - 18NYCRR515 BAKHTIAR FARHANG MD 00184501 00105556 60 New York 06/05/1995 NEW YORK NY 10029 Exclusion - 18NYCRR515 BAKONIS WILLIAM L MD 01176012 00131640 04 Cattaraugus 08/13/1996 OLEAN NY 14760 Exclusion - 18NYCRR515 BALLERAS ALFREDO NM007767 00053391 99 Out Of State 07/20/2011 Mount Olive NJ 07836 Exclusion - 18NYCRR515 SYSTEM GENERATED FROM PROVIDER BALTAZAR RODNEY Physician NM006769 00200349 02/06/2009 Elkton NY 21921 Exclusion - 18NYCRR515 BAMAN AJAY DDS 00959146 00039875 39 Rockland 08/20/2008 BLAUVELT NY 10913 Exclusion - 18NYCRR515 BAMDAD BABAK Pharmacist NM007252 00052426 28 Nassau 06/20/2011 Great Neck NY 11023 Exclusion - 18NYCRR515 BANCHS RICHARD J MD Physician 01517413 00196091 60 New York 03/01/2010 NEW YORK NY 10003-2693 Exclusion - 18NYCRR515 BANGALI MICHAEL NM001532 N/A 01/19/2005 S OZONE PARK NY 11420 Exclusion - 18NYCRR515 BANK HERMAN HARRY Pharmacist 02335440 00048710 11 Cortland 04/26/2010 CORTLAND NY 13045-3524 Exclusion - 18NYCRR515 BANKS LINDA CNA NM006559 341395651299E 01/19/2012 Buffalo NY 14215 Exclusion - 18NYCRR515 SYSTEM GENERATED FROM CLAIM BARATTA MICHELLE A. Nurse NM002888 00208849 10/23/2007 Island Park NY 11558 Exclusion - 18NYCRR515 BARATTA VINCENT J MD 00696713 00082618 47 Suffolk 07/31/1989 LINDENHURST NY 11757 Exclusion - 18NYCRR515 BARBA FIDELIS 01747800 00153330 99 Out Of State 09/20/2000 BRONX NY 10458 Exclusion - 18NYCRR515 BARBER RUSSELL J DDS Dentist 02015401 00037385 59 Kings 12/06/2009 BROOKLYN NY 11229-4556 Exclusion - 18NYCRR515 BARBER WENDY CNA NM001102 3423458509 04/19/2007 AMSTERDAM NY 12010 Exclusion - 18NYCRR515 BARCLAY NANCY A Nurse NM006005 00284680 04/29/2010 Elmira NY 14901 Exclusion - 18NYCRR515 BARISASHVILI IRINA JANSEN HOME HEALTH AIDE NM001663 08/20/2008 DENVER CO 80203 Exclusion - 18NYCRR515 BARISHVILI NINO HOME HEALTH AIDE NM001639 03/04/2007 BROOKLYN NY 11229 Exclusion - 18NYCRR515 BARIZANO JOSEPH Respiratory Therapist NM006719 00001916 11/16/2010 Wappingers Falls NY 12590 Exclusion - 18NYCRR515 BARMED DRUGS INC 00718781 00017546 59 Kings 09/28/1992 BROOKLYN NY 11226 Exclusion - 18NYCRR515 BARNARD KEITH L MD 00876302 00153331 59 Kings 12/18/1997 BROOKLYN NY 11213 Exclusion - 18NYCRR515 BARNES LISA CNA NM006709 341300080599E 12 Delaware 05/19/2011 DOWNSVILLE NY 13755 Exclusion - 18NYCRR515 BARNO DEBORAH Nurse NM002203 00427556 06/20/2007 Ocala FL 34476 Exclusion - 18NYCRR515 SYSTEM GENERATED FROM CLAIM BARR DEAN G 02847496 00283230 47 Suffolk 08/20/2008 FARMINGVILLE NY 11738 Exclusion - 18NYCRR515 BARR ISAAC YAKOV Physician 01717308 00203370 60 New York 08/18/2011 NEW YORK NY 10037-1032 Exclusion - 18NYCRR515 BARRAGAN ELIAN HOM NM000634 N/A 10/07/2005 BRONX NY 10462 Exclusion - 18NYCRR515 BARRERA ALFONSO MD 00652048 00093114 47 Suffolk 11/16/1995 BRENTWOOD NY 11717 Exclusion - 18NYCRR515 BARRETT JENNYLIN 052-Nurse 01453781 00206889 28 Nassau 06/18/2009 FREEPORT NY 11520 Exclusion - 18NYCRR515 BARRETT NADINE HOM NM000671 N/A 10/07/2005 BRONX NY 10466 Exclusion - 18NYCRR515 BARRETT PATRICK Physician 01989106 00208138 28 Nassau 05/10/2010 BETHPAGE NY 11714 Exclusion - 18NYCRR515 BARRON RODNEY S NM004447 00212473 08/07/2008 Beverly Hills CA 90211 Exclusion - 18NYCRR515 BARRUECO CALIXTO MANUEL Dentist 01667463 00046354 61 Queens 02/09/2010 RICHMOND HILL NY 11418-2335 Exclusion - 18NYCRR515 BARSEGYAN ANAHIT HHA NM003608 05/14/2009 Brooklyn NY 11235 Exclusion - 18NYCRR515 SYSTEM GENERATED FROM CLAIM BARTOB PHARMACY INC 00779891 00017851 06/10/2003 NEW YORK NY 10024 Exclusion - 18NYCRR515 BARZAC GEORGE A Nurse NM002024 00193591/00403595 05/28/2007 Penfield NY 14526 Exclusion - 18NYCRR515 BASBUS VICTOR M Physician 00235823 00126413 61 Queens 04/25/2011 BROOKLYN NY 11211 Exclusion - 18NYCRR515 BASECKI TADEUSZ M 00603205 00122645 60 New York 03/19/1998 NEW YORK NY 10032 Exclusion - 18NYCRR515 BASS JEAN Nurse NM006143 00540485 06/20/2005 South Hero VT 05486 Exclusion - 18NYCRR515 BASS JEROME 00889469 00018583 59 Kings 04/06/1994 BROOKLYN NY 11226 Exclusion - 18NYCRR515 BASS PAUL C LPN NM006626 00240329 29 Niagara 04/20/2009 Niagara Falls NY 14304 Exclusion - 18NYCRR515 PRACTICAL NURSE BASSIM BEHROOZ MD 00639538 00106646 40 St. Lawrence 06/06/1991 POTSDAM NY 13676 Exclusion - 18NYCRR515 BASSO ALICIA Nurse NM000609 00277073 01/04/2006 ROCHESTER NY 14612 Exclusion - 18NYCRR515 BASTARDO LOURDES Pharmacy Employee NM005281 07/13/2011 New York NY 10033 Exclusion - 18NYCRR515 SYSTEM GENERATED FROM CLAIM BATH MANAGEMENT INC. Management Corporation NM005546 12/29/2009 Brooklyn NY 11214 Exclusion - 18NYCRR515 BATH MEDICAL P.C. Medical Company NM005545 09/27/2011 Brooklyn NY 11214 Exclusion - 18NYCRR515 SYSTEM GENERATED FROM CLAIM BATHEJA NEHA RPA Physician 02748621 00007948 59 Kings 11/30/2010 BROOKLYN NY 11212-3139 Exclusion - 18NYCRR515 BATHGATE PRESCRIPTION CTR INC 01056197 00019732 58 Bronx 10/12/2008 BRONX NY 10457 Exclusion - 18NYCRR515 BATTENKILL HEALTH CARE INC Pharmacy 01828986 00023647 53 Washington 06/08/2010 GREENWICH NY 12834 Exclusion - 18NYCRR515 BATUROV MOSHE 00794129 59 Kings 09/05/1989 BROOKLYN NY 11205 Exclusion - 18NYCRR515 BAUM ALAN Nurse NM000606 00157897 10/06/2005 VERNON NY 13476 Exclusion - 18NYCRR515 BAUMGARDNER JASON Nurse NM001092 34226705 02/20/2008 LYON MT NY 12955 Exclusion - 18NYCRR515 BAUTISTA ALAN J MD 01935991 00196406 60 New York 11/20/2006 BRONX NY 10467 Exclusion - 18NYCRR515 PHYSICIANS BAXTER KATHLEEN A. Nurse NM002884 00464527 10/23/2007 Windsor NY 13865 Exclusion - 18NYCRR515 BAY DRUG PHARM & SURG INC 01088875 00019944 47 Suffolk 10/20/1998 WEST ISLIP NY 11795 Exclusion - 18NYCRR515 BAY IMAGING P.C. MEDICAL CLINIC NM002633 00171144 10/22/2007 Brooklyn NY 11209 Exclusion - 18NYCRR515 BAY MEDICAL CARE PC Physician Group NM007720 00056332 59 Kings 12/25/2011 Brooklyn NY 11214 Exclusion - 18NYCRR515 SYSTEM GENERATED FROM CLAIM BAY MEDICAL PHARMACY 00870659 00018445 59 Kings 07/13/1992 BROOKLYN NY 11220 Exclusion - 18NYCRR515 BAY MEDICAL SERVICES NM001925 00094241 05/15/2007 Brooklyn NY 11217 Exclusion - 18NYCRR515 BAY STATE AMBULANCE INC 00691823 MA0191A9 99 Out Of State 06/01/1989 MALDEN MA 02148 Exclusion - 18NYCRR515 BAYCHESTER PHARMACY INC 00271325 00015093 58 Bronx 09/20/1999 BRONX NY 10466 Exclusion - 18NYCRR515 BAYERLE RAYMOND FRANCIS MD 00935548 PA023341 99 Out Of State 05/28/1990 EAST STROUDSBURG PA 18301 Exclusion - 18NYCRR515 BAYME LLOYD G MD 00136498 00087211 59 Kings 10/20/1998 BROOKLYN NY 11230 Exclusion - 18NYCRR515 BAZIN RAPHAEL MD 01132512 00103564 08/06/2001 BROOKLYN NY 11235 Exclusion - 18NYCRR515 BAZZI IBRAHIM None NM006742 10/20/2010 Woodside NY 11377 Exclusion - 18NYCRR515 BEAGLE ERIN Unknown NM004878 03/17/2010 Gansevoort NY 12860 Exclusion - 18NYCRR515 BEAGUE THOMAS PETER Dentist NM007046 00044776 28 Nassau 09/20/2011 Elmont NY 11003 Exclusion - 18NYCRR515 BEAHAN JACQUINA MARY RN 01950581 00476149 13 Dutchess 12/29/2004 WAPPINGER FALLS NY 12590 Exclusion - 18NYCRR515 REGISTERED NURSE BEAL ALLAN G DMD 00619030 00033575 15 Essex 07/03/1996 WESTPORT NY 12993 Exclusion - 18NYCRR515 BEALS JAIME L CNA NM000406 3414410503 02/20/2006 PERRY NY 14530 Exclusion - 18NYCRR515 BEARD ARRELIA CNA NM002104 3421388306 08/20/2008 Rochester NY 14609 Exclusion - 18NYCRR515 BEATTY-DOLLY BARBARA NM002362 00533312 07/19/2007 Panama City FL 32408 Exclusion - 18NYCRR515 BECK JEFFREY R DO NM001647 00140245 08/17/2010 RAMONA CA 92065 Exclusion - 18NYCRR515 BECKERMAN BERNARD 01198296 00129169 47 Suffolk 01/15/2008 BAY SHORE NY 11706 Exclusion - 18NYCRR515 BEDIC OLIVERA MD 00841332 00153682 61 Queens 10/06/2004 LIC NY 11106 Exclusion - 18NYCRR515 PHYSICIANS BEDOYA LUIS MD 00184510 00105557 59 Kings 06/06/1993 BROOKLYN NY 11221 Exclusion - 18NYCRR515 BEG SAFDAR A/K/A SAFDAR MOHAMMED NM003391 04/22/2008 Queens Village NY 11427 Exclusion - 18NYCRR515 BEGUM SHAHEEN 01902432 00043530 39 Rockland 01/24/2008 CONGERS NY 10920 Exclusion - 18NYCRR515 BEHESHTI EMIL L MD 00164145 00097428 61 Queens 03/19/1998 ELMHURST NEW YORK NY 11373 Exclusion - 18NYCRR515 BEITCH NEIL TERRANCE DPM 00727904 00003389 59 Kings 05/28/1992 NEW YORK NY 11236 Exclusion - 18NYCRR515 BELARDO JOHN P MD 01179386 00179428 58 Bronx 03/23/1992 BRONX NY 10461 Exclusion - 18NYCRR515 BELDENGREEN DAVID Z DDS 00294826 00027400 59 Kings 01/02/1994 BROOKLYN NY 11216 Exclusion - 18NYCRR515 BELGRAVE CLAUDE D JR MD PC 01142185 00178105 60 New York 07/03/1997 NEW YORK NY 10029 Exclusion - 18NYCRR515 BELKIN JORDAN Nurse NM006015 00575634 03/15/2010 Jersey City NJ 07302 Exclusion - 18NYCRR515 BELL IRA R DPM Podiatrist 00927862 00003887 60 New York 05/19/2011 NEW YORK NY 10123 Exclusion - 18NYCRR515 BELL WILLENA CNA NM006554 340309921293E 14 Erie 01/19/2012 Buffalo NY 14211 Exclusion - 18NYCRR515 SYSTEM GENERATED FROM CLAIM BELL-BERNARD SANDRA J LPN LPN 01775479 00233610 47 Suffolk 02/20/2011 AMITYVILLE NY 11701-1303 Exclusion - 18NYCRR515 PRACTICAL NURSE BELLEROSE RADIOLOGY PHYSICIAN GROUP NM002442 08/15/2007 Gillette NJ 07933 Exclusion - 18NYCRR515 BELLOMO JOSEPH MD NM002207 00162405 07/03/2007 Dallas TX 75219 Exclusion - 18NYCRR515 PHYSICIANS BELLRENG PAUL J Nurse NM005009 00504718 05/04/2009 Niagara Falls NY 14304 Exclusion - 18NYCRR515 BELSKI ISRAEL 01318258 61 Queens 02/07/1994 NEW YORK NY 11421 Exclusion - 18NYCRR515 BELTON HEARING AID SVC 00423029 00136001 13 Dutchess 02/02/1992 POUGHKEEPSIE NY 12601 Exclusion - 18NYCRR515 BELTRANO ALBERTO C MD 00801134 00153336 06/20/2007 LYONS NY 14489 Exclusion - 18NYCRR515 PHYSICIANS BEN-AMOZ DANIEL 01341455 00039907 01 Albany 09/05/1996 COHOES NY 12047 Exclusion - 18NYCRR515 BENDERT MICHAEL RPA NM000569 00009205 03/20/2006 ENDICOTT NY 13760 Exclusion - 18NYCRR515 BENDY ROBERT H Physician NM006685 00091554 08/23/2010 Beaver WV 25813 Exclusion - 18NYCRR515 BENEDICT HEATHER ANNE NURSE NM001441 00237985 12/11/2006 MCGRAW NY 13101 Exclusion - 18NYCRR515 BENITEZ OLGA MD 00924709 00151109 61 Queens 11/20/2000 JACKSON HEIGHTS NY 11372 Exclusion - 18NYCRR515 BENJAMIN ALEXIS H 01304287 00003420 28 Nassau 05/22/1992 HEMPSTEAD NY 11550 Exclusion - 18NYCRR515 BENJAMIN DAVID ELYAS 00714521 00149484 28 Nassau 04/20/1998 FRANKLIN SQUARE NY 11010 Exclusion - 18NYCRR515 BENJAMIN EMMA 01898420 00209190 47 Suffolk 02/29/2008 BAY SHORE NY 11706 Exclusion - 18NYCRR515 BENJAMIN GYLAINE Nurse NM006162 00143595/00344262 05/30/2010 Fresh Meadows NY 11365 Exclusion - 18NYCRR515 BENJAMIN MARY NURSE NM001062 00004619 06/20/2006 PHOENIX AZ 85022 Exclusion - 18NYCRR515 PHYSICIANS ASSISTANT BENTSIANOV LEV ZALMANOVICH MD 046-Physician 00703975 00147176 59 Kings 06/08/2010 BROOKLYN NY 11235-5607 Exclusion - 18NYCRR515 BENTSIANOV SOFIA A MD Physician 00914127 00163251 59 Kings 07/09/2010 BROOKLYN NY 11235-8414 Exclusion - 18NYCRR515 BENTZ BRANDON G. MD Physician NM003364 00219720 04/10/2008 Salt Lake City Ut 84132 Exclusion - 18NYCRR515 BERARD MAURICE A. MD NM002526 00115990 09/09/2007 Fall River MA 02720 Exclusion - 18NYCRR515 BEREZOVSKY MARK UNLICENSED MASSAGE THERAPIST NM001282 07/19/2007 BROOKLYN NY 11214 Exclusion - 18NYCRR515 SYSTEM GENERATED FROM CLAIM BERG SAMUEL D MD 00988225 00137488 58 Bronx 05/06/1992 BRONX NY 10451 Exclusion - 18NYCRR515 BERGAN YAROSLAV Unlicensed Dentist NM001535 04/26/2010 STATEN ISLAND NY 10312 Exclusion - 18NYCRR515 BERGER JOSEPH DO NM001784 00082273 03/30/2007 Cherry Hills NJ 08003 Exclusion - 18NYCRR515 BERGER VALERY A MD 00741617 00152697 59 Kings 06/30/1994 BROOKLYN NY 11204 Exclusion - 18NYCRR515 BERGES BENJAMIN MD 00160316 00096099 28 Nassau 07/17/1994 FREEPORT NY 11520 Exclusion - 18NYCRR515 BERGMAN BONNIE RN NM007621 00516003 99 Out Of State 09/20/2011 Port St. Lucie FL 34952 Exclusion - 18NYCRR515 BERKOWITZ HOWARD M MD Physician 00420737 00124679 28 Nassau 09/28/2009 SYOSSET NY 11791-3802 Exclusion - 18NYCRR515 BERLINER CHARLES HOWARD 01301293 00028038 47 Suffolk 03/01/1994 BRENTWOOD NY 11717 Exclusion - 18NYCRR515 BERLINER SCOTT Pharmacist 01309860 00030700 26 Monroe 03/31/2010 MONROE NY 10950-2701 Exclusion - 18NYCRR515 BERMAN BRUCE A MASSAGE THERAPIST NM000615 00008456 03/23/2005 FARMINGDALE NY 11735 Exclusion - 18NYCRR515 PSYCHOLOGIST BERNABE JOSEFINA V LPN NM006991 00180674 62 Richmond 11/29/2011 Staten Island NY 10314 Exclusion - 18NYCRR515 BERNARD MARTINO MD 00382114 00136075 58 Bronx 12/18/1997 BRONX NY 10457 Exclusion - 18NYCRR515 BERNARD TANYA NM000695 00527067 01/04/2006 BUFFALO NY 14216 Exclusion - 18NYCRR515 BERNSTEIN MARC JEFFREY MD 01879890 00199247 10/21/2003 SLINGERLANDS NY 12159 Exclusion - 18NYCRR515 BERTRAM IRIS NM004944 28 Nassau 02/15/2009 Cedarhurst NY 11516 Exclusion - 18NYCRR515 BERTRAM NECHAMA T. NM005195 NA 02/15/2009 Cedarhurst NY 11516 Exclusion - 18NYCRR515 SYSTEM GENERATED FROM CLAIM BEST EQUIPMENT MEDICAL SUPPL Medical Appliance Dealer 02553111 59 Kings 09/04/2011 BROOKLYN NY 11223-1746 Exclusion - 18NYCRR515 BEST PHARMACY INC Pharmacy 02593626 00026633 11/11/2009 BRONX NY 10453 Exclusion - 18NYCRR515 BETHEA AARON President, ANR Home Health Care NM005544 12/29/2009 Brooklyn NY 11216 Exclusion - 18NYCRR515 BETHEAEPSTEIN JAMES COUNSELOR NM000566 03/20/2006 MT. VERNON NY 10952 Exclusion - 18NYCRR515 BETTER HEALTH MEDICAL HEALTH P.L.L.C. NM002586 04/03/2003 New York NY 10033 Exclusion - 18NYCRR515 BETTER HEALTH PHARMACY INC. 01884793 00024233 12/11/2003 BROOKLYN NY 11238 Exclusion - 18NYCRR515 BETTIS GAIL MEREDITH DMD 01098659 00041368 61 Queens 05/22/1997 CORONA NY 11368 Exclusion - 18NYCRR515 BEZABEH TSEDAYE MD 01905655 00210226 09/09/2002 BROOKLYN NY 11223 Exclusion - 18NYCRR515 BEZAR SHAFI A MD 00199151 00111154 60 New York 07/07/1997 NEW YORK NY 10026 Exclusion - 18NYCRR515 BGF TRANSPORTATION INC 01580703 00090420 59 Kings 08/13/2003 BROOKLYN NY 11235 Exclusion - 18NYCRR515 PHARMACISTS BHARNE DILIP 00279043 00133812 60 New York 05/18/2006 NEW YORK NY 10027 Exclusion - 18NYCRR515 BHARRATT WENDY F Nurse NM005260 00239426 10/12/2009 Jamaica NY 11423 Exclusion - 18NYCRR515 BHATT HARSHAD C 00858379 00153340 59 Kings 02/13/1995 BROOKLYN NY 11213 Exclusion - 18NYCRR515 BHATTEE TULSI RAM Managerial Agent NM007375 47 Suffolk 08/15/2011 Centereach NY 11720-1753 Exclusion - 18NYCRR515 BHOJEDAT BHANIE Nurse NM005575 00245699 02/16/2010 Brooklyn NY 11230-0480 Exclusion - 18NYCRR515 BIAG BINY A/K/A BINY BAIG Pharmacy Owner NM001397 10/20/2010 BAYONNE NJ 07002 Exclusion - 18NYCRR515 BIALICK SCOTT H Business Owner NM005894 04/09/2010 Manalapan NJ 07726 Exclusion - 18NYCRR515 BIBAWY ADLY ANIS MD 01580785 NJ060091 08/07/2002 NEW YORK NY 10038 Exclusion - 18NYCRR515 BIDWELL MARY Unknown NM006445 09/06/2011 Binghamton NY 13901 Exclusion - 18NYCRR515 SYSTEM GENERATED FROM CLAIM BIGELOW MARNE COOK LPN NM004921 00176664 03/25/2009 Hudson Falls NY 12839 Exclusion - 18NYCRR515 PRACTICAL NURSE BIGWOOD ELISABETH A NM004870 00317369 04/14/2009 Naples NY 14512 Exclusion - 18NYCRR515 REGISTERED NURSE BILLINI FRANCISCO J MD 01432622 00191919 60 New York 04/11/1999 NEW YORK NY 10033 Exclusion - 18NYCRR515 BINDER MARK ALBERT MD 01229510 00184074 39 Rockland 01/20/1998 NANUET NY 10954 Exclusion - 18NYCRR515 BINENFELD ROBERT M MD 00504256 00098887 33 Orange 11/07/1996 MONROE NY 10950 Exclusion - 18NYCRR515 BIONDI GIOVANNI MD 00583871 00145370 55 Westchester 07/20/2000 YONKERS NY 10703 Exclusion - 18NYCRR515 BIRDSONG EDWARD MILES DO 01349260 00164669 47 Suffolk 05/22/1997 PATCHOGUE NY 11772 Exclusion - 18NYCRR515 BIRGE WILLIAM ARTHUR Physician NM001486 00162254 01/03/2007 NEWPORT VT 05855 Exclusion - 18NYCRR515 BLAB MICHAEL WILLIAM MD Physician 02684715 00178966 25 Madison 03/10/2010 ONEIDA NY 13421-2611 Exclusion - 18NYCRR515 BLACK HARRY MD Physician 00561275 00119574 31 Onondaga 08/20/2009 SYRACUSE NY 13204 Exclusion - 18NYCRR515 BLACK LISA WIFE OF PHYSICIAN NM004403 11/02/2008 Syracuse NY 13204 Exclusion - 18NYCRR515 BLACK SETH MARTIN DDS Dentist 00707135 00033118 60 New York 02/13/2011 NEW YORK NY 10065-8195 Exclusion - 18NYCRR515 BLACKSTONE JACQUELYN A. Physician NM002853 00177197 09/27/2007 Portland ME 04102 Exclusion - 18NYCRR515 BLACKWELL ANN MD 00889863 00147900 60 New York 03/25/1992 NEW YORK NY 10030 Exclusion - 18NYCRR515 BLAIR KEVIN Registered Physician Assistant NM005813 00009958 47 Suffolk 05/17/2010 Bay Shore NY 11706 Exclusion - 18NYCRR515 BLAKE GEORGE J Physician NM005026 00099124 06/18/2009 Tulsa OK 74137 Exclusion - 18NYCRR515 PHYSICIANS BLAKE HAYDEN ANTHONY DDS 00886677 00037358 28 Nassau 02/20/2001 FARMINGDALE NY 11735 Exclusion - 18NYCRR515 BLAKESLEE GLENDA CNA NM006770 342364901105E 06 Chautauqua 02/20/2011 JAMESTOWN NY 14701 Exclusion - 18NYCRR515 SYSTEM GENERATED FROM CLAIM BLANCHARD PHILIP B MD 01875396 VT007385 01/18/2007 BURLINGTON VT 05402 Exclusion - 18NYCRR515 BLANK LOUIS A MD 01058048 00170736 28 Nassau 04/20/1998 EAST ROCKAWAY NY 11518 Exclusion - 18NYCRR515 BLANKFIELD MARK B DPM 00720118 00003391 61 Queens 06/06/1991 BELLEROSE NY 11426 Exclusion - 18NYCRR515 BLESER RAYMOND ALAN 01288059 42 Schenectady 06/17/1999 SCHENECTADY NY 12305 Exclusion - 18NYCRR515 BLESER RAYMOND ALAN 00513268 00021895 42 Schenectady 05/09/1998 SCHENECTADY NY 12305 Exclusion - 18NYCRR515 BLOCK MATTHEW MD Physician 01449105 00188324 60 New York 05/19/2010 NEW YORK NY 10034-1199 Exclusion - 18NYCRR515 BLOOM BARRY I DDS 00666037 00024836 47 Suffolk 09/05/1996 LAKE RONKONKOMA NY 11779 Exclusion - 18NYCRR515 BLOSSOMGAME ARTHURINE NURSE NM003017 00236266 12/20/2007 Uniondale NY 11553 Exclusion - 18NYCRR515 BOAMAH BERNADETTE Nurse NM006014 00269345 / 00541058 03/15/2010 Rockaway Beach NY 11693 Exclusion - 18NYCRR515 BODENSTEIN ANTHONY V DPM 01141675 00004538 59 Kings 12/06/1992 BROOKLYN NY 11205 Exclusion - 18NYCRR515 BODRUNOV EDUARD Unknown NM007598 62 Richmond 11/20/2011 Staten Island NY 10308-4438 Exclusion - 18NYCRR515 BOEHM FRANK H JR MD Physician 01245849 00164756 30 Oneida 11/29/2011 NEW HARTFORD NY 13413-3200 Exclusion - 18NYCRR515 BOGATYRYOV YELENA Billing Clerk NM005543 09/23/2010 Brooklyn NY 11235 Exclusion - 18NYCRR515 BOGINSKY JULYA DDS 01326961 00043948 07/09/2002 BROOKLYN NY 11214 Exclusion - 18NYCRR515 BOGUE PATRICIA L LPN LPN 01767537 00252710 13 Dutchess 10/03/2011 MILLBROOK NY 12545 Exclusion - 18NYCRR515 BOHUSLAWSKY NINA Nurse NM006059 00572789 02/18/2010 Phillipsburg NJ 08865 Exclusion - 18NYCRR515 BOICE MARK E Massage Therapist NM006398 00012631 03/20/2011 Jordan NY 13080 Exclusion - 18NYCRR515 SYSTEM GENERATED FROM CLAIM BOISVERT STACY RENEE RN NM007932 00515290 12/20/2011 Tarpon Springs FL 34689-4827 Exclusion - 18NYCRR515 REGISTERED NURSE BOLDEN KASHEEN Drug Counselor NM007579 59 Kings 11/13/2011 Brooklyn NY 11203 Exclusion - 18NYCRR515 BOLLING JOHN L 00278551 00104449 07/08/2003 NEW YORK NY 10030 Exclusion - 18NYCRR515 BOLLON RICHARD J. Dentist NM001407 00029679 12/11/2006 JERICHO NY 11753 Exclusion - 18NYCRR515 BONANNO JOEL NM001658 00004827 02/20/2007 JENSEN BEACH FL 34957 Exclusion - 18NYCRR515 BONANZA DOMINIC Nurse NM006013 00544088 03/15/2010 Clayville NY 13322 Exclusion - 18NYCRR515 BONCHEK JAMES A/K/A BONCZEK Social Worker 02463876 00030813 99 Out Of State 01/27/2010 BROOKLYN NY 11209-6750 Exclusion - 18NYCRR515 BONILLA MARIA UNKNOWN NM004805 02/15/2009 Hempstead NY 11550 Exclusion - 18NYCRR515 BONNER MICHELLE R Nurse NM005591 00260866 07/20/2009 Kittanning PA 16201 Exclusion - 18NYCRR515 BOOKER DONALD Recruiter NM002630 05/19/2011 Brooklyn NY 11233 Exclusion - 18NYCRR515 BOOTHE JAMES O Former VP of Healthfirst NM003769 01/17/2012 East Patchogue NY 11772 Exclusion - 18NYCRR515 SYSTEM GENERATED FROM CLAIM BORASKY CHRISTINE CNA NM002846 05/20/2009 Ogdensburg NY 13669 Exclusion - 18NYCRR515 SYSTEM GENERATED FROM CLAIM BORINA HOME CARE Home Care Services Agency NM001483 10/19/2010 REGO PARK NY 11374 Exclusion - 18NYCRR515 BORISKIN HENRY L PC DDS 00282715 00023913 59 Kings 09/20/1999 BROOKLYN NY 11220 Exclusion - 18NYCRR515 BOROVIK TAMARA Unknown NM007425 59 Kings 09/07/2011 BROOKLYN NY 11235 Exclusion - 18NYCRR515 BOROVINSKY LANA DENTAL BILLER NM001585 03/20/2008 FRESH MEADOWS NY 11366 Exclusion - 18NYCRR515 BORRELLI HENRY DPM Podiatrist 00942627 00003852 61 Queens 09/15/2010 RIDGEWOOD NY 11385 Exclusion - 18NYCRR515 BORTNIK GREGORY Home Health Aide NM003386 05/17/2009 Hewlett NY 11557 Exclusion - 18NYCRR515 SYSTEM GENERATED FROM CLAIM BORUKHOVA MAZOLTUV N Physician 02720818 00237182 61 Queens 10/29/2009 FOREST HILLS NY 11375 Exclusion - 18NYCRR515 BORUSHAK MARIYA HHA NM003773 05/14/2009 Brooklyn NY 11235 Exclusion - 18NYCRR515 SYSTEM GENERATED FROM CLAIM BORZOUYE AMIR H MD 00197411 00110446 61 Queens 05/20/1999 FOREST HILLS NY 11375 Exclusion - 18NYCRR515 BOSTON DRUGS INC 01043856 00019354 58 Bronx 05/11/1993 BRONX NY 10456 Exclusion - 18NYCRR515 BOTT MARLENE ANN A/K/A PALMER Nurse NM002270 00197155 07/02/2007 Shortsville NY 14548 Exclusion - 18NYCRR515 BOUCHARD DONALD F 01401427 99 Out Of State 07/19/2007 FARMINGTON CT 06032 Exclusion - 18NYCRR515 BOUTIQUE SHOE SHOP INC 00821687 61 Queens 07/22/1992 ELMHURST NY 11373 Exclusion - 18NYCRR515 BOUTROS SAMIR SAMUEL MD 02166425 00001261 28 Nassau 04/06/2005 JAMAICA NY 11418 Exclusion - 18NYCRR515 PHYSICIANS BOWER ROSEMARIE A LPN NM006550 00283143 01/19/2011 Poughkeepsie NY 12601 Exclusion - 18NYCRR515 BOWLIN SCOTT Physical Therapist NM006706 00011508 26 Monroe 08/19/2010 Rochester NY 14612 Exclusion - 18NYCRR515 BOWMAN JACQUI P LPN 01146625 00167415 05 Cayuga 09/05/1996 YORKTOWN HTS NY 10598 Exclusion - 18NYCRR515 BOYARSKY BARRY 00347526 0V003622 59 Kings 07/19/2007 WOODMERE NY 11598 Exclusion - 18NYCRR515 OPTOMETRISTS BOYCE EMILY CNA NM001070 3403332102 10/19/2006 AMITYVILLE NY 11701 Exclusion - 18NYCRR515 BRADLEY NANCY J. Nurse NM002883 00091673 10/23/2007 Barker NY 14012 Exclusion - 18NYCRR515 BRADLEY-MOORE PATRICK R MD 01118267 00115680 58 Bronx 11/03/1993 BRONX NY 10468 Exclusion - 18NYCRR515 BRADSHAW RONALD Physician's Assistant 01459576 00000629 59 Kings 07/20/2011 BROOKLYN NY 11230-1315 Exclusion - 18NYCRR515 BRANDA PAUL T MD 00465518 00140650 59 Kings 05/18/2006 STATEN ISLAND NY 10312 Exclusion - 18NYCRR515 PHYSICIANS BRANDWEIN GARY S DO Physician 01882659 00186648 13 Dutchess 07/17/2009 POUGHKEEPSIE NY 12601-4035 Exclusion - 18NYCRR515 BRANFENBRENER GRIGORY Unknown NM007640 59 Kings 02/08/2012 Brooklyn NY 11235 Exclusion - 18NYCRR515 SYSTEM GENERATED FROM CLAIM BRASIE JACQUELINE L LPN Nurse 02198103 00256871 25 Madison 03/18/2010 CHITTENANGO NY 13037 Exclusion - 18NYCRR515 BRASLEY MICHAEL CNA NM000666 341853040802E 06/07/2005 E. ROCHESTER NY 14445 Exclusion - 18NYCRR515 BRASS HOWARD JONATHAN Pharmacy 01300169 00036458 28 Nassau 01/18/2010 EAST MEADOW NY 11554-4120 Exclusion - 18NYCRR515 BRASWELL JACQUELINE Business Owner NM007390 14 Erie 09/27/2011 Buffalo NY 14221 Exclusion - 18NYCRR515 SYSTEM GENERATED FROM CLAIM BRAUN KARL PHILLIP Massage Therapist NM007093 00007194 05/02/2011 Latham NY 12110 Exclusion - 18NYCRR515 BRAUNSTEIN STEWART M Physician NM005016 00105563 05/19/2009 Carbondale CO 81623 Exclusion - 18NYCRR515 BRAVER ALEXANDER MD 01613863 00199890 06/20/2007 STATEN ISLAND NY 10314 Exclusion - 18NYCRR515 PHYSICIANS BRAY EVELYN D NURSE NM001633 00262997 02/19/2007 MT. VERNON NY 10550 Exclusion - 18NYCRR515 BRAZIER MARY J NM002413 00284760 08/05/2007 Phoenix AZ 85029 Exclusion - 18NYCRR515 REGISTERED NURSE BREATHING THERAPY COMPANY 00442246 47 Suffolk 12/31/1992 CENTERPORT NY 11721 Exclusion - 18NYCRR515 BREGAR FRANK WILLIAM MD 01709113 PA25300E 99 Out Of State 09/20/2007 WAYNESBURG PA 15370 Exclusion - 18NYCRR515 BRESCIA DAVID A Dentist NM002023 00044288 05/20/2008 Poughquag NY 12570 Exclusion - 18NYCRR515 BRESTIN LEWIS R PC DDS Dentist 00297883 00022246 61 Queens 02/05/2012 JAMAICA NY 11432-5523 Exclusion - 18NYCRR515 DENTAL SCHOOL/DENTIST BRETH BRANDI CNA NM002942 342016190803E 01/20/2008 Jamestown NY 14701 Exclusion - 18NYCRR515 BREWER EUGENE ALLAN MD Physician 01572701 PA 55362L 99 Out Of State 07/20/2010 SAYRE PA 18840 Exclusion - 18NYCRR515 BREWER JOHN FREDERICK Physician NM006270 00137363 08/20/2008 Andover MA 01810 Exclusion - 18NYCRR515 BREWER KATHRYN C NURSE NM002735 00476181 10/30/2007 Louisburg NC 27549 Exclusion - 18NYCRR515 BREWSTER HEARING AID CENTER 00792907 00687001 37 Putnam 08/02/1993 BREWSTER NY 10509 Exclusion - 18NYCRR515 BRICK ROGER JOSEPH MD 00845318 00143817 60 New York 12/20/2006 NEW YORK NY 10017 Exclusion - 18NYCRR515 PHYSICIANS BRIDGE TOTAL HEALTH CORP 01951546 00024445 09/19/2005 BROOKLYN NY 11211 Exclusion - 18NYCRR515 BRIGHAM STEVEN CHASE MD 01041038 00172457 60 New York 02/23/1997 NEW YORK NY 10033 Exclusion - 18NYCRR515 BRIGNONI GENE PC MD 00924103 00156598 07/19/2007 GREAT NECK NY 11021 Exclusion - 18NYCRR515 PHYSICIANS BRILLIANT ALAN 01329771 00023836 47 Suffolk 03/01/1994 BABYLON NY 11702 Exclusion - 18NYCRR515 BRILLIANT SILVERS INC 00259949 00012453 47 Suffolk 10/05/1992 BABYLON NY 11702 Exclusion - 18NYCRR515 BRISTOL CAMILE M 01303891 00002892 59 Kings 05/22/1992 BROOKLYN NY 11236 Exclusion - 18NYCRR515 BRITTON CHRISTINE L NURSE NM003334 00506832 06/19/2008 East Norwich NY 11732 Exclusion - 18NYCRR515 BROAD PAULA JEAN Nurse NM005886 00439019 03/25/2010 Cheektowaga NY 14225 Exclusion - 18NYCRR515 BROADWAY PHARMACY INC 01206248 00020588 60 New York 08/08/1994 NEW YORK NY 10037 Exclusion - 18NYCRR515 BROCCOLO JOSEPH P DPM 00413781 58 Bronx 07/03/1996 BRONX NY 10461 Exclusion - 18NYCRR515 BROCK MARGARET R. NM002865 00243868 10/30/2007 Levittown NY 11756 Exclusion - 18NYCRR515 BRODERICK SEAN Recreational Therapist NM004484 01/20/2010 West Seneca NY 14224 Exclusion - 18NYCRR515 BRONSTEIN ROBERT S DPM PC 00807158 00003671 58 Bronx 03/16/1995 BRONX NY 10459 Exclusion - 18NYCRR515 BRONX INSTITUTE FOR CAREER TRAINING Home Health Aide Training School NM002631 07/20/2010 Bronx NY 10452 Exclusion - 18NYCRR515 BROOK MEDICAL AND DENTAL 00252231 NONE 59 Kings 05/29/2006 BROOKLYN NY 11215 Exclusion - 18NYCRR515 BROOKLYN IMAGING PHYSICIAN GROUP NM002466 08/15/2007 Gillette NJ 07933 Exclusion - 18NYCRR515 BROOKLYN MEDICAL ARTS HIV CARE, P.C. NM001163 08/20/2006 BROOKLYN NY 11234 Exclusion - 18NYCRR515 BROOKLYN RADIOLOGY INC 01057189 00116876 61 Queens 08/15/2007 RIDGEWOOD NY 11385 Exclusion - 18NYCRR515 BROOKS MICHAEL DWAYNE Physician NM001085 00214494 06/20/2006 PHOENIX AZ 85008 Exclusion - 18NYCRR515 BROOKS MICHENA LUBIN DPM 00967744 00004062 59 Kings 05/19/1993 BROOKLYN NY 11206 Exclusion - 18NYCRR515 BROSH WILLIAM 02475092 00059323 60 New York 02/19/2007 NEW YORK NY 10014 Exclusion - 18NYCRR515 BROWN ARTHUR V MD 00439363 00136892 59 Kings 05/08/1990 BROOKLYN NY 11211 Exclusion - 18NYCRR515 BROWN ASTRA Nurse NM001145 00266464 06/18/2009 AMITYVILLE NY 11701 Exclusion - 18NYCRR515 BROWN BRIONA Personal Care Aide NM007716 02/08/2012 Buffalo NY 14202 Exclusion - 18NYCRR515 SYSTEM GENERATED FROM CLAIM BROWN DAVID A Massage Therapist NM003644 00019172 06/18/2009 Solvay NY 13209 Exclusion - 18NYCRR515 SYSTEM GENERATED FROM CLAIM BROWN FRANCIS DICKSON MD 00545464 00028225 12 Delaware 04/30/1990 HOBART NY 13788 Exclusion - 18NYCRR515 BROWN KENNETH C 01372641 00029443 59 Kings 11/11/1998 BROOKLYN NY 11216 Exclusion - 18NYCRR515 BROWN MARDEN 02228600 SD003740 02/20/2007 CHAMBERLAIN SD 57325 Exclusion - 18NYCRR515 BROWN PEARL-ANN T 01090582 00165248 55 Westchester 09/02/1997 WHITE PLAINS NY 10601 Exclusion - 18NYCRR515 BROWN RONALD S MD Physician 00929497 00149723 58 Bronx 08/18/2011 BRONX NY 10468 Exclusion - 18NYCRR515 BROWN SHERNETTE Illegal Home Health Aide NM005263 10/13/2009 Jamaica NY 11433 Exclusion - 18NYCRR515 BROWN STANLEY J DMD 00282706 00027361 59 Kings 05/08/1990 BROOKLYN NY 11211 Exclusion - 18NYCRR515 BROWN STANLEY M MD 00554045 00131011 47 Suffolk 05/20/1998 SMITHTOWN NY 11787 Exclusion - 18NYCRR515 BROWN STEVEN STEWART Pharmacist NM007288 00031185 07/12/2011 New York NY 10021 Exclusion - 18NYCRR515 PHARMACISTS BROWN TAWANA DIRECTOR OF REHAB SERVICES NM000742 61 Queens 09/20/2006 QUEENS NY 12144 Exclusion - 18NYCRR515 BROWN TERRI LPN NM006149 00266321 04/27/2011 Buffalo NY 14211 Exclusion - 18NYCRR515 BROWNSTEIN STEVEN PAUL MD Physician 02276915 00205501 58 Bronx 11/15/2009 BRONX NY 10462-3604 Exclusion - 18NYCRR515 BRUCE ELVIRA S Home Health Aide NM001588 04/26/2010 BROOKLYN NY 11235 Exclusion - 18NYCRR515 BRUGGEMAN SUSAN NM002206 00042667 06/20/2007 Vandalia OH 45377 Exclusion - 18NYCRR515 PHARMACISTS BRUMER MICHAEL DPM PC 050-Podiatrist 00413465 00002596 59 Kings 06/18/2009 BROOKLYN NY 11238 Exclusion - 18NYCRR515 BRUNELLE ELIZABETH NM001309 00226886 10/19/2006 TUSCON AZ 85711 Exclusion - 18NYCRR515 BRUNNER AMY M. NM003014 00541219 12/20/2007 Los Angeles CA 90068 Exclusion - 18NYCRR515 BRUNO GWEN E Nurse NM005705 00238420/00507640/00303946 02/16/2010 Salamanca NY 14779 Exclusion - 18NYCRR515 BRUNO LISA C Occupational Therapist 02320607 00010116 55 Westchester 02/15/2012 POUND RIDGE NY 10576-2149 Exclusion - 18NYCRR515 OCCUPATIONAL THERAPIST BRUUS ANN NURSE NM002667 00524509 10/18/2007 Foley AL 36535 Exclusion - 18NYCRR515 BRYANT EDWARD JR Physician NM005015 00181797 06/15/2009 Ossining NY 10562 Exclusion - 18NYCRR515 BRYANT JESSE MD 00112107 00079575 60 New York 12/30/1991 NEW YORK NY 10003 Exclusion - 18NYCRR515 BRYANT VALERIE CNA NM005724 341878821002R 05/19/2011 Bellport NY 11713 Exclusion - 18NYCRR515 BUBACK VICKI LEE NM001430 03/20/2007 JACKSONVILLE NC 28546 Exclusion - 18NYCRR515 BUBELLO ALEXANDRA Residential Rehabilitation Specialist NM002768 09/20/2009 Staten Island NY 10314 Exclusion - 18NYCRR515 BUCHBINDER JAY 02230073 00016292 99 Out Of State 10/06/2005 BELLMORE NY 11710 Exclusion - 18NYCRR515 CLINICAL SOCIAL WORKER BUCKLAND DEANNA NM001312 00241226 10/19/2006 ROCHESTER NY 14616 Exclusion - 18NYCRR515 BUCKLEY JOYCE WONG MD 02599044 002113 22 Jefferson 03/20/2009 WATERTOWN NY 13601 Exclusion - 18NYCRR515 PHYSICIANS BUCKRIDGE OLIVE PATRICIA 01362849 00439007 28 Nassau 02/19/2009 BALDWIN NY 11510 Exclusion - 18NYCRR515 REGISTERED NURSE BUDNICK JEAN MARIE LPN 01504512 00083612 55 Westchester 06/30/1994 PEEKSKILL NY 10566 Exclusion - 18NYCRR515 BUENA VISTA PHARMACY INC Pharmacy 00268795 00012457 60 New York 01/27/2010 NEW YORK NY 10029 Exclusion - 18NYCRR515 BUENCAMINO ARTURO NM003448 00156007 01/01/1998 Babylon NY 11702 Exclusion - 18NYCRR515 BUFFALO HEARING AID CO 01054200 61BU9850 14 Erie 08/18/1994 WILLIAMSVILLE NY 14221 Exclusion - 18NYCRR515 BUGAOAN REDENCIO MD 00377748 00115580 28 Nassau 01/09/1991 HEMPSTEAD NY 11550 Exclusion - 18NYCRR515 BUGARIN ALEJANDRA MD 00777784 FL783030 99 Out Of State 09/20/1999 CAPE CORAL FL 33904 Exclusion - 18NYCRR515 BUI KHAI Dentist NM006142 00053244 07/20/2006 Springfield MA 01108 Exclusion - 18NYCRR515 BUNBURYS NURSING SERVICES 01240106 61 Queens 05/29/1994 FAR ROCKAWAY NY 11691 Exclusion - 18NYCRR515 BUNDY STEVEN Clinical Social Worker/LMSW 02403414 00061149/00073938 59 Kings 02/16/2010 BROOKLYN NY 11216-1302 Exclusion - 18NYCRR515 BURCHAM DANA NURSE NM002666 00520086 10/18/2007 Brandon MS 39047 Exclusion - 18NYCRR515 BURGOS YEFRY D Coral Pharmacy Owner NM004042 07/20/2010 Bronx NY 10452 Exclusion - 18NYCRR515 BURKE ALAN MICHAEL MD 00853461 00150222 54 Wayne 09/05/1996 NEWARK NY 14513 Exclusion - 18NYCRR515 BURKE DAVID F MD 01247974 PA37534E 06/20/2006 PITTBURGH PA 15213 Exclusion - 18NYCRR515 PHYSICIANS BURKE KAREN S Nurse NM005693 00545111 02/16/2010 Corning NY 14830 Exclusion - 18NYCRR515 BURKE MARIANNE MD 01096973 NJ049965 99 Out Of State 12/20/2000 NEPTUNE NJ 07754 Exclusion - 18NYCRR515 BURKES JEFFREY R Dentist NM004902 02/19/2009 New York NY 10022 Exclusion - 18NYCRR515 SYSTEM GENERATED FROM CLAIM BURKO SCOTT Pharmacist 03048693 00036863 60 New York 09/27/2011 NEW YORK NY 10025-4041 Exclusion - 18NYCRR515 PHARMACISTS BURM THOMAS 01975011 00047956 26 Monroe 04/20/2008 SPENCER PORT NY 14559 Exclusion - 18NYCRR515 BURMAN MATTHEW Physician NM006278 00109084 07/15/2010 Bloomfield Hills MI 48302 Exclusion - 18NYCRR515 BURNETT THERESA CNA NM001087 340155810393E 07/17/2006 YORKVILLE NY 13495 Exclusion - 18NYCRR515 BURR-MCCANN CAROLINE BILLING CLERK NM000403 01 Albany 02/20/2006 Albany NY 12209 Exclusion - 18NYCRR515 SYSTEM GENERATED FROM CLAIM BURRES KENNETH P NM001782 00148698 03/30/2007 Alta Loma CA 91737 Exclusion - 18NYCRR515 BURRIS REGINA S NM003395 06/19/2008 Brentwood NY 11717 Exclusion - 18NYCRR515 BURSTEIN ALAN G MD 00595253 00124993 14 Erie 05/18/2000 BUFFALO NY 14210 Exclusion - 18NYCRR515 BURSTEIN JUNE 01394090 034542 60 New York 03/23/2009 NEW YORK NY 10003-4704 Exclusion - 18NYCRR515 BUSCHOR MELISSA Nurse NM004879 00256080 04/20/2010 Mastic Beach NY 11951 Exclusion - 18NYCRR515 BUSH BARBARA FAYE MONKS GWALTNEY NM005145 540079 12/18/2008 Quinton OK 74561 Exclusion - 18NYCRR515 REGISTERED NURSE BUSH IRVING M Physician NM005254 00082549 02/18/2010 Elgin IL 60123 Exclusion - 18NYCRR515 BUSHEY DORENA M Social Work Assistant NM005172 01/20/2010 Newark NY 14513 Exclusion - 18NYCRR515 BUSSEY DAVID DIETARY AIDE NM001079 06/18/2006 CORONA NY 11368 Exclusion - 18NYCRR515 BUTTERFLY OPTICS 00894862 58 Bronx 11/09/1992 BRONX NY 10473 Exclusion - 18NYCRR515 BUTTS B. JOANNE SHIBLEY Nurse NM005887 00388579 03/25/2010 Cazenovia NY 13035 Exclusion - 18NYCRR515 BUTZBACH CHRISTINE A CNA NM005723 342300610605E 05/19/2011 Centereach NY 11720 Exclusion - 18NYCRR515 BUZARD KURT A. NM002462 00162276 07/12/2007 Henderson NV 89074 Exclusion - 18NYCRR515 BUZIASHVILI ALEX OWNER OF MEDICAL BILLING CO. NM003693 06/25/2008 Valley Stream NY 11581 Exclusion - 18NYCRR515 BYNUM TERESA LPN NM007050 00278348 04/05/2011 Selden NY 11784 Exclusion - 18NYCRR515 BYRNE RODOLFO PC MD 00196736 00110230 60 New York 04/20/2000 NEW YORK NY 10021 Exclusion - 18NYCRR515 BYRNE THOMAS JOHN MD 01039298 00162064 32 Ontario 07/06/1992 GENEVA NY 14456 Exclusion - 18NYCRR515 C&D ENTERPRISES LLC DME Real Estate NM004692 11/04/2009 Hempstead NY 11550 Exclusion - 18NYCRR515 CABRERA DAISY M. NM000624 N/A 12/07/2005 BRONX NY 10454 Exclusion - 18NYCRR515 CABRERA JUAN 01393677 00003276 60 New York 12/18/1997 PLANDOME HTS NY 11030 Exclusion - 18NYCRR515 CACIOPPO CASPER A 00825576 61 Queens 07/30/1990 JACKSON HEIGHTS NY 11372 Exclusion - 18NYCRR515 CADIEUX GERALD 00619049 60CA2660 40 St. Lawrence 04/30/1992 MASSENA NY 13662 Exclusion - 18NYCRR515 CADOLINO SILVIO J 01334069 00029812 47 Suffolk 06/02/1994 SETAUKET NY 11733 Exclusion - 18NYCRR515 CAH FAMILY CHOICE/N COUNTRY 02241812 CAH00087 16 Franklin 10/19/2006 CHATEAUGAY NY 12920 Exclusion - 18NYCRR515 CAH PROVIDENCE CARE AGENCY IN 01419612 CAH00042 51 Ulster 05/08/2006 CENTRAL ISLIP NY 11722 Exclusion - 18NYCRR515 CAH RENAISSANCE REHAB SERVICE 01143200 CAH22634 10/18/2001 HICKSVILLE NY Exclusion - 18NYCRR515 CAIN PEGGY RN NM007306 00218935 54 Wayne 07/19/2011 Walworth NY 14568 Exclusion - 18NYCRR515 CALABRESE KELLY A Massage Therapist NM006540 00015637 10/19/2010 Raleigh NC 27609 Exclusion - 18NYCRR515 CALDWELL BONITA M Nurse 01979895 00256021 50 Tompkins 04/20/2010 ITHACA NY 14850-4112 Exclusion - 18NYCRR515 CALDWELL BONITA M Nurse NM005412 00256021 04/20/2010 Interlaken NY 14847 Exclusion - 18NYCRR515 CALDWELL JOEL NORMAN PHD Psychologist 02190590 00014006 31 Onondaga 08/22/2011 SYRACUSE NY 13202-3130 Exclusion - 18NYCRR515 CALHOON RAYMOND F Optician 01195651 00005028 14 Erie 10/12/2009 BUFFALO NY 14206 Exclusion - 18NYCRR515 CALIK IZABELLA CEO of Family Optical Shoppe NM006605 03/27/2009 Brooklyn NY 11235 Exclusion - 18NYCRR515 SYSTEM GENERATED FROM CLAIM CAMACHO MARJORIE RN 01925075 00393400 59 Kings 06/20/2006 BROOKLYN NY 11203 Exclusion - 18NYCRR515 REGISTERED NURSE CAMBRIDGE PHARMACY INC 00919571 00018827 60 New York 03/20/2006 NEW YORK NY 10030 Exclusion - 18NYCRR515 CAMERON COLLET 01636222 00231600 28 Nassau 11/02/2008 HEMPSTEAD NY 11550 Exclusion - 18NYCRR515 CAMPANELLA DONNA ALTMAN Dental Hygienist NM006397 00010031 05/26/2010 Webster NY 14580 Exclusion - 18NYCRR515 CAMPBELL ELVIA NM004405 11/02/2008 Hempstead NY 11550 Exclusion - 18NYCRR515 CAMPBELL MARJORIE ANGELA LPN 01202386 00190902 59 Kings 11/20/1997 BROOKLYN NY 11213 Exclusion - 18NYCRR515 CAMPBELL RUTLEDGE ILLEGAL HOME HEALTH AIDE NM004404 11/02/2008 Hempstead NY 11550 Exclusion - 18NYCRR515 CAMPO ARNOLD BERNARD MD 01728183 00206040 11/28/2006 ROCHESTER NY 14626 Exclusion - 18NYCRR515 CAMPO NICOLE LPN NM005252 00270888 01/24/2011 East Patchogue NY 11772 Exclusion - 18NYCRR515 PRACTICAL NURSE CAMPO STEPHEN A DPM 01080602 00003711 10/02/2001 AVON NY 14414 Exclusion - 18NYCRR515 CAMUTI DIANE NM000633 00079674 06/07/2005 ASTORIA NY 11102 Exclusion - 18NYCRR515 CANECCHIA HOPE A RN 02578898 00471818 47 Suffolk 01/04/2006 LAKE GROVE NY 11755 Exclusion - 18NYCRR515 REGISTERED NURSE CANELOS JAMES MD 00160352 00096109 59 Kings 06/08/1997 BROOKLYN NY 11237 Exclusion - 18NYCRR515 CANTAVE MOLONNE LPN 01302872 00161399 01/15/2007 EAST MORICHES NY 11940 Exclusion - 18NYCRR515 CANTELMO LAURETTE RN NM007729 00388786 28 Nassau 01/16/2012 Levittown NY 11756 Exclusion - 18NYCRR515 REGISTERED NURSE CANTOR ALAN J Podiatrist 02230179 00004818 28 Nassau 03/15/2010 EAST MEADOW NY 11554 Exclusion - 18NYCRR515 CANTOR LEON MD 00213492 00115582 61 Queens 10/20/1999 FRESH MEADOWS NY 11365 Exclusion - 18NYCRR515 CAPILI ELENA LEODONES Nurse NM005363 00180390 11/15/2009 New Hyde Park NY 11040 Exclusion - 18NYCRR515 CAPOTE WILLIAM MD 00227505 00121375 58 Bronx 07/07/1997 BRONX NY 10462 Exclusion - 18NYCRR515 CAPPIELLO RAFAEL 01004402 00110175 59 Kings 03/05/1999 BROOKLYN NY 11231 Exclusion - 18NYCRR515 CAQUIAS JESUS A. NM002870 00142090 11/26/2007 Brownsville TX 78521 Exclusion - 18NYCRR515 CARABBA SUZANNE T LPN RN RN and LPN NM004919 00377174 04/30/2009 Queens Village NY 11427 Exclusion - 18NYCRR515 REGISTERED NURSE CARBONELL DENNIS 00790538 00128949 47 Suffolk 12/20/2007 CENTEREACH NY 11720 Exclusion - 18NYCRR515 CARDOZA PATRICIA AKA GAYLE Fraudulent Home Health Aide NM005922 09/05/2010 Corona NY 11368 Exclusion - 18NYCRR515 CARLETON DENTAL GROUP PC 01001990 47 Suffolk 09/05/1996 CENTRAL ISLIP NY 11722 Exclusion - 18NYCRR515 CARLONI EDMUND L MD 00544436 55 Westchester 09/11/1996 HARTSDALE NY 10530 Exclusion - 18NYCRR515 CARLOS DOROTHY O. NM002924 00002180 12/28/2007 Englewood NJ 07631 Exclusion - 18NYCRR515 CARMAN JOSEPH A Massage Therapist NM006613 00006204 04/23/2009 New York NY 10025 Exclusion - 18NYCRR515 SYSTEM GENERATED FROM CLAIM CARONIA ALFRED Pharmaceutical Salesperson NM006090 04/20/2010 Long Beach NY 11561 Exclusion - 18NYCRR515 CARR GEORGE AUSTIN MD 01064644 00168291 09/11/2001 TARRYTOWN NY 10591 Exclusion - 18NYCRR515 CARRINGTON MARGUERITE CNA NM000906 3332949101 08/20/2008 ROCHESTER NY 14611 Exclusion - 18NYCRR515 CARROLL SHERRY K 02734389 00263689 26 Monroe 03/26/2007 ROCHESTER NY 14616 Exclusion - 18NYCRR515 CARSON BOBBIE LYNN LPN Nurse 02501339 00246812 26 Monroe 07/20/2010 ROCHESTER NY 14619-2448 Exclusion - 18NYCRR515 CARTER DARRICKA CECELIA DPM Podiatrist 01745624 00005294 47 Suffolk 09/15/2010 BAY SHORE NY 11706 Exclusion - 18NYCRR515 CARTER EMMETT OWNER CARTER'S TAXI and LIMO INC NM000704 01/18/2007 LEEDS MA 01053 Exclusion - 18NYCRR515 CARTERS TAXI & LIMO INC 01151606 00031438 55 Westchester 01/18/2007 PEEKSKILL NY 10566 Exclusion - 18NYCRR515 PHARMACISTS CARTHEN MICHAEL DPM 01276379 00004876 59 Kings 06/26/1997 BROOKLYN NY 11212 Exclusion - 18NYCRR515 CASA CARE SERVICES LTD. 01268868 28 Nassau 01/20/1998 ROCKVILLE CENTRE NY 11570 Exclusion - 18NYCRR515 CASALE ROBERT 01792061 00026837 58 Bronx 09/12/2005 BRONX NY 10458 Exclusion - 18NYCRR515 DENTAL SCHOOL/DENTIST CASAVANT GERALD Nurse NM005494 00488380 12/20/2009 Hoosick NY 12089 Exclusion - 18NYCRR515 CASELLI GINA GLORIA DMD 01404282 00044035 09/18/2001 ROME NY 13440 Exclusion - 18NYCRR515 CASHMORE IRENE OLKER LPN 02063436 00191051 02/05/2003 MEDFORD NY 11763 Exclusion - 18NYCRR515 CASIMIR ANISHA Owner NM005696 12/20/2009 Shrub Oak NY 10588 Exclusion - 18NYCRR515 CASIMIR PHILIP K Owner NM005695 12/20/2009 Shrub Oak NY 10588 Exclusion - 18NYCRR515 CASSEA DEPECHE REIS Massage Therapist NM004724 00014626/00245970 05/20/2009 East Islip NY 11730 Exclusion - 18NYCRR515 SYSTEM GENERATED FROM CLAIM CASSEA DEPECHE REIS LPN LPN/ Massage Therapist 02670693 00245970/00014626 47 Suffolk 11/29/2011 SELDEN NY 11784-2907 Exclusion - 18NYCRR515 CASTALLANO TOMETA LPN 01879547 00181507 06/10/2003 ROCHESTER NY 14613 Exclusion - 18NYCRR515 CASTEL JOSE M Physician NM005032 00117360 06/17/2009 Fort Washington PA 19034 Exclusion - 18NYCRR515 CASTELLA ANTONIO MD 01097272 00150825 60 New York 07/20/1995 NEW YORK NY 10010 Exclusion - 18NYCRR515 CASTELLANO ZONA aka SCHERER Owner of ANR Home Health Care NM005547 12/29/2009 Brooklyn NY 11209 Exclusion - 18NYCRR515 CASTILLO DESPINA NURSE NM001622 00191085 02/19/2007 FARMINGVILLE NY 11738 Exclusion - 18NYCRR515 CASTILLO EXPEDITO H MD 01768423 00205229 59 Kings 04/12/2006 BROOKLYN NY 11211 Exclusion - 18NYCRR515 CASTILLO HECTOR LUIS Physician NM005419 00146550 04/09/2009 Paterson NJ 07501 Exclusion - 18NYCRR515 CASTILLO MARTHA I NURSE NM003064 00527143 12/20/2007 Maspeth NY 11378 Exclusion - 18NYCRR515 CASTILLO SERGIO AUGUSTO MD Physician 01287925 00176200 42 Schenectady 06/08/2010 SCHENECTADY NY 12308-2425 Exclusion - 18NYCRR515 CASTILLO STEVEN ANTHONY DDS 01079881 00040950 59 Kings 05/04/1997 BROOKLYN NY 11206 Exclusion - 18NYCRR515 CASTRO WILLIAM H. NM002927 01/02/2008 Glendale AZ 85304 Exclusion - 18NYCRR515 CASTRONOVA EARLAYNE E NM002422 00013806 08/05/2007 Albion NY 14411 Exclusion - 18NYCRR515 CATALANO ELAINE Administrator CDPAP Program NM005108 08/20/2009 Oceanside NY 11572 Exclusion - 18NYCRR515 CATON CHRISTINE M NM002214 00020674 05/28/2007 Rochester NY 14618 Exclusion - 18NYCRR515 SYSTEM GENERATED FROM CLAIM CAUSYN JULIE A Nurse NM005275 00262348 10/14/2009 Rochester NY 14264 Exclusion - 18NYCRR515 CAVAGGIONI MAUREEN RN NM004975 00581208 04/05/2011 Mt. Sinai NY 11766 Exclusion - 18NYCRR515 CAVALLARO GAETANO V PC MD 00543926 00093132 13 Dutchess 04/20/2000 POUGHKEEPSIE NY 12601 Exclusion - 18NYCRR515 CAVANAUGH TRACIE C. NM000698 00259914 11/16/2005 RENSSELAER NY 12144 Exclusion - 18NYCRR515 CAVENDER JOHANNA MD 01110801 00136100 31 Onondaga 07/28/1997 SYRACUSE NY 13210 Exclusion - 18NYCRR515 CAYEMITTE SERGE 01287003 00185000 99 Out Of State 01/02/2008 WEST PALM BEACH FL 33405 Exclusion - 18NYCRR515 CEESAY KITABU DEMBO R.P.A. NM001555 00008096 01/15/2007 HACKENSACK NJ 07601 Exclusion - 18NYCRR515 CELENTANO ANTHONY P 01287934 00000764 58 Bronx 05/07/2004 BRONX NY 10453 Exclusion - 18NYCRR515 PHYSICIANS ASSISTANT CELESTIN ANDRE MD 00903457 00163332 60 New York 05/15/1990 NEW YORK NY 10034 Exclusion - 18NYCRR515 CELESTIN ANDRE BENONY 00928345 00164742 58 Bronx 10/06/2005 BROOKLYN NY 11208 Exclusion - 18NYCRR515 PHYSICIANS CENTER FOR ADDICTION RECOVERY Rehabilitation Center 01749242 P005609 30 Oneida 08/20/2009 CLINTON NY 13413 Exclusion - 18NYCRR515 CENTRAL CARE INC 01500009 39 Rockland 09/09/1996 CONGERS NY 10920 Exclusion - 18NYCRR515 CENTRAL DIAGNOSTIC LABS INC 01055843 NJ006568 99 Out Of State 11/17/1988 PERTH AMBOY NJ 08861 Exclusion - 18NYCRR515 CEREVKA JOSEPH M NM001904 00110594 05/01/2007 Los Angeles CA 90048 Exclusion - 18NYCRR515 CERRONE ANTHONY DDS 00409449 00028639 28 Nassau 09/01/1994 VALLEY STREAM NY 11580 Exclusion - 18NYCRR515 CESTARI JOSEPH E 01290880 00023848 09/11/2001 LAWRENCE NY Exclusion - 18NYCRR515 CESTARI PHARMACY INC 00271949 00012481 61 Queens 11/29/2001 INWOOD NY 11696 Exclusion - 18NYCRR515 CESTARI ROBERT PC MD 00377766 00082995 28 Nassau 10/06/1997 ROCKVILLE CENTER NY 11570 Exclusion - 18NYCRR515 CHADI BENJAMIN H MD 01232131 00177987 99 Out Of State 11/04/1994 TENAFLY NJ 07670 Exclusion - 18NYCRR515 CHAIT MICHAEL Physician 01723624 00184042 59 Kings 08/19/2010 BROOKLYN NY 11222 Exclusion - 18NYCRR515 CHAITIN HORACE MD 00063227 00040487 61 Queens 08/16/1982 WHITESTONE NY 11357 Exclusion - 18NYCRR515 CHALLENGER AMY L. NM003011 00258411 12/20/2007 Penfield NY 14526 Exclusion - 18NYCRR515 CHAMPLIN SHANTEL L A/K/A LONG Nurse NM005706 00285414 02/16/2010 Albion NY 14411 Exclusion - 18NYCRR515 CHANDLER CARE CENTER 01627701 5905307N 55 Westchester 07/20/2006 OSSINING NY 10562 Exclusion - 18NYCRR515 SYSTEM GENERATED FROM PROVIDER CHANMIN IGOR MD Physician 02142450 00219338 61 Queens 07/20/2009 FOREST HILLS NY 11375 Exclusion - 18NYCRR515 CHANOWITZ BENSON 01362578 00036699 59 Kings 05/10/1994 BROOKLYN NY 11213 Exclusion - 18NYCRR515 CHAPALAMADUGU GANGADHARA R Physician NM005647 00122130 12/25/2009 Bradenton FL 34208 Exclusion - 18NYCRR515 CHARETTE DEBORAH A Nurse NM005726 00264898 02/22/2010 Watervliet NY 12189 Exclusion - 18NYCRR515 CHARLAND AMY NM001084 00407129 07/19/2007 AMSTERDAM NY 12010 Exclusion - 18NYCRR515 REGISTERED NURSE CHARLAND CARLA HHA NM006441 09/26/2011 Canadiagua NY 14424 Exclusion - 18NYCRR515 SYSTEM GENERATED FROM CLAIM CHARLAND JESSE HHA NM006440 32 Ontario 09/20/2011 Canadiagua NY 14424 Exclusion - 18NYCRR515 CHARLECO AMBULETTE INC 00863516 00030304 59 Kings 08/26/1993 BROOKLYN NY 11226 Exclusion - 18NYCRR515 CHARLES CHRISTINE LPN 02316654 00081033 07/19/2007 NIAGARA FALLS NY 14304 Exclusion - 18NYCRR515 PRACTICAL NURSE CHARNO STEVEN HOWARD MD Physician 00396823 00116271 28 Nassau 06/20/2011 GREAT NECK NY 11021-2229 Exclusion - 18NYCRR515 CHAROENKUL CHOMYONG K MD 00913837 00117594 07/05/2001 ARDSLEY NY 10502 Exclusion - 18NYCRR515 CHARZEWSKI STANLEY LCSW 02480968 00038158 62 Richmond 05/19/2005 STATEN ISLAND NY 10302 Exclusion - 18NYCRR515 CHASE AMBULETTE INC 01370314 00B90307 59 Kings 05/01/1995 BROOKLYN NY 11226 Exclusion - 18NYCRR515 CHASE MARILYN G CNA NM000446 3413506308 30 Oneida 07/19/2007 CAMDEN NY 13316 Exclusion - 18NYCRR515 CHAUDHARI KIRIT V 01423358 00041953 60 New York 09/20/1999 NEW YORK NY 10025 Exclusion - 18NYCRR515 CHAUDHRY RIMA LPN NM004685 00240911 06/20/2011 Smithtown NY 11787 Exclusion - 18NYCRR515 CHAUHAN SHAMSER NURSE NM001402 00195968 12/11/2006 SCARSDALE NY 10583 Exclusion - 18NYCRR515 CHAVARRIA MANUEL NM004004 00009975 12/07/2006 xxxxxx xx 00000 Exclusion - 18NYCRR515 CHAVEZ THOMAS Respiratory Therapist NM005503 00001096 12/22/2009 Queens Village NY 11427 Exclusion - 18NYCRR515 CHENERY DOREEN R NM003642 00002642 05/26/2008 White Plains NY 10606 Exclusion - 18NYCRR515 CHENG ATTILIUS DDS 01061187 00041222 60 New York 02/12/2009 NEW YORK NY 10038 Exclusion - 18NYCRR515 SYSTEM GENERATED FROM CLAIM CHENG DANIEL MD 00570154 00126436 41 Saratoga 03/20/2008 WATERFORD NY 12188 Exclusion - 18NYCRR515 CHERNOVETS ALEX Marketer NM003607 10/20/2010 Oceanside NY 11572 Exclusion - 18NYCRR515 CHERRY LOUIS W Licensed Clinical Social Worker NM006399 00012532 08/05/2010 Nesconset NY 11767 Exclusion - 18NYCRR515 CHERTOFF JASON LEE MD Physician NM004725 00244823 01/20/2010 West Springfield MA 01089 Exclusion - 18NYCRR515 CHERTOK YAKOV MD 00797613 00156511 60 New York 12/21/1989 NEW YORK NY 10001 Exclusion - 18NYCRR515 CHERUKURI MADHAVI V. NM002706 00227273 11/11/2006 New Rochelle NY 10804 18NYCRR504.1(d)(19) CHESLAK BETTY CNA NM004483 338736021191E 09/20/2009 Rocky Point NY 11778 Exclusion - 18NYCRR515 CHESLOW EDWARD S MD Physician 01244619 00168762 58 Bronx 05/20/2010 BRONX NY 10457 Exclusion - 18NYCRR515 CHESTER STEPHANIE LYN aka POLLACK RN NM007048 00524195 04/04/2011 Williston Park NY 11596 Exclusion - 18NYCRR515 CHEUNG ALAN NM000805 00009203 04/20/2006 ELMHURST NY 11373 Exclusion - 18NYCRR515 CHHUGANI JAGI M 01528550 00035755 61 Queens 03/20/2001 REGO PARK NY 11374 Exclusion - 18NYCRR515 CHI TOLLY CNA NM006745 342460870606E 28 Nassau 06/20/2011 Hicksville NY 11801 Exclusion - 18NYCRR515 CHIARELLA ANO HOME HEALTH AIDE NM001595 59 Kings 09/18/2008 BROOKLYN NY 11229 Exclusion - 18NYCRR515 CHILDRENS HOME CARE MED & RES 01374198 55 Westchester 12/18/1997 LARCHMONT NY 10538 Exclusion - 18NYCRR515 CHINDRIS LIVIS ALEXANDRU NM001414 00216478 11/28/2006 MONROVIA CA 91016 Exclusion - 18NYCRR515 CHIU MEI LAN KWOK ACCUPUNCTURE NM001635 00000952 02/19/2007 FLUSHING NY 11354 Exclusion - 18NYCRR515 CHIZHOV ELLA NM002502 10/15/2007 Cliffside Park NJ 07010 Exclusion - 18NYCRR515 CHIZHOV SERGEY MEDICAL CLINIC OWNER NM002524 10/15/2007 Malone NY 12953 Exclusion - 18NYCRR515 CHO WILLIAM INSUCK 01048140 00170779 58 Bronx 02/03/1990 BRONX NY 10452 Exclusion - 18NYCRR515 CHOI JIMMY W MD 00858668 00159979 61 Queens 12/20/2000 FLUSHING NY 11354 Exclusion - 18NYCRR515 CHOI SEI YOUNG MD NM001238 00225029 09/20/2006 POUGHKEEPSIE NY 12601 Exclusion - 18NYCRR515 CHOICE M PLUS 01055196 55 Westchester 12/15/1996 CROTON ON HUDSON NY 10520 Exclusion - 18NYCRR515 CHOICE OF MEDICAL CARE P.C. MEDICAL CLINIC NM002602 00187870 10/24/2007 Queens NY 11374 Exclusion - 18NYCRR515 CHOO SUNG-MOON MD 046-Physician 00781246 00117386 58 Bronx 06/18/2009 BRONX NY 10466 Exclusion - 18NYCRR515 CHOPRA SANJIV MD 01127462 00175732 61 Queens 07/20/1998 ASTORIA NY 11103 Exclusion - 18NYCRR515 CHOTU CORPORATION Pharmacy 01230804 00020850 61 Queens 05/22/2011 OZONE PARK NY 11416-1026 Exclusion - 18NYCRR515 CHOW TOO KEI MD 00861261 FL026859 99 Out Of State 05/17/1990 NEW SMYRNA BEACH FL 32069 Exclusion - 18NYCRR515 CHOWDHURY LUTFUL H Pharmacist 01312409 00033740 28 Nassau 08/27/2011 NORTH BALDWIN NY 11510-1846 Exclusion - 18NYCRR515 CHRAPA EDEANE M. NM001314 00434226 10/19/2006 E. AURORA NY 14052 Exclusion - 18NYCRR515 CHRIST RONALD LEE NM002507 00103137 08/02/2007 Page AZ 86040 Exclusion - 18NYCRR515 CHRISTENSEN BENT DDS 00821930 00037523 12 Delaware 04/06/1994 DELHI NY 13753 Exclusion - 18NYCRR515 CHRISTIAN CHASITY CNA NM005325 342101920304E 12/20/2009 Syracuse NY 13208 Exclusion - 18NYCRR515 CHRISTIAN NURSING HOSPICE INC 01582250 5157501F 47 Suffolk 08/26/2001 NESCONSET NY 11767 Exclusion - 18NYCRR515 CHU ERIC CHIU CHUN 01076939 00175003 58 Bronx 09/20/1998 BRONX NY 10453 Exclusion - 18NYCRR515 CHUN SCOTT LPN NM007054 00289617 04/06/2011 Levittown NY 11756 Exclusion - 18NYCRR515 CHURCHILL CAROL M. NM002523 00536923 09/17/2007 Pulaski NY 13142 Exclusion - 18NYCRR515 CIANI MARIO J. NM003018 00004333 12/20/2007 Massapequa Park NY 11762 Exclusion - 18NYCRR515 CIFUENTES JOSE M 01313735 00031559 60 New York 03/14/1993 NEW YORK NY 10034 Exclusion - 18NYCRR515 CINDY DRUGS INC 02087456 OC016749 09/04/2002 HICKSVILLE NY 11801 Exclusion - 18NYCRR515 CINTRON RAYMOND MD 01166527 00176328 58 Bronx 07/17/1995 BRONX NY 10451 Exclusion - 18NYCRR515 CIRCLE AMBULETTE CORP 01394807 00031612 55 Westchester 07/17/2000 MOUNT VERNON NY 10550 Exclusion - 18NYCRR515 CISKANIK ROBERT Pharmacist NM006070 00051859 05/12/2010 Syosset NY 11791 Exclusion - 18NYCRR515 CITY MEDICAL P.C. MEDICAL CLINIC NM002603 00187870 10/24/2007 Brooklyn NY 11204 Exclusion - 18NYCRR515 CLARK HARRY EDGAR 00358503 00453001 49 Tioga 02/04/1992 WAVERLY NY 14892 Exclusion - 18NYCRR515 CLARK LEONARD CNA NM007749 342118700404E 01/16/2012 Schenectady NY 12307 Exclusion - 18NYCRR515 SYSTEM GENERATED FROM CLAIM CLARK NAN SUK MASSAGE THERAPY NM003382 00014576 03/26/2008 Woodside NY 11377 Exclusion - 18NYCRR515 CLARK NORMAN LESLIE MD 01353713 MDD42095 99 Out Of State 12/20/1998 BALTIMORE MD 21201 Exclusion - 18NYCRR515 CLARK SALLY ANN PHYSICAL THERAPIST NM000822 00011924 04/20/2006 LOCKPORT NY 14094 Exclusion - 18NYCRR515 CLARKE DENISE Billing Clerk NM005165 09/01/2009 Brooklyn NY 11216 Exclusion - 18NYCRR515 CLARKE KILDARE I MD 00275916 00132990 02/04/2003 WHITE PLAINS NY 10605 Exclusion - 18NYCRR515 CLARKE SHAUNDRA CNA NM000687 3417559602 04/20/2006 AMITYVILLE NY 11701 Exclusion - 18NYCRR515 CLARKE SOPHIA Nurse NM004782 00449625 28 Nassau 07/01/2009 New Hyde Park NY 11040 Exclusion - 18NYCRR515 CLASSIC DRUG INC 01240082 00020906 58 Bronx 03/05/1996 BRONX NY 10457 Exclusion - 18NYCRR515 CLASSIC MEDICAL P.C. 01669387 00203548 07/19/2007 NEW YORK NY 10033 Exclusion - 18NYCRR515 PHYSICIANS CLAUDIO NATASHA RN LPN / RN 02598314 00262467/00529054 13 Dutchess 10/25/2011 WAPPINGERS FALLS NY 12590-2962 Exclusion - 18NYCRR515 CLAVELLI DENNIS M Supervisor of Clinical Engineering Tech NM003369 08/19/2010 Duluth GA 30096 Exclusion - 18NYCRR515 CLAYTON HAL NM002205 00558229 06/20/2007 Brooklyn NY 11210 Exclusion - 18NYCRR515 SYSTEM GENERATED FROM CLAIM CLEMENTS ADRIAN D LPN 02333851 00258423 10/18/2007 ROCHESTER NY 14605 Exclusion - 18NYCRR515 CLEMMENTS RALPH MD NM002869 0073735 10/24/2007 Westwood NJ 07675 Exclusion - 18NYCRR515 CLENDENIN DAN LEE NURSE NM004127 00524762 06/19/2008 Harmony NC 28634 Exclusion - 18NYCRR515 CLIN PATH INC 00891790 50001640 99 Out Of State 07/24/1991 HACKENSACK NJ 07602 Exclusion - 18NYCRR515 CLIN-PATH/TOX 00841387 2952A020 28 Nassau 11/16/1991 HICKSVILLE NY 11801 Exclusion - 18NYCRR515 CLINE ERIKA NM000544 47 Suffolk 05/15/2006 Blue Point NY 11715 Exclusion - 18NYCRR515 CMORS MEDICAL PC Physician Group NM007078 PSC# 00061310 58 Bronx 09/06/2011 Bronx NY 10458 Exclusion - 18NYCRR515 PHYSICIANS CO-JEF PHARMACY INC 01112770 00020062 60 New York 09/30/1997 NEW YORK NY 10002 Exclusion - 18NYCRR515 COANNE INC 01053814 00019672 58 Bronx 12/08/1997 BRONX NY 10457 Exclusion - 18NYCRR515 COBURN DORSETT MARIE M LPN LPN 01742589 00566417 61 Queens 10/18/2007 QUEENS VILLAGE NY 11429 Exclusion - 18NYCRR515 COCHRAN DEBRA J NURSE NM004124 00178845 09/18/2008 Lowell MA 01852 Exclusion - 18NYCRR515 COCHRAN DONALD L NM002283 00173755 07/13/2007 Portsmouth VA 23704 Exclusion - 18NYCRR515 PHYSICIANS CODEL RADU 00921637 00141609 99 Out Of State 06/25/2008 N BERGEN NJ 07047 Exclusion - 18NYCRR515 COHAN BARRY Dentist 00667441 00036179 59 Kings 10/20/2011 BROOKLYN NY 11236 Exclusion - 18NYCRR515 COHEN GARY F MD 00271054 00124391 47 Suffolk 06/06/1991 SMITHTOWN NY 11787 Exclusion - 18NYCRR515 COHEN GARY L. NM002945 00175518 01/15/2008 Silver Springs MD 20902 Exclusion - 18NYCRR515 COHEN IRWIN L MD 00123455 00083208 47 Suffolk 11/08/1993 SMITHTOWN NY 11787 Exclusion - 18NYCRR515 COHEN JACK DPM 00903466 00003906 59 Kings 05/27/1993 BROOKLYN NY 11223 Exclusion - 18NYCRR515 COHEN JACK E NM003983 00163792 07/18/2008 Orange Park FL 32073 Exclusion - 18NYCRR515 COHEN MELVIN E MD 00364269 00081080 46 Steuben 08/14/1991 CORNING NY 14830 Exclusion - 18NYCRR515 COHEN MELVIN W MD 00186085 00106131 59 Kings 10/10/1994 BROOKLYN NY 11214 Exclusion - 18NYCRR515 COHEN MITCHELL ANDY DDS 00980850 00040361 53 Washington 12/06/1992 FORT EDWARD NY 12828 Exclusion - 18NYCRR515 COHENS JOE Unknown NM007376 08/16/2011 Sonyea NY 14556 Exclusion - 18NYCRR515 COHENS MARY Unknown NM007379 45 Seneca 02/08/2012 Geneva NY 14456 Exclusion - 18NYCRR515 SYSTEM GENERATED FROM CLAIM COLADONATO JOSEPH PAUL 02106169 PA45782L 99 Out Of State 02/22/2006 ALLENTOWN PA 18103 Exclusion - 18NYCRR515 COLE CARL EDWARD DMD 01145633 00035824 53 Washington 02/16/1995 GRANVILLE NY 12832 Exclusion - 18NYCRR515 COLE DONALD MD 00096699 00073581 47 Suffolk 05/23/1984 PORT JEFFERSON NY 11776 Exclusion - 18NYCRR515 COLE ELIZABETH ANNE NURSE NM001408 00185498 07/19/2007 TYRONE NY 14487 Exclusion - 18NYCRR515 REGISTERED NURSE COLE NENA CRANE BABETTE RPN NM002264 00523086 07/02/2007 Jemison AL 35085 Exclusion - 18NYCRR515 REGISTERED NURSE COLEF IVAN MIHAILOF MD 01043172 00172567 61 Queens 09/28/1989 ELMHURST NY 11373 Exclusion - 18NYCRR515 COLEMAN JANET LPN NM004803 00125079 47 Suffolk 01/19/2012 Moriches NY 11955 Exclusion - 18NYCRR515 PRACTICAL NURSE COLES CHERYL A Fraudulent HHA NM006597 05/19/2011 Shirley NY 11967 Exclusion - 18NYCRR515 COLLADO JEURE Clinical Lab Technician NM007290 00002387 07/12/2011 South Richmond Hill NY 11419 Exclusion - 18NYCRR515 SYSTEM GENERATED FROM CLAIM COLLERY GLORIA RIORDAN Massage Therapist NM006173 00013348 05/31/2010 Greenwich NY 12834 Exclusion - 18NYCRR515 COLLIER ROBERT H. NM002503 00086994 08/31/2007 Yorba Linda CA 92886 Exclusion - 18NYCRR515 COLLIER STEPHEN NM000568 00237300 03/20/2006 ENDWELL NY 13760 Exclusion - 18NYCRR515 COLLINS CHRISTOPHER RN NM007476 00523515 99 Out Of State 07/20/2011 Rochester MN 55903 Exclusion - 18NYCRR515 COLLINS PARTICK S RN 01815434 00479957 18 Genesee 07/20/2000 SOUTH BYRON NY 14557 Exclusion - 18NYCRR515 COLLINS SHAUN T NURSE NM004084 00250137 07/05/2008 Brentwood NY 11717 Exclusion - 18NYCRR515 COLON CARMEN Clerk NM005116 05/17/2010 Bronx NY 10472 Exclusion - 18NYCRR515 COLONIAL HEARING AID SERVICES 00383853 63CO2750 51 Ulster 10/07/1992 KINGSTON NY 12401 Exclusion - 18NYCRR515 COLTER FELICIA Nurse NM006264 00283769 05/20/2010 Gaston SC 29053 Exclusion - 18NYCRR515 COLUCCI THOMAS NM001050 06/20/2006 MASSAPEQUA NY 11762 Exclusion - 18NYCRR515 COLVILLE JENNIFER NM001063 00465063 06/20/2006 SCOTIA NY 12302 Exclusion - 18NYCRR515 COMESANAS MARIO J PHYSICIAN NM003342 00159983 04/16/2008 Livingston NJ 07039 Exclusion - 18NYCRR515 COMFY ORTHOPEDIC FOOTWEAR INC DME NM007371 59 Kings 09/04/2011 Brooklyn NY 11235 Exclusion - 18NYCRR515 COMMUNITY INTEGRATION TBI 01750458 TBI00165 07/19/2005 Exclusion - 18NYCRR515 COMPASS MEDICAL P.C. MEDICAL CLINIC NM002632 10/23/2007 Brooklyn NY 11229 Exclusion - 18NYCRR515 COMPETENT CARE INC 00802066 00000000 05/13/2003 POUGHKEEPSIE NY 12604 Exclusion - 18NYCRR515 COMPETENT CARE INC 00909522 00000000 05/13/2003 NEWBURGH NY 12550 Exclusion - 18NYCRR515 COMPETENT CARE INC 00846180 00000000 05/13/2003 NEWBURGH NY 12550 Exclusion - 18NYCRR515 COMPETENT CARE INC TBI 01558209 TBI00064 05/12/2003 NEWBURGH NY 12550 Exclusion - 18NYCRR515 COMPO CATHERINE CNA NM000522 3417338012 23 Lewis 06/20/2006 PORT LEYDEN NY 13433 Exclusion - 18NYCRR515 COMPREHENSIVE CLINICAL CTR IN 01569135 4102202R 09/11/2001 TROY NY 12180 Exclusion - 18NYCRR515 COMPREHENSIVE MEDICAL DIAGNOSTIC TESTING NM002587 00196275 04/03/2003 New York NY 10033 Exclusion - 18NYCRR515 CONAN MARVIN A 00819998 00004653 60 New York 03/26/2008 NEW YORK NY 10024 Exclusion - 18NYCRR515 CONFIDENTIAL HEALTH 01068437 61 Queens 05/22/1997 JAMAICA NY 11434 Exclusion - 18NYCRR515 CONKLIN REGINA Massage Therapist NM006760 00010378 09/30/2009 Lynbrook NY 11563 Exclusion - 18NYCRR515 CONLEY CRISTIE Nurse NM006271 00525498 05/20/2010 Mineville NY 12956 Exclusion - 18NYCRR515 CONLEY JOHN T. JR. NM003013 00274782 12/20/2007 Rochester NY 14625 Exclusion - 18NYCRR515 CONNELL JOHN PHYSICIAN NM004066 00159986 07/17/2008 Gainsville GA 30548 Exclusion - 18NYCRR515 CONNOLLY BRIAN MD Physician 01668506 00210333 14 Erie 07/05/2009 BUFFALO NY 14203-1154 Exclusion - 18NYCRR515 PHYSICIANS CONNOLLY KELLY ANNE NM001768 00010066 03/26/2007 Rochester NY 14609 Exclusion - 18NYCRR515 CONRAD MICHAEL E MD Physician 01792887 00164820 59 Kings 07/20/2009 BROOKLYN NY 11209 Exclusion - 18NYCRR515 CONSALVO ANTHONY JOSEPH JR 00929653 55 Westchester 04/10/1995 MONTROSE NY 10548 Exclusion - 18NYCRR515 CONSOLIDATED AMBULETTE INC 00876540 00030369 33 Orange 06/17/1999 NEWBURGH NY 12550 Exclusion - 18NYCRR515 CONSOLIDATED RADIOLOGY PHYSICIAN GROUP NM002468 08/15/2007 Gillette NJ 07933 Exclusion - 18NYCRR515 CONSTANT FRED G MD 00606446 00123445 59 Kings 06/06/1991 BROOKLYN NY 11208 Exclusion - 18NYCRR515 CONSTANTINOU CATHERINE E. Nurse NM006633 00538494 11/23/2010 Fresh Meadows NY 11365 Exclusion - 18NYCRR515 CONTE JOANNE DPM 01040642 00004218 28 Nassau 11/20/1997 GARDEN CITY NY 11530 Exclusion - 18NYCRR515 CONTEH AMARA SERAYMODU 00818488 00155409 58 Bronx 09/20/2007 BRONX NY 10472 Exclusion - 18NYCRR515 CONTINENTAL LABORATORY INC 01031290 50001728 61 Queens 03/01/1990 LONG ISLAND CITY NY 11102 Exclusion - 18NYCRR515 CONTRACTOR MOHAMEDIKBAL E MD 00188463 00107204 61 Queens 11/16/1995 REGO PARK NY 11374 Exclusion - 18NYCRR515 CONTRERAS CARLOS S MD Physician 00390327 00131432 61 Queens 09/07/2011 JACKSON HEIGHTS NY 11372 Exclusion - 18NYCRR515 CONVA-CARE 01348503 47 Suffolk 08/11/1997 PORT JEFFERSON STA NY 11776 Exclusion - 18NYCRR515 COOK IAN KEITH DPM Podiatrist 01548952 00005172 28 Nassau 02/06/2009 UNIONDALE NY 11553-3038 Exclusion - 18NYCRR515 PODIATRIST COOK MELVIN DUANE Physician NM006874 00085001 11/01/2010 New Albany IN 47151 Exclusion - 18NYCRR515 COOK WILLIAM HENRY MD 00766225 CT008877 99 Out Of State 08/13/1996 BRIDGEPORT CT 06610 Exclusion - 18NYCRR515 COOLEY CHRISTINE R LPN NM007628 00288133 18 Genesee 10/25/2011 Batavia NY 14020 Exclusion - 18NYCRR515 COON ANNETTE MARIE NURSE NM001657 00202645 02/20/2007 BUFFALO NY 14224 Exclusion - 18NYCRR515 COON JENNIFER L. NM001313 00499353 10/19/2006 BINGHAMTON NY 13903 Exclusion - 18NYCRR515 COOPER CYNTHIA CNA NM006183 341581850201E 38 Rensselaer 09/19/2011 Troy NY 12180 Exclusion - 18NYCRR515 COOPER VIRAF R MD Physician NM004945 00157974 05/18/2009 Beaumont TX 77706 Exclusion - 18NYCRR515 PHYSICIANS COPA GEORGE 01696253 00158458 10/09/2002 STATEN ISLAN NY 10305 Exclusion - 18NYCRR515 COPES LEONARD CHESTER MEDICARE CLAIMS PROCESSOR NM002943 01/20/2008 Auburn NY 13021 Exclusion - 18NYCRR515 COPPERMAN STUART MORTON MD 00815063 00086495 05/07/2001 MERRICK NY 11566 Exclusion - 18NYCRR515 COPPOLA NANCIANNA DPM 01046946 00004329 55 Westchester 05/28/1992 ARDSLEY NY 10502 Exclusion - 18NYCRR515 CORAL PHARMACY INC Pharmacy 02757880 60 New York 11/04/2009 NEW YORK NY 10033 Exclusion - 18NYCRR515 CORBETT BANNON LOUIS LPN 02588874 00251334 38 Rensselaer 07/02/2007 POESTENKILL NY 12140 Exclusion - 18NYCRR515 PRACTICAL NURSE CORBIN FREDERIC H Physician NM005829 00106684 05/31/2010 Brea CA 92821 Exclusion - 18NYCRR515 CORCORAN JAMIE MARIE DDS 01262248 00042641 61 Queens 08/10/1997 RIDGEWOOD NY 11385 Exclusion - 18NYCRR515 CORDER SANDRA G. NM001403 00313730 12/11/2006 HIGHLAND IN 46322 Exclusion - 18NYCRR515 CORDERO ROBERT MD 01129377 00164071 58 Bronx 10/10/1991 BRONX NY 10461 Exclusion - 18NYCRR515 COREY DARYL G. NM001323 00263544 11/20/2006 ELMIRA NY 14904 Exclusion - 18NYCRR515 CORNEJO MARTHA DDS 00963084 00039773 28 Nassau 07/20/2000 HEMPSTEAD NY 11550 Exclusion - 18NYCRR515 CORNELL CATHY LEE Nurse NM005493 00402826 12/20/2009 Gardiner NY 12525 Exclusion - 18NYCRR515 CORONADO ESMERALDA NM003502 06/09/2003 North Bergen NJ 07047 Exclusion - 18NYCRR515 CORPINO LISA A NM002222 00153209 05/28/2007 Dobbs Ferry NY 10522 Exclusion - 18NYCRR515 PRACTICAL NURSE CORPUZ MARCELO B JR MD 02605732 PA33835L 99 Out Of State 03/19/2009 PITTSBURGH PA 15219-4738 Exclusion - 18NYCRR515 PHYSICIANS CORREA LOUISA F Dentist 02276699 00043148 60 New York 08/19/2010 NEW YORK NY 10036-2520 Exclusion - 18NYCRR515 CORSE KENNETH J II MD Physician 03080384 00248381 31 Onondaga 01/16/2012 Baldwinsville NY 13027-0117 Exclusion - 18NYCRR515 PHYSICIANS CORSELLO SERAFINA MD 00394138 00096113 05/12/2003 HUNTINGTON NY 11743 Exclusion - 18NYCRR515 CORTES JAIME L MD Physician 01391280 00175956 60 New York 10/20/2010 NEW YORK NY 10033-3726 Exclusion - 18NYCRR515 CORTORREAL FIAMMY Receptionist NM007493 61 Queens 10/11/2011 Ozone Park NY 11417-2634 Exclusion - 18NYCRR515 CORVA GERALD L DC Chiropractor 01758781 00003399 28 Nassau 08/18/2011 GARDEN CITY NY 11530-1882 Exclusion - 18NYCRR515 COSHUN NICOLE RENEE TECHNICIAN NM004364 00048252 07/20/2008 Orlando FL 32810 Exclusion - 18NYCRR515 COSTANDI RAMSES N. NM001552 00032417 01/15/2007 RIVERDALE RI 02915 Exclusion - 18NYCRR515 COUNTY AMBULANCE SVC INC 00656428 00002930 47 Suffolk 06/27/1999 RONKONKOMA NY 11779 Exclusion - 18NYCRR515 COURTESY DRUGS AND SURGICAL INC. Pharmacy NM006747 00029231 11/23/2010 Farmingdale NY 11735 Exclusion - 18NYCRR515 COURTESY WHEELCHAIR VAN SERV 01047149 00029576 14 Erie 03/17/1991 WEST SENECA NY 14224 Exclusion - 18NYCRR515 COWIESON ELLEN J. NM001551 00441958 01/15/2007 GREEN ISLAND NY 12183 Exclusion - 18NYCRR515 COWLING LAWRENCE S. Physician NM006087 03/18/2010 New York NY 10019 Exclusion - 18NYCRR515 COX ANTHONY D Massage Therapist NM005763 00011632 01/27/2010 Rochester NY 14618 Exclusion - 18NYCRR515 COZOLINO CLIFFORD J Chiropractor NM004726 00005683 08/20/2009 Pelham NY 10803 Exclusion - 18NYCRR515 CPC PHARMACY INC 01578945 00022484 01/11/2002 SUFFERN NY 10901 Exclusion - 18NYCRR515 CRAIG JACLYN A. NM000644 00269718 10/06/2005 FREDONIA NY 14063 Exclusion - 18NYCRR515 CRAIG PANDORA CNA NM000864 341630110501E 03/20/2007 NIAGARA FALLS NY 14305 Exclusion - 18NYCRR515 CRAPANZANO PETER V DDS Dentist 00281636 00031489 59 Kings 04/20/2011 BROOKLYN NY 11226 Exclusion - 18NYCRR515 CRAWFORD GLENDA RASHELL NICOLE LPN 03132712 00283324 26 Monroe 01/19/2011 ROCHESTER NY 14621-3213 Exclusion - 18NYCRR515 CREATIVE CARE INC 00837898 28 Nassau 07/11/1993 GREAT NECK NY 11021 Exclusion - 18NYCRR515 CRESTON AVE PHARMACY 2 INC 00889670 58 Bronx 04/04/1999 BRONX NY 10453 Exclusion - 18NYCRR515 CRISS SHEILA H. NM002703 11/24/2006 Paughquague NY 12570 18NYCRR504.1(d)(19) CRISTOBAL PURIFICACION RN / Nurse Practitioner- Pediatrics NM006989 00494527 / 00381809 03/06/2011 Tivoli NY 12583 Exclusion - 18NYCRR515 CROCKETT KAREN H RPN NM002409 00255220 08/05/2007 Patchogue NY 11722 Exclusion - 18NYCRR515 REGISTERED NURSE CRON EVA Nurse NM001930 00363040 04/26/2010 Warwick NY 10990 Exclusion - 18NYCRR515 CRONE JOSEPHINE Business Owner NM006042 03/18/2010 Staten Island NY 10306 Exclusion - 18NYCRR515 CROSS THOMAS A 02504149 00006053 99 Out Of State 07/19/2007 CHAZY NY 12921 Exclusion - 18NYCRR515 PHYSICIANS ASSISTANT CRUCETA LEE M Nurse NM005411 00257313 09/24/2009 Monroe NY 10950 Exclusion - 18NYCRR515 CRUMP JESSE F MD 00118667 00081658 59 Kings 09/27/1990 BROOKLYN NY 11209 Exclusion - 18NYCRR515 CRUZ EVELYN G. NM000637 00141071 11/03/2005 BROOKLYN NY 11235 Exclusion - 18NYCRR515 CRYSLER JOHN GREGORY MD 01982778 00216373 09 Clinton 07/30/2007 PLATTSBURGH NY 12901 Exclusion - 18NYCRR515 CUCINELLI SHARLENE A. NM001417 00222304 12/20/2006 SPENCERPORT NY 14559 Exclusion - 18NYCRR515 CUESTAS LUZ DDS Dentist 02427172 00050593 28 Nassau 06/05/2011 UNIONDALE NY 11553 Exclusion - 18NYCRR515 CUEVAS DIONISIO MD 00334450 00091175 60 New York 03/14/1996 NEW YORK NY 10032 Exclusion - 18NYCRR515 CUEVAS ROSEMARIE NM001415 00368719 61 Queens 11/20/2006 FLUSHING NY 11367 Exclusion - 18NYCRR515 CUI XUANHUA Therapist NM007471 61 Queens 09/19/2011 Flushing NY 11354 Exclusion - 18NYCRR515 CULLEN ANDREW M 01413203 00006356 28 Nassau 09/20/2000 OCEANSIDE NY 11572 Exclusion - 18NYCRR515 CUMBERMACK DESIREE LPN LPN 02141082 00254394 59 Kings 08/03/2011 BROOKLYN NY 11213-5329 Exclusion - 18NYCRR515 CUMMINGS WILLIAM G MD 01475814 00192218 02/04/2003 SUFFERN NY 10901 Exclusion - 18NYCRR515 CUNNEEN PETER ACCUPUNCTURE NM000675 00000603 09/17/2007 TARRYTOWN NY 10591 Exclusion - 18NYCRR515 CUNNINGHAM MICHAEL DOUGLAS MD 01735524 00200908 09/05/2002 GLEN SPEY NY 12737 Exclusion - 18NYCRR515 CUR ROBYN M RPA Physician 02530638 00009740 14 Erie 09/07/2011 WILLIAMSVILLE NY 14221-8216 Exclusion - 18NYCRR515 CURCIO ANTHONY M NURSE NM002731 00531070 10/30/2007 Penfield NY 14526 Exclusion - 18NYCRR515 CURRY EDWARD B MD 01469694 00177497 31 Onondaga 12/26/1995 SYRACUSE NY 13202 Exclusion - 18NYCRR515 CYPRESS PHARMACY INC 00273510 00014612 58 Bronx 01/24/1991 BRONX NY 10454 Exclusion - 18NYCRR515 CZEREPAK JAN FREDERICK MD 02569437 00232196 05 Cayuga 07/03/2007 AUBURN NY 13021 Exclusion - 18NYCRR515 PHYSICIANS CZYZEWSKI MIROSLAVA LPN/ RN NM007294 00275139/ 00553550 59 Kings 09/20/2011 Brooklyn NY 11229 Exclusion - 18NYCRR515 REGISTERED NURSE D AND N DRUGS INC 00497714 00017226 55 Westchester 08/10/2005 TARRYTOWN NY 10591 Exclusion - 18NYCRR515 D AND R PHARMACY INC 00267010 00013341 59 Kings 07/17/1993 BROOKLYN NY 11201 Exclusion - 18NYCRR515 D ANGELO ANTONINO MD 00509022 00091176 47 Suffolk 06/30/1987 OAKDALE NY 11769 Exclusion - 18NYCRR515 D ANGELO CARMEN A MD 01065296 00163205 26 Monroe 10/20/2008 ROCHESTER NY 14617 Exclusion - 18NYCRR515 PHYSICIANS D S REDDY PHYSICIAN PC Physician Group 03191706 00012941 28 Nassau 11/13/2011 LONG BEACH NY 11561-2605 Exclusion - 18NYCRR515 D' AMICO PAUL G NM002219 00375161 05/28/2007 Smithtown NY 11787 Exclusion - 18NYCRR515 REGISTERED NURSE D'AGUIAR LUIS 02342661 00011243 99 Out Of State 12/20/2007 BUFFALO NY 14215 Exclusion - 18NYCRR515 D'ALESSIO PHILIP CHARLES MASSAGE THERAPIST NM001624 00007780 02/19/2007 BROOKLYN NY 11214 Exclusion - 18NYCRR515 D'SOUZA IVAN A MD 01439454 00193603 14 Erie 02/19/2009 BUFFALO NY 14203 Exclusion - 18NYCRR515 PHYSICIANS DABRUSKY SUSAN E Nurse NM005364 00236453 11/15/2009 Dix Hills NY 11746 Exclusion - 18NYCRR515 DAFTARY REKHA BHARAT MD 046-Physician 02335880 00216973 60 New York 06/29/2009 BROOKLYN NY 11211 Exclusion - 18NYCRR515 DAGASTINO GUY Nurse NM005334 00134715/00318152 11/04/2009 Fair Lawn NJ 07410 Exclusion - 18NYCRR515 DAHHAN MOHAMED ZAKARIA MD 02516961 NJ493700 99 Out Of State 11/20/2008 PATERSON NJ 07514 Exclusion - 18NYCRR515 DAHL KRISTINA ANNE MD 01107226 00173850 60 New York 09/20/1990 NEW YORK NY 10032 Exclusion - 18NYCRR515 DALIMOT AMANTE C MD 01198301 00116179 47 Suffolk 08/20/2000 BAY SHORE NY 11706 Exclusion - 18NYCRR515 DAMBRAUSKAS JOSEPH J Physician NM005656 00234614 02/09/2010 Champaign IL 61820 Exclusion - 18NYCRR515 DAMBROSIO FRANCIS G. NM002849 00170574 09/24/2007 Malibu CA 90265 Exclusion - 18NYCRR515 DAMODARAN PARU Nurse NM005007 00276350 01/20/2010 Floral Park NY 11004 Exclusion - 18NYCRR515 DAMON CLINICAL LABORATORIES 00313451 50000929 99 Out Of State 11/25/1996 TREVOSE PA 19047 Exclusion - 18NYCRR515 DANAHER GERALD M Occupational Therapist NM005809 00010430 59 Kings 03/10/2010 Brooklyn NY 11215 Exclusion - 18NYCRR515 DANCLAR ROGER LESTER MD 01845505 00184908 59 Kings 04/26/2009 BROOKLYN NY 11206-5383 Exclusion - 18NYCRR515 PHYSICIANS DANIELS ALVIN J MD 00170796 00099929 61 Queens 10/19/2000 LIC NY 11101 Exclusion - 18NYCRR515 DANIELS APRIL P EMPLOYEE OF TBI SERVICES NM004491 11/12/2008 Niagara Falls NY 14305 Exclusion - 18NYCRR515 DANIELS BARBARA J. NM001331 3301173640490E 08/20/2007 TROY NY 12182 Exclusion - 18NYCRR515 DANIELS JENNIFER NM000645 00177799 06/07/2005 SYRACUSE NY 13205 Exclusion - 18NYCRR515 DANTES PAUL REYES MD Physician 01063161 00132187 28 Nassau 07/20/2011 PLAINVIEW NY 11803-4914 Exclusion - 18NYCRR515 DANTHULURI RAJ A MD Physician 02839509 00223061 61 Queens 12/06/2009 REGO PARK NY 11374-3563 Exclusion - 18NYCRR515 DANTZLER LINDSEY Owner of Multiple Billing Services, Inc NM006752 11/23/2010 Freeport NY 11520 Exclusion - 18NYCRR515 DANTZLER, ALONA Owner of Multiple Billing Services, Inc NM006751 11/23/2010 Freeport NY 11520 Exclusion - 18NYCRR515 DANZIGER LAURENCE R DDS 02333140 00041758 39 Rockland 12/10/2008 HAVERSTRAW NY 10927 Exclusion - 18NYCRR515 DAOUD MAURICE CHIROPRACTOR NM003124 00010444 01/20/2008 Ridgewood NY 11385 Exclusion - 18NYCRR515 DARBY MARK Behavioral Services Counselor NM006443 10/04/2010 Bronx NY 10467 Exclusion - 18NYCRR515 DARCERA CARLITO DURON MD 01005921 00161570 60 New York 04/13/1989 NEW YORK NY 10029 Exclusion - 18NYCRR515 DARDIK IRVING I MD 00146525 00091514 99 Out Of State 06/08/1997 FT LEE NJ 07024 Exclusion - 18NYCRR515 DARRIGO JAMES MD 01437214 00186808 04/19/2007 NEWBURGH NY 12550 Exclusion - 18NYCRR515 DARTIGUE SABLON MD Physician 00669489 00132188 28 Nassau 10/28/2010 EAST WILLISTON NY 11596-2541 Exclusion - 18NYCRR515 DATNER URSULA K MD 00178616 00103043 28 Nassau 01/12/1992 CEDARHURST NY 11516 Exclusion - 18NYCRR515 DAUGHTON THOMAS M Unknown NM006381 01/19/2012 Baldwinsville NY 13027 Exclusion - 18NYCRR515 SYSTEM GENERATED FROM CLAIM DAVID A SCHNEIDER 00771435 39 Rockland 04/06/1994 PEARL RIVER NY 10965 Exclusion - 18NYCRR515 DAVID LUC CLAUDE MD 00446002 00113360 26 Monroe 07/20/2000 ROCHESTER NY 14615 Exclusion - 18NYCRR515 DAVID ROBERTO 00977353 00167383 60 New York 11/15/1990 NEW YORK NY 10026 Exclusion - 18NYCRR515 DAVIDSON GEORGE L.P NM000641 00260381 01/15/2007 BROOKLYN NY 11219 Exclusion - 18NYCRR515 DAVIDSON JON MICHAEL DPM 00966243 00004070 28 Nassau 09/25/1991 WEST HEMPSTEAD NY 11552 Exclusion - 18NYCRR515 DAVIDSON LORELEI S Physician NM005762 00206144 03/01/2010 Mahopac NY 10541 Exclusion - 18NYCRR515 DAVIS BRUCE HEWAT Physician NM001666 00150700 99 Out Of State 02/01/2007 BREWER ME 04412 Exclusion - 18NYCRR515 DAVIS CAPRICE CHAUNELL RN NM006990 00517945 58 Bronx 03/06/2011 Bronx NY 10469 Exclusion - 18NYCRR515 DAVIS CLAUDETTE D LPN 01221076 00151232 28 Nassau 08/20/2008 UNIONDALE NY 11553 Exclusion - 18NYCRR515 DAVIS GWENDOLYN Home Attendant NM005554 N/A 12/30/2009 Brooklyn NY 11203 Exclusion - 18NYCRR515 DAVIS HYACINTH A MD 00029850 00026768 60 New York 06/19/1996 NEW YORK NY 10030 Exclusion - 18NYCRR515 DAVIS JAMEL RESIDENTIAL AIDE NM003367 07/20/2008 Utica NY 13501 Exclusion - 18NYCRR515 DAVIS MARK S 01145519 00004612 60 New York 07/19/2005 STATEN ISLAND NY 10314 Exclusion - 18NYCRR515 PODIATRIST DAVIS PAMELA LEE LPN Nurse 02569717 00236284 58 Bronx 10/20/2010 BRONX NY 10463-5237 Exclusion - 18NYCRR515 DAVIS STEPHEN A 00932738 00150869 59 Kings 01/27/2008 BROOKLYN NY 11206 Exclusion - 18NYCRR515 DAVYDOV DMITRY 02160727 00009388 61 Queens 03/20/2007 REGO PARK NY 11374 Exclusion - 18NYCRR515 DAWOUD MONIR ABDEL-MESSIH NM004838 00143322 11/27/2008 Saddle River NJ 07458 Exclusion - 18NYCRR515 DAWSON C R 01069947 00117415 99 Out Of State 08/02/1991 NEWARK NJ 07105 Exclusion - 18NYCRR515 DAY ARLENE MILLER 01610035 00061325 58 Bronx 08/12/2004 BRONX NY Exclusion - 18NYCRR515 PRACTICAL NURSE DE CIUTIIS CHARLES DPM 00423372 60 New York 07/10/1997 NEW YORK NY 10029 Exclusion - 18NYCRR515 DE FILIPPO JENNIFER L Physician 01893654 00006253 17 Fulton 07/20/2010 GLOVERSVILLE NY 12078-1202 Exclusion - 18NYCRR515 DE HENRE MALACHY MD 01135166 00155843 59 Kings 04/25/2005 BROOKLYN NY 11212 Exclusion - 18NYCRR515 PHYSICIANS DE LIMA JOAO ALUES MD 00164329 00097460 60 New York 06/06/1991 NEW YORK NY 10003 Exclusion - 18NYCRR515 DE LUCA JAMES T MD 00396649 00079109 28 Nassau 03/01/2004 WESTBURY NY 11590 Exclusion - 18NYCRR515 DE LUCA VINCENT MD 00010146 00084726 59 Kings 11/20/1997 BROOKLYN NY 11221 Exclusion - 18NYCRR515 DE MARINIS J WILLIAM MD 00495478 00081429 55 Westchester 07/08/1997 YONKERS NY 10705 Exclusion - 18NYCRR515 DE RAMON EDWARD R MD 00305546 00079903 13 Dutchess 12/31/1991 POUGHKEEPSIE NY 12601 Exclusion - 18NYCRR515 DE SIMONE JOHN P MD Physician 00482453 00482453 31 Onondaga 02/16/2010 SYRACUSE NY 13210-1528 Exclusion - 18NYCRR515 DE SIMONE ROCCO J MD 00130709 00085423 58 Bronx 06/20/1998 BRONX NY 10458 Exclusion - 18NYCRR515 DEBBI SHAUL MD PC Physician 01182690 00178696 11/03/2009 GREAT NECK NY 11023 Exclusion - 18NYCRR515 DECKER DANIEL E Home Health Aide NM007690 44 Schuyler 12/19/2011 Odessa NY 14869 Exclusion - 18NYCRR515 DECTER KENNETH LMSW NM007665 00037629 47 Suffolk 11/20/2011 Lindenhurst NY 11757 Exclusion - 18NYCRR515 DEFONTE PHILIP ROBERT OWNER OF DEFONTE TRADING NM001640 03/04/2007 ABERDEEN NJ 07747 Exclusion - 18NYCRR515 DEFRANCO RICHARD JOSEPH 02158441 00184796 06 Chautauqua 04/22/2008 DUNKIRK NY 14048 Exclusion - 18NYCRR515 DEGRAW WILLIAM A LPN 02130683 00256740 03/20/2007 PORT JEFFERSON STATION NY 11776 Exclusion - 18NYCRR515 DEHART GAIL ELIZABETH DO PC 01457634 00192269 40 St. Lawrence 07/20/2006 GOUVERNEUR NY 13642 Exclusion - 18NYCRR515 DEJA VIEW INC 01438884 14 Erie 02/13/1996 WEST SENECA NY 14224 Exclusion - 18NYCRR515 DEL GIZZO GIOVANNI MD 00946974 00107205 60 New York 11/04/1993 NEW YORK NY 10029 Exclusion - 18NYCRR515 DELAPE MICHAEL NM001545 00227642 01/15/2007 MANORVILLE NY 11949 Exclusion - 18NYCRR515 DELCUETO CARMEN L MD Physician 00690506 00148140 99 Out Of State 10/20/2011 UNION CITY NJ 07087 Exclusion - 18NYCRR515 DELGADO ALEXANDER MD 00928767 00150311 30 Oneida 12/18/1997 UTICA NY 13501 Exclusion - 18NYCRR515 DELL AMB & OXY SVC INC 00320916 0000P76K 59 Kings 05/17/2000 BROOKLYN NY 11232 Exclusion - 18NYCRR515 DELL AMBULETTE SERVICE 01507166 00030644 59 Kings 05/17/2000 BROOKLYN NY 11232 Exclusion - 18NYCRR515 DELLINGER GERALDINE M Owner of Transportation Company 02722338 41 Saratoga 09/19/2011 CLIFTON PARK NY 12065 Exclusion - 18NYCRR515 DELTA DRUGS INC 01089550 00019816 59 Kings 12/26/1995 BROOKLYN NY 11215 Exclusion - 18NYCRR515 DELTA REHAB PC CORP 01034028 30 Oneida 07/04/1991 CLINTON NY 13323 Exclusion - 18NYCRR515 DEMARCO CHARLENE C Doctor of Osteopathy NM004025 00176010 04/30/2009 Oklahoma City OK 73189 Exclusion - 18NYCRR515 PHYSICIANS DEMARY GEORGE G Transportation Company Manager NM007068 01 Albany 12/20/2011 Cohoes NY 12047 Exclusion - 18NYCRR515 DEMCZUK EUGENE MD Physician 00690955 00144566 59 Kings 10/11/2011 BROOKLYN NY 11222-3286 Exclusion - 18NYCRR515 DEMONJA DIANE L Occupational Therapist NM005522 00004825 12/28/2009 Fredonia NY 14063 Exclusion - 18NYCRR515 DEMORIZI ELISEO A MD 00890446 00157068 59 Kings 04/07/1990 BROOKLYN NY 11215 Exclusion - 18NYCRR515 DENEEN KIERAN G Physical Therapist 02230880 00015188 47 Suffolk 09/27/2011 PATCHOGUE NY 11772 Exclusion - 18NYCRR515 PHYSICAL THERAPIST DENNETT LORELEI Personal Assistance Program NM005126 12/22/2009 Syracuse NY 13206 Exclusion - 18NYCRR515 DENNETT MACKENZIE Personal Assistance Program NM005251 11/11/2009 Syracuse NY 13206 Exclusion - 18NYCRR515 DENT DENISE LPN LPN 01735042 00168445 47 Suffolk 05/03/2011 BAY SHORE NY 11706-4842 Exclusion - 18NYCRR515 DENTAL CARE SERVICES PC 00563626 01 Albany 12/29/1991 ALBANY NY 12205 Exclusion - 18NYCRR515 DENTAL WHEELS LLP Dental Groups 02387108 61 Queens 02/08/2012 JAMAICA NY 11432-5523 Exclusion - 18NYCRR515 SYSTEM GENERATED FROM CLAIM DEOL HARJYOT MD 01616146 00198421 05 Cayuga 11/08/2008 AUBURN NY 13021 Exclusion - 18NYCRR515 DEONARINE DENIS T NM006600 180659 99 Out Of State 02/18/2009 Sneads Fl 32460 Exclusion - 18NYCRR515 PHYSICIANS DEORIO ANA NURSE NM002671 00572069 10/18/2007 Fairview NJ 07022 Exclusion - 18NYCRR515 DESAI PANKAJ T MD 01031543 00170132 12/11/2003 NEW HARTFORD NY 13413 Exclusion - 18NYCRR515 DEUINK BRENT L DMD 00645538 00035694 06 Chautauqua 03/16/1995 CLYMER NY 14724 Exclusion - 18NYCRR515 DEVI MANI MANJARI MD MRCS PC 01760970 00197832 59 Kings 08/12/2004 BROOKLYN NY 11217 Exclusion - 18NYCRR515 PRACTICAL NURSE DEVILLA MAX M MD 00318290 00129256 58 Bronx 04/04/1990 BRONX NY 10453 Exclusion - 18NYCRR515 DEVITO DANIELLE M. NM001303 00265248 10/19/2006 MECHANICVILLE NY 12118 Exclusion - 18NYCRR515 DEVOL THOMAS PSYCHOLOGIST NM001664 02/20/2007 POTTERSVILLE NY 12860 Exclusion - 18NYCRR515 DEVOS TAMMY CNA NM000902 341221811198E 02/20/2008 ROCHESTER NY 14612 Exclusion - 18NYCRR515 DEY SUBHASIS MD 00986094 00168172 58 Bronx 05/13/1990 BRONX NY 10453 Exclusion - 18NYCRR515 DHAFIR PRISCILLA NM001338 11/20/2006 FAYETTEVILLE NY 13066 Exclusion - 18NYCRR515 DHAFIR RAFIL ABDULLA MD 00481750 00142073 30 Oneida 11/20/2006 ROME NY 13440 Exclusion - 18NYCRR515 PHYSICIANS DHIMMAR DAHYABHAI B PHYSICIAN NM004086 00131508 08/14/2008 Drumright OK 74030 Exclusion - 18NYCRR515 DI JOSEPH AMY L. NM001328 00269847 11/20/2006 BUFFALO NY 14222 Exclusion - 18NYCRR515 DI SPALTRO FRANKLIN LOUIS 00687292 00096919 99 Out Of State 10/18/2007 WEST ORANGE NJ 07052 Exclusion - 18NYCRR515 DIAB JOHN RPA NM005839 00011783 07/16/2010 East Elmhurst NY 11370 Exclusion - 18NYCRR515 PHYSICIANS ASSISTANT DIAGNOSTICS MEDICAL TESTING NM003946 00204777 06/25/2008 Brooklyn NY 11209 Exclusion - 18NYCRR515 DIANA DANIEL JAMES DPM 01048439 00004330 28 Nassau 08/18/1994 ELMONT NY 11003 Exclusion - 18NYCRR515 DIAS P KITHSEN KALYAN MD 00249849 00127747 59 Kings 07/11/1993 BROOKLYN NY 11217 Exclusion - 18NYCRR515 DIAZ DANIEL VICTOR NM003442 00217635 01/01/1998 New Haven CT 06511 Exclusion - 18NYCRR515 DIAZ HUGO CDPAP Provider NM005863 09/28/2010 Freeport NY 11520 Exclusion - 18NYCRR515 DIBLASIO LIBICO MARIO Physician 00248646 55 Westchester 05/20/2009 YONKERS NY 10705 Exclusion - 18NYCRR515 PHYSICIANS DICASTRO STEVEN MD 01800311 MA151128 03/01/2002 SHREWSBURY MA 01545 Exclusion - 18NYCRR515 DICHIARA JOSEPH A MD 01441203 00191915 03/05/2003 BUFFALO NY 14226 Exclusion - 18NYCRR515 DICK STEVEN JEFFREY MD 02910763 00162849 14 Erie 12/18/2008 BUFFALO NY 14209 Exclusion - 18NYCRR515 DICKERSHAID THOMAS FRANCIS Chiropractor NM005746 00009945 11/19/2009 Ione CA 95640 Exclusion - 18NYCRR515 DIEGO ROGUE PASADA MD 01007450 00102343 58 Bronx 04/20/1998 BRONX NY 10457 Exclusion - 18NYCRR515 DIETRICH DEBRA A. NM002302 03/20/2008 Nesconset NY 11767 Exclusion - 18NYCRR515 DIGAN NOEL SANTOS PHYSICAL THERAPIST NM003066 00020000 60 New York 12/20/2007 New York NY 10029 Exclusion - 18NYCRR515 DIGIACOMO RALPH MD NM002383 00169650 02/20/2008 West Kingston RI 02892 Exclusion - 18NYCRR515 DILONE GUILERMO DOMINGO DDS 02182456 00049623 07/09/2004 QUEENS NY 11368 Exclusion - 18NYCRR515 DILONE SAINT JEAN POLUX ENRIQ 00663561 00144771 60 New York 02/19/1998 NEW YORK NY 10034 Exclusion - 18NYCRR515 DIMARTIN JESSICA L NM002427 00273409 08/05/2007 Frankfort NY 13340 Exclusion - 18NYCRR515 PRACTICAL NURSE DINGMAN JAMIE CNA NM006081 341492670600E 10/20/2010 Amsterdam NY 12010 Exclusion - 18NYCRR515 DINSA SURJIT S MD Physician 01081098 00171965 13 Dutchess 11/15/2009 POUGHKEEPIE NY 12603 Exclusion - 18NYCRR515 DIPRIMA GLENN PETER RPA NM006593 00008637 47 Suffolk 12/20/2009 Dix Hills NY 11746 Exclusion - 18NYCRR515 DISCOVERY TRANSPORATION INC 01204195 00031137 59 Kings 03/01/1994 BROOKLYN NY 11218 Exclusion - 18NYCRR515 DIXON SHERYL E LPN Nurse 02548149 00272241 61 Queens 11/23/2010 SOUTH OZONE PARK NY 11420-2928 Exclusion - 18NYCRR515 DJORDJEVIC BORKO B Physician NM005708 00129670 02/17/2010 Rancho Cucamonga CA 91729 Exclusion - 18NYCRR515 DO ALEXANDER Q 01411009 00040005 61 Queens 09/10/2004 WOODHAVEN NY 11421 Exclusion - 18NYCRR515 PHARMACISTS DOBSON RICHARD CARL MD Physician 00805587 00135059 26 Monroe 09/07/2011 ROCHESTER NY 14626-4122 Exclusion - 18NYCRR515 DOHERTY GEORGIA L A/K/A MARKOWITZ Nurse NM005757 00360300 03/01/2010 Valatie NY 12184 Exclusion - 18NYCRR515 DOIRANLIS ZENAIDA PALAD MD 00228542 00121691 58 Bronx 12/06/1992 BRONX NY 10451 Exclusion - 18NYCRR515 DOLIN MICHAEL GLEN MD 00940776 00108683 28 Nassau 08/20/2000 ROCKVILLE CENTRE NY 11570 Exclusion - 18NYCRR515 DOLINSKY JOHN JOSEPH Pharmacist 01653061 00026077 31 Onondaga 05/26/1987 SYRACUSE NY 13224-1172 Exclusion - 18NYCRR515 PHARMACISTS DOMINELLI FRANK CHARLES DPM 00750569 00003403 58 Bronx 10/10/1995 BRONX NY 10451 Exclusion - 18NYCRR515 DOMINIQUE JEAN COILEAU NM001494 00143125 01/18/2007 WESLEY CHAPEL FL 33543 Exclusion - 18NYCRR515 DOMINY KATHLEEN Massage Therapist NM006171 00007332 05/31/2010 East Patchogue NY 11772 Exclusion - 18NYCRR515 DON AGUSTIN E MD 00166876 00098221 61 Queens 01/07/1997 ELMHURST NY 11373 Exclusion - 18NYCRR515 DONAHUE JUDY NURSE NM001762 00479346 03/20/2007 Morrisville NC 27560 Exclusion - 18NYCRR515 DONALDSON MICHELLE KATHERINE 00875118 00003876 60 New York 11/24/1991 NEW YORK NY 10035 Exclusion - 18NYCRR515 DONATELLI MICHAEL NM003443 00186763 01/01/1998 New York NY 10002 Exclusion - 18NYCRR515 DONCOURT GUDRUN NM007226 00234930 06/06/2011 Middle Island NY 11953 Exclusion - 18NYCRR515 PRACTICAL NURSE DONDE LEONARD Optician 02376176 00007163 59 Kings 11/20/2011 BROOKLYN NY 11223-1348 Exclusion - 18NYCRR515 DONNELLY MICHAEL L Employee of People's Inc. NM005965 04/13/2010 Buffalo NY 14216 Exclusion - 18NYCRR515 DOOLEY ARTHUR FRANCIS 01290028 00017948 02/06/2004 HARRISVILLE NY 13648 Exclusion - 18NYCRR515 DOOLEYS DRUG STORE INC 00642695 00020562 23 Lewis 02/06/2004 HARRISVILLE NY 13648 Exclusion - 18NYCRR515 DOORTY GERARD WILLIAM JR LPN / RN NM007193 00181458 / 00398162 05/22/2011 East Northport NY 11731 Exclusion - 18NYCRR515 DORAN ANNE S MD Physician 02554323 VA 055274 99 Out Of State 07/20/2010 MIDLOTHIAN VA 23113-6838 Exclusion - 18NYCRR515 DORCIN REJEANA Nurse NM005660 00291438 02/09/2010 Selden NY 11784 Exclusion - 18NYCRR515 DORIA GREGORY STEVEN MD 00885112 00154280 59 Kings 07/27/1999 BROOKLYN NY 11209 Exclusion - 18NYCRR515 DORR DONNA NM004846 03/20/2009 Alderson WV 24910 Exclusion - 18NYCRR515 SYSTEM GENERATED FROM CLAIM DOSHI BHUPENDRAKUMAR V DDS 00845854 00037995 59 Kings 05/07/1995 BROOKLYN NY 11237 Exclusion - 18NYCRR515 DOSHI PRIYAKANT MD 00214631 00115975 60 New York 07/28/1997 NEW YORK NY 10010 Exclusion - 18NYCRR515 DOUGLAS-EKANEM NSIMA Unlicensed LPN NM006611 02/20/2011 Port Jefferson Station NY 11776 Exclusion - 18NYCRR515 DOUNEL SAID MD 00306285 00133845 07/05/2001 FOREST HILLS NY 11375 Exclusion - 18NYCRR515 DOUSE ARTHUR LPN / RN NM007053 00140860/00355188 04/06/2011 Brooklyn NY 11233 Exclusion - 18NYCRR515 DOWNES ROBERT RICHARD DPM 00972385 00004177 59 Kings 02/18/1997 BROOKLYN NY 11225 Exclusion - 18NYCRR515 DOWNS KEVIN A MD 00831609 00155844 16 Franklin 12/07/2005 PLATTSBURGH NY 12901 Exclusion - 18NYCRR515 PHYSICIANS DOWNTOWN MEDICAL PC 00517097 60 New York 05/20/2008 NEW YORK NY 10038 Exclusion - 18NYCRR515 DOXEN FRANCINE B NM000843 00002612 05/18/2006 BRONX NY 10452 Exclusion - 18NYCRR515 DOYLE BRENDA LYNN LPN NM000404 00217436 02/20/2006 CHURCHVILLE NY 14428 Exclusion - 18NYCRR515 PRACTICAL NURSE DR JESSE A STOFF MEDICAL PC Physicians Group 03060042 00001711 61 Queens 10/19/2011 ROCKAWAY PARK NY 11694-2871 Exclusion - 18NYCRR515 DRAGANCHYUK OLGA Bogus HHA NM004910 04/28/2009 Brooklyn NY 11235 Exclusion - 18NYCRR515 SYSTEM GENERATED FROM CLAIM DRAGO PAUL C Physician NM005322 00207446 03/01/2010 Charlotte NC 28277 Exclusion - 18NYCRR515 DRAKES-PARKS DESIREE ANN Nurse NM005197 00291567 10/20/2010 Jamiaca NY 11433 Exclusion - 18NYCRR515 DRAKHLER YEFIM Unknown NM007426 61 Queens 09/07/2011 Far Rockaway NY 11691 Exclusion - 18NYCRR515 DRAMIS NICHOLAS MICHAEL R.P.A. NM001651 00002470 10/18/2007 MURRIETA CA 92563 Exclusion - 18NYCRR515 DRAVES SANDRA G NM002430 0499723 08/05/2007 Lackawanna NY 14218 Exclusion - 18NYCRR515 REGISTERED NURSE DREZGA GRMISLAV GREGORY MD 00190345 00107927 61 Queens 02/18/1999 FOREST HILLS NY 11375 Exclusion - 18NYCRR515 DRIVAS GUSTAVE S MD Physician 01522467 00186334 33 Orange 08/03/2011 PORT JERVIS NY 12771-2245 Exclusion - 18NYCRR515 DROUGOLEVA NINA Personal Care Aid NM002843 04/05/2011 Brooklyn NY 11235 Exclusion - 18NYCRR515 DRUCKER DAVID Physician NM007623 00096576 99 Out Of State 04/20/2011 Chattanooga TN 37421 Exclusion - 18NYCRR515 DRUMGOOLE CHASITY CNA NM001290 3420091207 10/18/2007 DURHAM NC 27703 Exclusion - 18NYCRR515 DRX MEDICAL DISTRIBUTERS INC NM001641 03/04/2007 ABERDEEN NJ 07747 Exclusion - 18NYCRR515 DUCA ROBERT A JR Pharmacist NM004085 00038104 01/20/2010 Roslyn Heights NY 11577 Exclusion - 18NYCRR515 DUCENA ERNST MD Physician 01859374 00210429 28 Nassau 10/24/2011 Baldwin NY 11510 Exclusion - 18NYCRR515 DUDLEY LIBBY NM006571 07/20/2010 Mount Morris NY 14510 Exclusion - 18NYCRR515 DUDLEY-ROBERTS MILLICENT VELMA Physician NM007415 00194527 07/20/2011 New Rochelle NY 10804 Exclusion - 18NYCRR515 PHYSICIANS DUFFY JAMES LINCOLN MD 01251963 00175375 09/05/2002 SOMERS NY 10589 Exclusion - 18NYCRR515 DUL ALBERT J Nurse NM005008 00285539 12/20/2009 Ronkonkoma NY 11779 Exclusion - 18NYCRR515 DULALAS REMEDIOS M MD 01127471 00153371 60 New York 11/02/1991 NEW YORK NY 10027 Exclusion - 18NYCRR515 DUMEL DRUG CORP 00266468 00013198 59 Kings 10/05/1992 BROOKLYN NY 11213 Exclusion - 18NYCRR515 DUMOND CRAIG B MD 00486053 00134557 03/05/2003 SARANAC LAKE NY 12983 Exclusion - 18NYCRR515 DURAN RENATO FERNANDO MD 01273192 00161781 42 Schenectady 01/20/1998 SCHENECTADY NY 12308 Exclusion - 18NYCRR515 DURAN-TUSHAJ LINDA 01922132 00164623 09/04/2002 RONKONKOMA NY Exclusion - 18NYCRR515 DURANT RENEE M NURSE NM003771 00265031 06/30/2008 Bronx NY 10466 Exclusion - 18NYCRR515 DURELL ROBERT MD Physician 00563722 00082448 60 New York 03/10/2010 NEW YORK NY 10003-4297 Exclusion - 18NYCRR515 DURFEY JOHN Q. NM002944 00090111 12/28/2007 Tallahassee FL 32301 Exclusion - 18NYCRR515 DURHAM NICOLA Former Medicaid Srvc Coordinator NM006833 10 Columbia 05/19/2011 Hudson NY 12534 Exclusion - 18NYCRR515 DURLAND-MCDERMOTT MARY Nurse NM002223 00495197 02/18/2010 Bloomingburg NY 12721 Exclusion - 18NYCRR515 DUROSEAU NANCY MARIE LPN 01318309 00204466 61 Queens 04/16/1997 QUEENS VILLAGE NY 11428 Exclusion - 18NYCRR515 DUSO HEARING AID SERVICES 00517657 61DU5170 51 Ulster 02/17/1992 KINGSTON NY 12401 Exclusion - 18NYCRR515 DUTCH SQUARE CHEMISTS INC 00513566 00011505 39 Rockland 11/22/1990 MONSEY NY 10952 Exclusion - 18NYCRR515 DUVAL MARISSA RN RN NM007291 00567271 08/18/2011 Hudson; Quebec; Canada XX 00000 Exclusion - 18NYCRR515 DUVITEL DRUGS INC 00263516 00013229 59 Kings 10/05/1992 BROOKLYN NY 11208 Exclusion - 18NYCRR515 DWAMENA STEPHEN PHYSICIANS ASSISTANT NM004722 00036710 99 Out Of State 11/20/2008 Union NJ 07083 Exclusion - 18NYCRR515 DWECK FRED E MD Physician 00369764 FL030142 99 Out Of State 10/20/2011 HOLLYWOOD FL 33021-5421 Exclusion - 18NYCRR515 DWP PAIN FREE MEDICAL P.C. MEDICAL CLINIC NM002608 00187870 10/24/2007 Brooklyn NY 11210 Exclusion - 18NYCRR515 DWYER S PHARMACY INC 00590441 00011334 25 Madison 03/27/1987 CAZENOVIA NY 13035 Exclusion - 18NYCRR515 DWYER THOMAS LPN NM006268 00279190 05/19/2011 Mattydale NY 13211 Exclusion - 18NYCRR515 DYANDRA PHARMACY INC 00708627 00017476 60 New York 03/14/1993 NEW YORK NY 10034 Exclusion - 18NYCRR515 DYNOF DAVID R Physician 02613927 00225074 58 Bronx 05/30/2010 BRONX NY 10460-4304 Exclusion - 18NYCRR515 DZHINCHVELADZE YELENA MEDICAL OFFICE MANAGER NM002342 07/19/2007 Danbury CT 06811 Exclusion - 18NYCRR515 SYSTEM GENERATED FROM CLAIM DZIERZANOWSKI STEPHEN J NM002407 00000679 08/05/2007 West Seneca NY 14206 Exclusion - 18NYCRR515 E AND S PHARMACY INC 00792801 00017896 59 Kings 07/01/1993 BROOKLYN NY 11223 Exclusion - 18NYCRR515 EARLEY TERESITA ESQUIVEL MD 00447278 00137523 60 New York 11/16/1995 NEW YORK NY 10010 Exclusion - 18NYCRR515 EASLEY CHAUNCEY NM004087 09/21/2008 Syracuse NY 13204 Exclusion - 18NYCRR515 EASON WALTER NM001385 00536213 10/19/2006 JACKSONVILLE AL 36250 Exclusion - 18NYCRR515 EAST ANTHONY ORLANDO DPM 00912450 00004017 59 Kings 06/30/1994 NEW YORK NY 11230 Exclusion - 18NYCRR515 EAST MEADOW MEDICAL SERVICES PC Medical Office NM006016 28 Nassau 10/03/2011 East Meadow NY 11554 Exclusion - 18NYCRR515 EAST NEW YORK MEDICAL 01202551 59 Kings 05/25/2008 BROOKLYN NY 11235 Exclusion - 18NYCRR515 EASTERN LABORATORIES LTD 00793577 7096A090 28 Nassau 04/20/1998 PORT WASHINGTON NY 11050 Exclusion - 18NYCRR515 EASTWICK MEDICAL LABS INC 00916032 50001697 59 Kings 04/03/1990 BROOKLYN NY 11207 Exclusion - 18NYCRR515 EASYCARE HOME MEDICAL EQUIP 01347460 55 Westchester 06/05/1995 CONGERS NY 10920 Exclusion - 18NYCRR515 EATOUGH PHILIP B Physician NM005645 00113392 05/17/2010 Lewisburg PA 17837 Exclusion - 18NYCRR515 EBERHARDT SONYA M Nurse NM005989 00220303 06/30/2009 Bronx NY 10455 Exclusion - 18NYCRR515 EBRAHIM MURTADA S. Transportation Company-Owner 01955619 00034729 26 Monroe 02/19/2009 ROCHESTER NY 14609 Exclusion - 18NYCRR515 SYSTEM GENERATED FROM CLAIM ECHO PHARAMCY LLC Pharmacy 02281652 00025362 47 Suffolk 08/05/2009 MILLER PLACE NY 11764-2454 Exclusion - 18NYCRR515 EDMONDSON JAMES CAMPBELL MD 01840046 185580 59 Kings 03/20/2009 BROOKLYN NY 11205 Exclusion - 18NYCRR515 PHYSICIANS EDNAS PHARMACY INC 00362258 00016396 60 New York 10/15/1988 NEW YORK NY 10032 Exclusion - 18NYCRR515 EDSTROM JESSICA J RN NM007305 00592712 47 Suffolk 07/19/2011 Riverhead NY 11730 Exclusion - 18NYCRR515 EDUARDO A. SANCHEZ 01099710 00175825 06/10/2003 FLUSHING NY 11358 Exclusion - 18NYCRR515 EDWARDS JENNIFER Unlicensed LPN NM005187 02/20/2011 Brooklyn NY 11226 Exclusion - 18NYCRR515 SYSTEM GENERATED FROM CLAIM EDWARDS MICHAEL NURSE NM000667 11/30/2008 SONYEA NY 14556 Exclusion - 18NYCRR515 EGBUMAN SYLVANUS Business Owner NM006012 04/29/2010 Brooklyn NY 11236 Exclusion - 18NYCRR515 EGITTO DENNIS MD NM002875 00136136 12/17/2007 Palm Beach FL 33418 Exclusion - 18NYCRR515 EHLER MICHELLE ANNE RN RN 02009685 00504081 24 Livingston 11/01/2011 DANSVILLE NY 14437-1204 Exclusion - 18NYCRR515 EHRENBERG MARTIN 00832673 00158188 60 New York 03/20/2008 NEW YORK NY 10028 Exclusion - 18NYCRR515 EHRLEIN JAMES BERNARD Pharmacist 01524327 00042904 28 Nassau 05/12/2010 FRANKLIN SQUARE NY 11010-1435 Exclusion - 18NYCRR515 EHRLICH MICHAEL 02482039 00008416 99 Out Of State 04/06/2004 BROOKLYN NY 11231 Exclusion - 18NYCRR515 EICHMANN MILTON RANDOLPH MD 01612720 LA006248 99 Out Of State 08/06/2007 NATCHITOCHES LA 71457 Exclusion - 18NYCRR515 PHYSICIANS EIDMAN STEVEN DDS PC 00728116 00036738 01/03/2003 BRONX NY 10468 Exclusion - 18NYCRR515 EILENKRIG INGA D SOCIAL WORKER NM004442 00066597 09/22/2008 Brooklyn NY 11213 Exclusion - 18NYCRR515 EISENBERG LAURA J. A/K/A LAURA JOHANNA O NM001306 10/19/2006 PORT HENRY NY 12974 Exclusion - 18NYCRR515 EKINCI FEVZI A MD 00189340 00107456 59 Kings 02/13/1995 BROOKLYN NY 11231 Exclusion - 18NYCRR515 ELAMIR MAGDY Physician NM006210 00159434 99 Out Of State 09/20/2011 Saddle River NJ 07306 Exclusion - 18NYCRR515 ELDERCHOICE/HUDSON VAL TBI Home Care Agency 02513688 TBI00318 55 Westchester 11/06/2008 TARRYTOWN NY 10591-5116 Exclusion - 18NYCRR515 ELHADIDY NABIL A MD 01638499 194486 59 Kings 03/20/2009 BROOKLYN NY 11205 Exclusion - 18NYCRR515 PHYSICIANS ELITE MEDICAL CARE P.C. NM003949 00204777 06/25/2008 Bronx NY 10464 Exclusion - 18NYCRR515 ELJAY DRUG INC 00268777 00011916 61 Queens 02/07/1994 WOODHAVEN NY 11421 Exclusion - 18NYCRR515 ELLIS FELIX LORENZO MD 00799308 00155886 10/08/2002 NEW YORK NY 10009 Exclusion - 18NYCRR515 ELLIS PATRICIA LPN NM005725 00284508 06/20/2011 Mastic Beach NY 11951 Exclusion - 18NYCRR515 ELM NEUROLOGICAL CARE P.C. NM002585 09/20/2007 New York NY 10003 Exclusion - 18NYCRR515 ELM STREET MEDICAL NM002588 10/15/2007 New York NY 10022 Exclusion - 18NYCRR515 ELMONT OPEN MRI and DIAGNOSTIC RADIOLOGY Medical Office NM007047 00103871 04/04/2011 Elmont NY 11003 Exclusion - 18NYCRR515 EMMI ANGELO M 01298315 00027859 31 Onondaga 12/20/1999 SYRACUSE NY 13208 Exclusion - 18NYCRR515 EMPIRE RADIOLOGY PHYSICIAN GROUP NM002470 08/15/2007 Gillette NJ 07933 Exclusion - 18NYCRR515 EMPIRE STATE DIAGNOSTICS MEDICAL FACILITY NM002822 00229319 10/25/2007 New York NY 10016 Exclusion - 18NYCRR515 EMPOWERMENT INST FOR M/R MR 01530592 00000000 28 Nassau 01/27/2005 ELMONT NY 11003 Exclusion - 18NYCRR515 EMPOWERMT INST FIMR GTRNY HCB 01492180 HCB17520 28 Nassau 01/29/2006 ELMONT NY 11003 Exclusion - 18NYCRR515 ENGELBRECHT MICHELLE Nurse NM005485 00527698 06/18/2009 Myrtle Beach SC 29588 Exclusion - 18NYCRR515 ENGELHARDT DAVID S MD 00924130 00163399 03 Broome 09/07/1998 BINGHAMTON NY 13903 Exclusion - 18NYCRR515 ENGISCH ROBERT RICHARD MD 00597099 00079838 09 Clinton 08/08/1985 PLATTSBURGH NY 12901 Exclusion - 18NYCRR515 ENGLEBERT BARBARA SUPERVISOR - BILLING DEPT NM000405 02/20/2006 BROOKLYN NY 11230 Exclusion - 18NYCRR515 SYSTEM GENERATED FROM CLAIM EPIPHAN NICHOLAS DPM 00416220 00002427 99 Out Of State 06/17/1992 RIDGEWOOD NJ 07450 Exclusion - 18NYCRR515 EPPEL DIETER DO 00424699 00139666 09/04/2002 AUBURN NY 13021 Exclusion - 18NYCRR515 EPPS CHAD M.D. NM001593 01/31/2007 NEW YORK NY 10029 Exclusion - 18NYCRR515 EPSTEIN ROBERT S MD Physician 01517459 00191184 31 Onondaga 07/15/2010 SYRACUSE NY 13215-5100 Exclusion - 18NYCRR515 ERAIFEJ MARCELLA Unknown NM006489 02/08/2012 Yonkers NY 10710 Exclusion - 18NYCRR515 SYSTEM GENERATED FROM CLAIM ERICKSON DONALD J MASSAGE THERAPIST NM000844 00012379 05/18/2006 PANAMA NY 14767 Exclusion - 18NYCRR515 ERLICH RUSSELL CLINIC NM001068 11/20/2005 BROOKLYN NY 11232 Exclusion - 18NYCRR515 ERNEST ZELNICK INC 00322858 63ER0830 59 Kings 04/30/1992 BROOKLYN NY 11214 Exclusion - 18NYCRR515 ERRICO NICHOLAS A DPM JR Podiatrist 00956730 00003651 59 Kings 10/26/2010 BROOKLYN NY 11201 Exclusion - 18NYCRR515 ERVIN CRYSTAL CNA NM006585 3413892511 99 Out Of State 09/20/2007 MEMPHIS TN 38109 Exclusion - 18NYCRR515 ESCARMENT LAURETTE OWNER/ON TIME HOME CARE NM001742 05/20/2008 Jamaica NY 11433 Exclusion - 18NYCRR515 ESPADA PEDRO GAUTIER III Director Environmental Care Soundview NM006854 01/10/2011 Mamaroneck NY 10543-1201 Exclusion - 18NYCRR515 SYSTEM GENERATED FROM CLAIM ESPADA PEDRO JR President Soundview Healthcare Network NM006855 01/10/2011 Mamaroneck NY 10543-1201 Exclusion - 18NYCRR515 SYSTEM GENERATED FROM CLAIM ESPAILLAT FELICIANO ANTONIO 01956812 00048323 58 Bronx 05/06/2003 NEW ROCHELLE NY 10801 Exclusion - 18NYCRR515 DENTAL SCHOOL/DENTIST ESPER JAMES DO 00761275 PA002904 99 Out Of State 07/30/1999 ERIE PA 16506 Exclusion - 18NYCRR515 ESPOSITO SALVATORE A Pharmacy Supplier NM005179 07/20/2009 Staten Island NY 10309 Exclusion - 18NYCRR515 ESTAMBUL BERNADO Clinic Owner NM006141 07/05/2010 New York NY 10031 Exclusion - 18NYCRR515 ESTY-FENTON VIVIENNE NM000943 00394320 07/20/2008 BRONX NY 10469 Exclusion - 18NYCRR515 ETESS JEFFREY Dentist 02424486 00047537 58 Bronx 10/03/2011 BRONX NY 10467-2625 Exclusion - 18NYCRR515 ETKIN RICHARD H MD Physician 00711591 00137524 42 Schenectady 02/20/2011 SCHENECTADY NY 12309-6002 Exclusion - 18NYCRR515 PHYSICIANS ETTE JOHN P CNA NM006625 342420130406E 03/18/2010 Tupper Lake NY 12986 Exclusion - 18NYCRR515 EUROPEAN PROFF OFF INC 01267183 59 Kings 05/27/2000 BROOKLYN NY 11220 Exclusion - 18NYCRR515 EUSTAQUIO MARCOS ANTONIO DDS 01011554 00040464 08/07/2002 ELMHURST NY 11373 Exclusion - 18NYCRR515 EVANS CLARENCE NM003423 02/16/2001 Brooklyn NY 11217 Exclusion - 18NYCRR515 EVANS DARRELL Adult Home Proprietor NM002182 55 Westchester 02/18/2010 New Rochelle NY 10804 Exclusion - 18NYCRR515 EVANS DAVID R NM001905 00145805 05/01/2007 Plano TX 75074 Exclusion - 18NYCRR515 PHYSICIANS EVANS DONALD 00929662 00160336 99 Out Of State 01/29/2008 NEWTOWN CT 06470 Exclusion - 18NYCRR515 EVARD MICHAEL A PA RPA/Nurse 01923546 00005981 61 Queens 04/28/2009 FOREST HILLS NY 11375-2029 Exclusion - 18NYCRR515 EVERETT JACKI LYNN LPN NM007009 00254358 03/14/2011 College Point NY 11357 Exclusion - 18NYCRR515 EVERTS DEBORAH L LPN 01909228 00166924 11 Cortland 06/06/2011 HOMER NY 13077 Exclusion - 18NYCRR515 PRACTICAL NURSE EWELL DAVID C Unknown NM007530 18 Genesee 10/03/2011 Leroy NY 14482 Exclusion - 18NYCRR515 EX-L AMBULETTE, INC Transportation 02276497 59 Kings 05/24/2010 BROOKLYN NY 11223 Exclusion - 18NYCRR515 Envy Smile Dental PC Dental Clinic NM007646 00058250 59 Kings 11/01/2011 Brooklyn NY 11229 Exclusion - 18NYCRR515 F AND J CAM INC 01042240 59 Kings 04/20/1999 BROOKLYN NY 11204 Exclusion - 18NYCRR515 F AND L MEDICAL TRANSP INC 01248544 NJ010259 99 Out Of State 10/05/1999 UNION NJ 07083 Exclusion - 18NYCRR515 FAGEN-KOVEN GERALDINE S. NM001544 00178465 01/15/2007 SARASOTA FL 34278 Exclusion - 18NYCRR515 FAHEY PATRICK JOSEPH M.D. NM001485 00197005 05/20/2008 TULSA OK 74147 Exclusion - 18NYCRR515 FAHMY SAMMER I 01747126 00206480 99 Out Of State 12/20/2007 SAYRE PA 18840 Exclusion - 18NYCRR515 FAINFARE SHAUNETTE L.P.N. NM001421 UNKNOWN 12/27/2006 QUEENS VILLAGE NY 11429 Exclusion - 18NYCRR515 FAINSILBER ZEV 01145413 00175442 99 Out Of State 03/06/2008 WESTWOOD NJ 07675 Exclusion - 18NYCRR515 FAIR PRICE MEDICAL SUPPLY CORP Medical Appliance Dealer NM007638 59 Kings 11/15/2011 Brooklyn NY 11223 Exclusion - 18NYCRR515 SYSTEM GENERATED FROM CLAIM FAIR TRADE PHARMACY INC 00259009 00001760 59 Kings 01/04/1993 BROOKLYN NY 11230 Exclusion - 18NYCRR515 FAIRMONT PHARMACY INC 00730332 00017590 58 Bronx 08/05/1992 BRONX NY 10457 Exclusion - 18NYCRR515 FAIWISZEWSKI ADAM MD 00665509 00145419 59 Kings 04/16/1997 BROOKLYN NY 11235 Exclusion - 18NYCRR515 FAKHRUDDIN SHAHID NM003467 01/01/1998 Unknown ZZ 00000 Exclusion - 18NYCRR515 FALCONE KATHLEEN LOUISE A/K/A ANDERSON-F NM001547 00250835 01/15/2007 LACKAWANNA NY 14218 Exclusion - 18NYCRR515 FALESBORK RAQUEL M NM000409 00452860 10/30/2007 HYDE PARK MA 02136 Exclusion - 18NYCRR515 FALK HYMAN I DDS 00289923 00009753 59 Kings 08/05/1983 BROOKLYN NY 11217 Exclusion - 18NYCRR515 FALK JEFFREY MARK MD 00970030 00152769 60 New York 10/31/1991 NEW YORK NY 10029 Exclusion - 18NYCRR515 FALZONE JOSEPH A MD 00716069 00149398 08/06/2001 ELIZABETHTOWN NY 12932 Exclusion - 18NYCRR515 FAMILY DENTAL CARE OF ELMONT PC Dental Clinic NM007313 28 Nassau 07/20/2011 Elmont NY 11003 Exclusion - 18NYCRR515 FAMILY FOOT CARE ASSOCIATES 00777151 60 New York 03/30/1992 NEW YORK NY 10027 Exclusion - 18NYCRR515 FAMILY OPTICAL SHOPPE Optometrist 02529702 58 Bronx 03/27/2009 BRONX NY 10472-2919 Exclusion - 18NYCRR515 OPTOMETRISTS FAMILY PHARMACY INC 00261963 00012939 58 Bronx 05/06/1992 BRONX NY 10452 Exclusion - 18NYCRR515 FAMILY PRESERVATION CTR MR 01501986 00000000 03/11/2002 RIVERHEAD NY 11901 Exclusion - 18NYCRR515 FAMILY SHOE TOWN 01137246 59 Kings 05/26/1992 NEW YORK NY 11230 Exclusion - 18NYCRR515 FAMULARO KAREN G NM004729 477054 03/23/2009 Staten Island NY 10312 Exclusion - 18NYCRR515 REGISTERED NURSE FANIZZI THOMAS DPM 00974281 00004082 58 Bronx 12/18/1997 BRONX NY 10463 Exclusion - 18NYCRR515 FARAH MINA DDS 00996869 00040491 07/09/2002 RICHMOND HILL NY 11419 Exclusion - 18NYCRR515 FARBER MIKHAIL Transportation Owner NM007463 62 Richmond 10/03/2011 Staten Island NY 10306-5771 Exclusion - 18NYCRR515 FARCA ALEXANDER 00188725 00107267 61 Queens 11/21/2007 FLUSHING NY 11358 Exclusion - 18NYCRR515 FARCHIONE LOUIS A JR MD 00806271 00144716 26 Monroe 11/04/2005 ROCHESTER NY 14620 Exclusion - 18NYCRR515 PHYSICIANS FARES ABDELKADER H MD 01087416 MI043357 99 Out Of State 02/12/1996 DEARBORN MI 98120 Exclusion - 18NYCRR515 FARES ROBERT Unknown NM005409 10/20/2009 Brooklyn NY 11220 Exclusion - 18NYCRR515 FARES ROGER J MD Physician 02491885 00107653 60 New York 04/05/2011 NEW YORK NY 10021 Exclusion - 18NYCRR515 FARGNOLI SAM S DDS 00527266 00019891 12 Delaware 10/20/1998 DELHI NY 13753 Exclusion - 18NYCRR515 FARHAT ADAM Employee NM005344 10/20/2009 Brooklyn NY 11209 Exclusion - 18NYCRR515 FARKAS THOMAS RPH Pharmacist NM007292 00035919 02/14/2011 New York NY 10016 Exclusion - 18NYCRR515 SYSTEM GENERATED FROM PROVIDER FARMACIA DEL PUEBLO INC 01210177 00014384 58 Bronx 01/19/1993 BRONX NY 10460 Exclusion - 18NYCRR515 FAROOQ MOHAMMED U. Pharmacy Owner NM001398 05/19/2011 DIX HILLS NY 11746 Exclusion - 18NYCRR515 FAROOQ SYED AHMAD MD 00750725 00129137 14 Erie 08/17/2006 WILLIAMSVILLE NY 14221 Exclusion - 18NYCRR515 FAROOQUI ZULFIQAR UDDIN NM002516 00204794 09/11/2007 Scottsdale AZ 85260 Exclusion - 18NYCRR515 FARRELL LINDA C. NM000658 00074838 06/07/2005 ROCHESTER NY 14616 Exclusion - 18NYCRR515 FARRELL VERLIE M. NM003021 00242850 12/20/2007 Williamson NY 14589 Exclusion - 18NYCRR515 FASHION COMFORT SHOES 00698962 59 Kings 07/20/1992 BROOKLYN NY 11211 Exclusion - 18NYCRR515 FAUBLAS DANIELLE LPN NM007367 00214220 28 Nassau 08/08/2011 West Hempstead NY 11552 Exclusion - 18NYCRR515 FAVINI JOSEPHINE LOUISE MD 01127857 00150024 26 Monroe 09/26/1990 ROCHESTER NY 14624 Exclusion - 18NYCRR515 FEDIGAN JANINE CNA NM006992 342493971106E 05 Cayuga 09/20/2011 Auburn NY 13021 Exclusion - 18NYCRR515 FEINSTEIN DAVID S 00806831 00003555 55 Westchester 11/20/1997 WHITE PLAINS NY 10601 Exclusion - 18NYCRR515 FEIT FREDRIC MD Physician 00803452 00148172 59 Kings 07/13/2010 BROOKLYN NY 11235-5960 Exclusion - 18NYCRR515 FELDMAN ABRAHAM I MD 00614333 00049567 51 Ulster 10/22/1989 KINGSTON NY 12401 Exclusion - 18NYCRR515 FELDMAN ALAN 00338321 00003918 60 New York 09/05/1996 NEW YORK NY 10003 Exclusion - 18NYCRR515 FELDMAR GABRIEL G PHD Clinical Psychologist 00919315 00008381 61 Queens 12/21/2009 FOREST HILLS NY 11375 Exclusion - 18NYCRR515 FELLERMAN DAVID E DC NM004704 011123 03/19/2009 Kingston PA 18704 Exclusion - 18NYCRR515 CHIROPRACTOR/PORT-XRAY-SVC (QMB) FELSON JERRY M Physician NM005758 00124923 03/01/2010 Brookline MA 02446 Exclusion - 18NYCRR515 FELTOON ERVIN DO NM006601 097998 99 Out Of State 12/22/2008 Philadelphia PA 19103 Exclusion - 18NYCRR515 PHYSICIANS FELVUS MARY CNA NM000924 342193341004E 05/20/2007 NIAGARA FALLS NY 14305 Exclusion - 18NYCRR515 FERGUSON JOANN JOHNSON Nurse NM006088 00270550 04/20/2010 Slipperly Rock PA 16057 Exclusion - 18NYCRR515 FERGUSON MICHAEL D NM001557 00009437 09/20/2007 GENEVA NY 14456 Exclusion - 18NYCRR515 FERNANDEZ DIANE Home Care Agency 02368601 00001626 29 Niagara 11/19/2009 GASPORT NY 14067 Exclusion - 18NYCRR515 FERNS MELVILLE 01303988 00003637 60 New York 08/18/1994 NEW YORK NY 10036 Exclusion - 18NYCRR515 FERRAN OSMIN Mobile Dental Unit Owner NM007627 61 Queens 11/29/2011 Queens NY 11693 Exclusion - 18NYCRR515 FERRARO JOAN DIANE 01640073 00044257 47 Suffolk 02/13/1994 E PATCHOGUE NY 11772 Exclusion - 18NYCRR515 FERRULLI PETER A SLP Speech Therapist 02958827 PA05963L/ 00010661 99 Out Of State 01/19/2012 WYSOX PA 18854 Exclusion - 18NYCRR515 SPEECH THERAPY FERRY CYNTHIA CNA NM006929 342251340305E 62 Richmond 08/18/2011 Staten Island NY 10305 Exclusion - 18NYCRR515 FESTUS EDWARD O. RPA NM002702 00004555 02/20/2007 Bronx NY 10467 18NYCRR504.1(d)(19) FETELL JILL M MD Physician 01008093 00145931 58 Bronx 04/04/2011 BRONX NY 10452-8299 Exclusion - 18NYCRR515 FEUDI SALVATORE A. NM001413 00006391 12/11/2006 MALONE NY 12953 Exclusion - 18NYCRR515 FHS PHARMACY INC 01442153 58 Bronx 12/18/1997 BRONX NY 10468 Exclusion - 18NYCRR515 FIATA ELIA IMAGING COMPANY OFFICER NM002743 11/20/2007 Yonkers NY 10710 Exclusion - 18NYCRR515 FICKLING CLAUDETTE Drug Counselor NM007465 28 Nassau 09/26/2011 Baldwin NY 11510-3030 Exclusion - 18NYCRR515 SYSTEM GENERATED FROM CLAIM FIDELMAN GEOFFREY S 01791657 00005930 99 Out Of State 12/18/2008 SAYRE PA 18840 Exclusion - 18NYCRR515 FIELDS ALFRED JAY MD 00386021 00127396 60 New York 12/20/2006 NEW YORK NY 10028 Exclusion - 18NYCRR515 FIELDS GARY N MD 00258044 00106949 33 Orange 05/04/1997 MIDDLETOWN NY 10940 Exclusion - 18NYCRR515 FILKINS ANN M LPN 01674560 00226613 46 Steuben 01/11/2002 PULTENEY NY 14874 Exclusion - 18NYCRR515 FINCH SHANNON CNA NM000763 3413469008 14 Erie 05/20/2007 CLARENCE NY 14301 Exclusion - 18NYCRR515 FINE GLENN E Chiropractor NM005163 00009631 07/06/2009 Yorktown Heights NY 10598 Exclusion - 18NYCRR515 FINE TOUCH HEARING AIDS INC 00697576 63FI6080 61 Queens 07/04/1992 FAR ROCKAWAY NY 11691 Exclusion - 18NYCRR515 FINESMITH ROSS BRADLEY Physician NM007142 00193236 05/03/2011 Basking Ridge NJ 07920 Exclusion - 18NYCRR515 FINEST SURGICAL SUPPLIES LLC Medical Appliance Dealer 02604497 59 Kings 11/15/2011 BROOKLYN NY 11204-3528 Exclusion - 18NYCRR515 SYSTEM GENERATED FROM CLAIM FINKELSTEIN LOWELL ROBERT MD 00772638 00153381 60 New York 11/11/1990 NEW YORK NY 10019 Exclusion - 18NYCRR515 FINLAY MEDICAL LABORATORY INC 01057276 NJ006587 99 Out Of State 08/12/1989 WEST NEW YORK NJ 07093 Exclusion - 18NYCRR515 FINLEY DONALD R LPN NM005834 00287522 47 Suffolk 06/20/2011 East Moriches NY 11940 Exclusion - 18NYCRR515 FINN MARY COLLINS 01090335 00165609 01 Albany 02/19/1998 ALBANY NY 12208 Exclusion - 18NYCRR515 FIRESTONE RICHARD W. NM003009 00002011 12/20/2007 New York NY 10024 Exclusion - 18NYCRR515 FISCHBERG JUAN 01187282 00167564 61 Queens 06/19/2008 LONG ISLAND CITY NY 11106 Exclusion - 18NYCRR515 FISCHER MICHELLE Nurse NM005988 00282239 06/30/2009 Massapequa NY 11762 Exclusion - 18NYCRR515 FISCHMAN GARY JOSEPH DPM 00415412 00002456 99 Out Of State 04/30/1992 JERSEY CITY NJ 07302 Exclusion - 18NYCRR515 FISHER JOHN BRADFORD NM001438 00133234 12/04/2006 LA HABRA HEIGHTS CA 90631 Exclusion - 18NYCRR515 FISHER MARTIN M MD 00039758 00031030 60 New York 07/30/1992 NEW YORK NY 10028 Exclusion - 18NYCRR515 FIVE STAR MEDICAL PC 01141079 58 Bronx 03/06/1992 BRONX NY 10454 Exclusion - 18NYCRR515 FLAITZ JENNIFER A. Nurse NM005883 00479338 03/25/2010 Hornell NY 14843 Exclusion - 18NYCRR515 FLANGOS PAUL Physician 01837829 00173193 55 Westchester 03/01/2010 NEW ROCHELLE NY 10801-5502 Exclusion - 18NYCRR515 FLATOW SOLOMON DPM 00814360 00001833 59 Kings 02/27/1992 BROOKLYN NY 11207 Exclusion - 18NYCRR515 FLEISCHER MARK H MD 00449647 00126371 26 Monroe 01/03/2007 ROCHESTER NY 14607 Exclusion - 18NYCRR515 PHYSICIANS FLEURANTIN RUBEN 01208075 00171144 99 Out Of State 03/20/2008 SOUTH ORANGE NJ 07079 Exclusion - 18NYCRR515 FLEURIMOND MARIE LUCIE LPN NM002142 00217529 06/20/2007 Booklyn NY 11235 Exclusion - 18NYCRR515 PRACTICAL NURSE FLORES ARTURO PEREZ MD 00837967 00147566 60 New York 10/18/1989 NEW YORK NY 10029 Exclusion - 18NYCRR515 FLORES CARLOS Dentist NM007146 05/03/2011 Peekskill NY 10566 Exclusion - 18NYCRR515 FLORIANO CONCETTA M Nurse NM002224 00458126 09/18/2008 New Rochelle NY 10805 Exclusion - 18NYCRR515 REGISTERED NURSE FLORIO ROBERT 02600526 00214667 12/28/2006 SUFFERN NY 10901 Exclusion - 18NYCRR515 FLYNN MADGE E RCSW 01897947 00057480 31 Onondaga 08/20/2006 FAYETTEVILLE NY 13413 Exclusion - 18NYCRR515 FOLKES GAIL A Physician NM005031 06/18/2009 Dix Hills NY 11746 Exclusion - 18NYCRR515 FONG PETER DPM 00761615 00003521 60 New York 05/09/1990 NEW YORK NY 10021 Exclusion - 18NYCRR515 FORBES AASE Nurse NM005496 00563738 12/20/2009 Union NJ 07083 Exclusion - 18NYCRR515 FORCADA JORGE HUMBERTO MD 01398118 FL049707 99 Out Of State 06/16/2005 KISSIMMEE FL 34741 Exclusion - 18NYCRR515 PHYSICIANS FORESTER BRUCE MICHAEL MD 00162863 00097028 55 Westchester 12/11/2003 NEW YORK NY 10021 Exclusion - 18NYCRR515 PHYSICIANS FORESTER DONALD MD 01453194 00096132 55 Westchester 05/25/2005 EASTCHESTER NY 10709 Exclusion - 18NYCRR515 PHYSICIANS FORKEY JEFFREY J PHARMACIST NM004024 07/20/2008 Plattsburgh NY 12901 Exclusion - 18NYCRR515 FORTE AMBROISE J J MD Physician 00888284 00154269 59 Kings 03/01/2010 BROOKLYN NY 11226 Exclusion - 18NYCRR515 FORTI LEWIS A PHD 00697585 00005947 14 Erie 05/20/1998 BUFFALO NY 14223 Exclusion - 18NYCRR515 FORTUNA FLABIA CNA NM001225 3415099508 10/18/2007 ROCHESTER NY 14621 Exclusion - 18NYCRR515 FORWARD AMBULETTE INC Transportation 03220317 62 Richmond 10/03/2011 STATEN ISLAND NY 10306-5703 Exclusion - 18NYCRR515 FOUN KA STUDENT NM001649 03/04/2007 QUEENS NY 11357 Exclusion - 18NYCRR515 FOUNTAIN POMEROYAL C RN 02291005 00498471 50 Tompkins 01/04/2006 ITHACA NY 14850 Exclusion - 18NYCRR515 REGISTERED NURSE FOWLKES JOSEPH P MD 01167793 00173821 60 New York 06/24/1992 NEW YORK NY 11027 Exclusion - 18NYCRR515 FOX PAUL JOHN MD 00726114 00129977 09/10/2003 BROOKLYN NY 11226 Exclusion - 18NYCRR515 FRADY ZAFIR 02659965 00230622 03/12/2006 Exclusion - 18NYCRR515 FRAHMAND ZALMAI ACCUPUNCTURE NM003019 00001583 12/20/2007 Baltimore MD 21209 Exclusion - 18NYCRR515 FRANCIS JACQUELINE CNA NM004485 342171960804E 09/20/2009 Jamaica NY 11434 Exclusion - 18NYCRR515 FRANCIS PAUL W MD 00466106 00107134 26 Monroe 08/20/2000 ROCHESTER NY 14607 Exclusion - 18NYCRR515 FRANCISCO ALICE N MD 00943366 00139198 58 Bronx 01/13/1990 BRONX NY 10457 Exclusion - 18NYCRR515 FRANCOIS RICARDO Billing Service Group/Emevs NM002669 09/20/2009 Westbury NY 11590 Exclusion - 18NYCRR515 FRANK DONALD H MD Physician 00335240 NJ025513 99 Out Of State 09/06/2011 MONTCLAIR NJ 07042 Exclusion - 18NYCRR515 PHYSICIANS FRANK DONALD MD Physician NM007420 00093621 99 Out Of State 09/06/2011 Montclair NJ 07042 Exclusion - 18NYCRR515 PHYSICIANS FRANK PAUL MERWIN 01308983 00024598 39 Rockland 10/19/2006 SPRING VALLEY NY 10977 Exclusion - 18NYCRR515 FRANK PHILLIP S DDS PC 00294968 00026392 59 Kings 06/19/2008 BROOKLYN NY 11206 Exclusion - 18NYCRR515 FRANK SIDNEY ALAN, MD NM003543 00137154 05/11/2008 Visalia CA 95070 Exclusion - 18NYCRR515 FRANKEL MAX M PHD 00646539 00004013 39 Rockland 09/13/1990 SPRING VALLEY NY 10977 Exclusion - 18NYCRR515 FRANKS DENIS MD 01232571 MDD17419 99 Out Of State 02/20/1998 BALTIMORE MD 21239 Exclusion - 18NYCRR515 FRASER DIANE M. NM001336 07/19/2007 BROOKLYN NY 11211 Exclusion - 18NYCRR515 FRASER ENRIQUE Dental School Clinic 01965035 00033806 11/03/2009 BROOKLYN NY 11206 Exclusion - 18NYCRR515 FRASER KEITH EVAN Physician NM006342 00173874 08/10/2010 Verona NJ 07044 Exclusion - 18NYCRR515 FREDA MARGARET M. a/k/a Durney Margaret NM005142 00328873 02/12/2009 Bronx NY 10465 Exclusion - 18NYCRR515 REGISTERED NURSE FREDERICK MARK D RPA NM005950 00007400 04/05/2010 Bellport NY 11713 Exclusion - 18NYCRR515 FREEMAN PETER D DMD 00783073 00037293 33 Orange 05/06/2004 NEWBURGH NY 12550 Exclusion - 18NYCRR515 DENTAL SCHOOL/DENTIST FREEMAN TYLER I. NM002862 00084586 12/05/2007 Charlotte NC 28277 Exclusion - 18NYCRR515 FREIDLIN DANIEL Pharmacist 01781415 00045303 28 Nassau 12/20/2009 LONG BEACH NY 11561-3213 Exclusion - 18NYCRR515 FREIFELD STEVEN J Pharmacist 02380761 00041753 61 Queens 06/07/2011 QUEENS VILLAGE NY 11428 Exclusion - 18NYCRR515 FREILICH MARK 00248417 00125063 61 Queens 10/22/2007 FLUSHING NY 11355 Exclusion - 18NYCRR515 FRENCH FRAGRANCES PLUS, INC. Perfume Wholesaler NM003043 07/13/2011 Secaucus NJ 07094 Exclusion - 18NYCRR515 SYSTEM GENERATED FROM CLAIM FRENCH LAWRENCE R. NM003008 00165992 12/20/2007 Hornell NY 14843 Exclusion - 18NYCRR515 FRESH START RECOVERY 02085349 DSAS1204 55 Westchester 03/20/2006 MT VERNON NY 10550 Exclusion - 18NYCRR515 FREY THOMAS NM000803 00001999 04/20/2006 SYOSSET NY 11791 Exclusion - 18NYCRR515 FRICANO JOSEPH A CHIROPRACTOR NM001625 00004308 02/19/2007 STATEN ISLAND NY 10305 Exclusion - 18NYCRR515 FRIED & KOHLER INC Optician 00342443 60 New York 02/09/2012 NEW YORK NY 10023 Exclusion - 18NYCRR515 SYSTEM GENERATED FROM CLAIM FRIEDLANDER JEFFREY Physician NM007349 00192066 99 Out Of State 06/20/2011 Lakeland FL 33805 Exclusion - 18NYCRR515 FRIEDMAN EUGENE N. 01323995 00032182 59 Kings 11/29/2004 BROOKLYN NY 11207 Exclusion - 18NYCRR515 DENTAL SCHOOL/DENTIST FRIEDMAN LAWRENCE NM003450 01/01/1998 Eglin AFB FL 32542 Exclusion - 18NYCRR515 FRIENDLY MEDICAL TRANSP LTD 01112885 00B90055 59 Kings 04/12/1993 BROOKLYN NY 11235 Exclusion - 18NYCRR515 FRIENDLY TRAILS TRANSP CORP 01395688 00B90399 59 Kings 09/15/2007 BROOKLYN NY 11204 Exclusion - 18NYCRR515 FRISHBERG KENNETH 01295656 00020833 59 Kings 05/10/1994 BROOKLYN NY 11233 Exclusion - 18NYCRR515 FROMER CARL H 00565664 00142664 62 Richmond 03/30/2000 STATEN ISLAND NY 10314 Exclusion - 18NYCRR515 FRONCZAK CHRISTOPHER PAUL Chiropractor NM007363 00009579 32 Ontario 01/02/2012 Victor NY 14564-1408 Exclusion - 18NYCRR515 FROST WILLIAM W NM001962 01/20/2008 Hilton Head SC 29925 Exclusion - 18NYCRR515 FRUMKIN ELI A MD 00191891 00108456 61 Queens 01/12/2004 GREAT NECK NY 11021 Exclusion - 18NYCRR515 PHYSICIANS FTIHA NOURI CHAMAA 01739642 00043570 61 Queens 10/20/2008 REGO PARK NY 11372 Exclusion - 18NYCRR515 PHYSICIANS FU PIT YIM 01290142 00031114 61 Queens 04/06/1994 RICHMOND HILL NY 11419 Exclusion - 18NYCRR515 FUENTES EDDIE E MD 00808131 00156423 47 Suffolk 07/26/1992 HOLBROOK NY 11741 Exclusion - 18NYCRR515 FUENTES EVANGELO E MD 01358185 00189725 60 New York 12/07/2005 NEW YORK NY 10029 Exclusion - 18NYCRR515 PHYSICIANS FUENTES MICHAEL A Physician NM005121 00163471 05/20/2010 Darren CT 06820 Exclusion - 18NYCRR515 FUERTES ANELSON G MD 00176650 00102353 58 Bronx 07/20/1998 BRONX NY 10461 Exclusion - 18NYCRR515 FULMER RENEE LPN NM001069 00245257 03/26/2008 EAST FREETOWN NY 13040 Exclusion - 18NYCRR515 FULTON GENTLE FAM DENT PC Dental Groups 02378054 59 Kings 05/17/2010 BROOKLYN NY 11201 Exclusion - 18NYCRR515 FULTON PAMELA NM002122 00265230 09/18/2008 Rochester NY 14615 Exclusion - 18NYCRR515 FURMAN STANLEY N Physician NM006357 00161260 07/20/2010 Richmond VA 23226 Exclusion - 18NYCRR515 FURRY JOSEPH F NM002226 00003224 05/28/2007 Wyantskill NY 12198 Exclusion - 18NYCRR515 SYSTEM GENERATED FROM CLAIM FUZAILOV SHOLOM MENASHE 01866128 00047661 28 Nassau 09/20/2007 FLUSHING NY 11367 Exclusion - 18NYCRR515 FUZESSERY JACQUELINE J 02065218 00244505 55 Westchester 03/26/2008 OSSINING NY 10562 Exclusion - 18NYCRR515 G & Y PHARMACY INC 01070786 00019834 61 Queens 09/22/1992 BAYSIDE NY 11364 Exclusion - 18NYCRR515 GABA GREGORY RN NM007758 00503169 99 Out Of State 11/20/2011 Overland Park KS 66207 Exclusion - 18NYCRR515 GABELMAN CHARLES GROVER MD 00818222 00157522 30 Oneida 07/18/1995 UTICA NY 13502 Exclusion - 18NYCRR515 GABRIEL GEANETTE C NM001765 03/26/2007 Bronx NY 10469 Exclusion - 18NYCRR515 GABRIEL MICHAEL H MD Resident Physician NM007283 99 Out Of State 07/11/2011 Proctorville OH 45669 Exclusion - 18NYCRR515 SYSTEM GENERATED FROM CLAIM GACKO MAMADOU Unknown NM005442 11/19/2009 New York NY 10025 Exclusion - 18NYCRR515 GADSON KENYA Billing Manager for DME NM004684 61 Queens 04/20/2010 Far Rockaway NY 11692 Exclusion - 18NYCRR515 GAELENS DEBRA NM000382 00230622 03/12/2006 Rochester NY 14621 Exclusion - 18NYCRR515 GAINES ABDUL ALIM NM000547 14 Erie 08/20/2006 Buffalo NY 14214 Exclusion - 18NYCRR515 GAITHER SHERETT DENISE LPN NM007220 00272859 61 Queens 06/05/2011 Queens Village NY 11429 Exclusion - 18NYCRR515 GALANG MARIANO Physician NM006505 00181288 11/01/2010 Elizabethtown KY 42701 Exclusion - 18NYCRR515 GALARZA LYDIA A LICENSED MASTER SOCIAL WORKER NM001766 00028060 03/26/2007 New York NY 10034 Exclusion - 18NYCRR515 GALIN MILES A MD 00325677 00077998 60 New York 03/19/2009 NEW YORK NY 10028 Exclusion - 18NYCRR515 PHYSICIANS GALLAGHER GERALDINE Owner Operator of Sanctuary East NM004940 00002668 07/20/2011 Freeport NY 11520 Exclusion - 18NYCRR515 GALLER CHERIE DPM 00843958 00003734 59 Kings 01/04/2006 LONG ISLAND CITY NY 11103 Exclusion - 18NYCRR515 OPTHALMIC DISPENSER GALLER MARVIN MD 00899138 00147538 10/21/2003 WILLIAMSVILLE NY 14221 Exclusion - 18NYCRR515 GALLETTA GEORGE President-Adult Home NM006595 99 Out Of State 02/19/2009 Fairton NJ 08320 Exclusion - 18NYCRR515 SYSTEM GENERATED FROM CLAIM GALLO LOUIS PRESIDENT OF NY AID SOCIETY NM001122 09/18/2008 EAST NORTHPORT NY 11731 Exclusion - 18NYCRR515 GALLO MILAGROS Nurse NM004984 00060942 10/20/2010 Brooklyn NY 11214 Exclusion - 18NYCRR515 GALLOWAY TERRI CNA NM001433 3421328405 03/20/2009 JAMAICA NY 11432 Exclusion - 18NYCRR515 SYSTEM GENERATED FROM CLAIM GAMBRINO ANTHONY G MD 00419003 00125451 99 Out Of State 03/30/2007 LIVINGSTON NJ 07039 Exclusion - 18NYCRR515 GAMZIUKAS ALGIRDAS MD Physician 00616380 00086107 14 Erie 01/10/2012 BUFFALO NY 14206-1032 Exclusion - 18NYCRR515 GANJIAN JAVID 01306514 00039349 47 Suffolk 05/10/1994 CENTRAL ISLIP NY 11722 Exclusion - 18NYCRR515 GANSCHOW TINA MARIE Nurse NM006265 00261679 05/26/2010 Collins Center NY 14035 Exclusion - 18NYCRR515 GANTHIER GHISLAINE Nurse NM005542 00489328/00211136 08/19/1999 Brooklyn NY 11239 Exclusion - 18NYCRR515 GANTT CHANDA CNA NM007470 342012790703E 30 Oneida 09/19/2011 Rome NY 13440 Exclusion - 18NYCRR515 GARCIA ANASTACIO NM006943 02/20/2011 New York NY 10034 Exclusion - 18NYCRR515 GARCIA FRANK Nurse NM006165 00269677/00565707 04/26/2010 Hilton NY 14468 Exclusion - 18NYCRR515 GARCIA STEVEN L Ophthalmic Dispenser 01363542 00004539 47 Suffolk 08/05/2010 BAY SHORE NY 11706-5320 Exclusion - 18NYCRR515 GARDNER AMY Debt Collection Agent NM005170 12/06/2010 Grand Island NY 14072 Exclusion - 18NYCRR515 GARDNER BARBARA GAIL LPN 01420084 00230474 28 Nassau 04/23/1996 INWOOD NY 11696 Exclusion - 18NYCRR515 GARDNER DAVID D DDS 02596427 00041343 26 Monroe 05/22/2006 ROCHESTER NY 14621 Exclusion - 18NYCRR515 GAREN TEHEN-TSIU VONG NM002403 00197825 08/09/2007 San Francisco CA 94122 Exclusion - 18NYCRR515 GARIPALLI LAXMIPATHI MD 00460279 NJ035396 99 Out Of State 11/12/2008 OLD BRIDGE NJ 08857 Exclusion - 18NYCRR515 GARNER, LOWELL 00884051 10/02/2001 ITHACA NY 14850 Exclusion - 18NYCRR515 GARNETT HAZEL V LPN 01568294 00181663 13 Dutchess 07/19/2005 POUGHKEEPSIE NY 12603 Exclusion - 18NYCRR515 PRACTICAL NURSE GAROFALO FRANK J MD 00088688 00070397 58 Bronx 05/08/1990 BRONX NY 10461 Exclusion - 18NYCRR515 GAROFALO VINCENT J MD 00166972 00098242 39 Rockland 08/13/1996 NEW CITY NY 10956 Exclusion - 18NYCRR515 GAROFOLO CAROL A RN NM006962 00480993 26 Monroe 07/20/2011 Rochester NY 14609 Exclusion - 18NYCRR515 GARRETT MICHAEL J MD Physician 00734405 00146407 25 Madison 02/15/2012 ONEIDA NY 13421-2611 Exclusion - 18NYCRR515 PHYSICIANS GARRETT SHAWN CNA NM000688 3416265905 01/04/2006 BUFFALO NY 14212 Exclusion - 18NYCRR515 DENTAL SCHOOL/DENTIST GARRY ALEX GEN NM000607 N/A 10/07/2005 JAMESSTOWN CA 95327 Exclusion - 18NYCRR515 GARVIN KIM Personal Care Aide NM005109 04/20/2010 Hempstead NY 11550 Exclusion - 18NYCRR515 GARY ERICA NM001183 03/20/2007 BABYLON NY 11704 Exclusion - 18NYCRR515 GARY MARY CNA NM001071 341232511198E 07/04/2006 UTICA NY 13501 Exclusion - 18NYCRR515 GARY SANDRA PERSONAL CARE AIDE NM001182 03/20/2007 NORTH BABYLON NY 11704 Exclusion - 18NYCRR515 GASHINSKAYA ALEKSANDRA MD Physician 02301164 00225779 59 Kings 09/01/2009 BROOKLYN NY 11223-1628 Exclusion - 18NYCRR515 GASS STEVEN F 00403769 00002943 59 Kings 12/20/2007 BROOKLYN NY 11208 Exclusion - 18NYCRR515 GASSLER JOSEPH R DPM 00720723 00003408 59 Kings 02/27/1992 BROOKLYN NY 11221 Exclusion - 18NYCRR515 GASTON HERBERT P 01458300 00181520 57 Yates 03/28/2008 PENN YAN NY 14527 Exclusion - 18NYCRR515 GATTEN ANNE Nurse NM006116 00555074 05/20/2008 Rochester NY 98579 Exclusion - 18NYCRR515 GAVRIELOV NERYA Home Health Aide NM003522 03/18/2010 Jamaica NY 11435 Exclusion - 18NYCRR515 GAZDAR KERSI MD 00385382 00137410 62 Richmond 03/27/1987 STATEN ISLAND NY 10314 Exclusion - 18NYCRR515 GEARITY KATHERINE ANN 01467394 00005338 60 New York 02/17/1994 NEW YORK NY 10023 Exclusion - 18NYCRR515 GEEVARGHESE MUKALINPURATHU MD 00890991 00147362 61 Queens 08/30/1990 ELMHURST NY 11373 Exclusion - 18NYCRR515 GEIZER MARIA Citizen NM005850 41 Saratoga 05/19/2011 Saratoga Springs NY 12866 Exclusion - 18NYCRR515 GELA JOHN OWNER/PRESIDENT OF GSG INC NM000944 38 Rensselaer 07/24/2006 AVERILL PARK NY 12018 Exclusion - 18NYCRR515 GELB JACK M PC DDS 00291194 59 Kings 02/13/1986 BROOKLYN NY 11226 Exclusion - 18NYCRR515 GELBER JEFFREY ALLAN MD Physician 00675329 00129283 14 Erie 08/10/2010 ORCHARD PARK NY 14127-1929 Exclusion - 18NYCRR515 GELFAND JOHN JULIAN DO 02263981 00151983 09/20/2007 SHADY NY 12409 Exclusion - 18NYCRR515 GELIN EMMANUEL MD Physician 01845981 00192203 28 Nassau 10/24/2011 Baldwin NY 11510 Exclusion - 18NYCRR515 GELLER HOWARD MEDICAL BILLER NM000565 03/20/2006 NEW YORK NY 10128 Exclusion - 18NYCRR515 GELLER JOEL L DDS PC 00316192 00029496 60 New York 01/04/2006 WARWICK NY 10990 Exclusion - 18NYCRR515 DENTAL SCHOOL/DENTIST GELLMAN ELLIOTT MD Physician 00744601 00121153 60 New York 03/10/2010 NEW YORK NY 10029-6503 Exclusion - 18NYCRR515 GELMAN FELIX MD 01598521 00199904 59 Kings 01/13/2009 BROOKLYN NY 11204 Exclusion - 18NYCRR515 GELPI ANGELO 01271530 00000233 58 Bronx 12/20/2000 BRONX NY 10468 Exclusion - 18NYCRR515 GEMMELL CRYSTAL J RN 01775153 00494937 25 Madison 01/18/2007 ERIEVILLE NY 13061 Exclusion - 18NYCRR515 GENAO ESTEBAN A MD Physician 00939551 00165453 60 New York 11/19/2010 NEW YORK NY 10040-1615 Exclusion - 18NYCRR515 GENCO RICHARD J DDS 01470704 00044387 04/09/2003 SOUTH FALLSBURG NY 12779 Exclusion - 18NYCRR515 GENDELMAN EDUARD Driver NM007469 59 Kings 09/27/2011 Brooklyn NY 11230-5429 Exclusion - 18NYCRR515 SYSTEM GENERATED FROM CLAIM GENERAL HEARING AIDS INC 00520049 00125003 01 Albany 02/02/1992 ALBANY NY 12205 Exclusion - 18NYCRR515 GENTILE GERALD Respiratory Therapist Technician NM006150 00000013 02/20/2011 Lake Ronkonkoma NY 11779 Exclusion - 18NYCRR515 SYSTEM GENERATED FROM CLAIM GENTILE MARIA CRISTINA MD 00948292 00158355 59 Kings 03/01/1994 BROOKLYN NY 11205 Exclusion - 18NYCRR515 GENTLE BEVERLEY Nurse NM005191 00288102 09/20/2010 Brooklyn NY 11230 Exclusion - 18NYCRR515 GEORGE HEATHER A Massage Therapist NM005849 00015517 03/15/2010 Dansville NY 14437 Exclusion - 18NYCRR515 GEORGE JOBY K Pharmacist NM006400 00049012 99 Out Of State 05/19/2011 Cliffwood NJ 07721 Exclusion - 18NYCRR515 GEORGE KEVIN W Physician 02347542 00201439 99 Out Of State 02/15/2012 SCHENECTADY NY 12308-2425 Exclusion - 18NYCRR515 PHYSICIANS GEORGE PAULETTE CNA NM004863 341372530999E 47 Suffolk 10/25/2011 Sayville NY 11782 Exclusion - 18NYCRR515 GEORGE PHILOMINA NURSE/NURSE'S AIDE NM000802 00513407 04/20/2006 BELLEROSE NY 11426 Exclusion - 18NYCRR515 GEORGE-SHERIFFE JULIA ADINA RPN NM002272 00436468 07/02/2007 Brooklyn NY 11236 Exclusion - 18NYCRR515 REGISTERED NURSE GEORGES JUNIE RN 02062348 00417968 47 Suffolk 05/18/2006 BRENTWOOD NY 11717 Exclusion - 18NYCRR515 REGISTERED NURSE GEORGETOWNE MEDICAL P.C. NM003948 00204777 06/25/2008 Brooklyn NY 11234 Exclusion - 18NYCRR515 GEOURZOUNG SONJA MARIE MD 01039078 00171160 61 Queens 10/07/1992 JAMAICA NY 11432 Exclusion - 18NYCRR515 GERACE SHANNON Service Coordinator NM007374 24 Livingston 08/15/2011 FARMINGTON NY 14425 Exclusion - 18NYCRR515 GERACI THERESA LPN 02186496 00263737 13 Dutchess 10/06/2005 WAPPINGER FALLS NY 12590 Exclusion - 18NYCRR515 PRACTICAL NURSE GERARD MARLENE LPN 01210631 00196738 59 Kings 02/27/2004 BROOKLYN NY 11230 Exclusion - 18NYCRR515 PHYSICIANS GERBOVAZ TODD A OPERATOR OF EMPIRE PHARMACEUTICAL NM001652 03/04/2007 NEWBURY PARK CA 91320 Exclusion - 18NYCRR515 GERIS BILLY NABIL MD Physician 01789082 00203728 62 Richmond 10/19/2011 STATEN ISLAND NY 10312-6360 Exclusion - 18NYCRR515 GERMAIN MICHELLE MEDICAL ASSISTANT NM000425 28 Nassau 06/20/2006 FREEPORT NY 11520 Exclusion - 18NYCRR515 GERMAIN PHILIP NM001048 06/20/2006 FREEPORT NY 11520 Exclusion - 18NYCRR515 GERMAN ANNA RN NM007296 00549105 59 Kings 08/18/2011 Brooklyn NY 11235 Exclusion - 18NYCRR515 GERMAN VLADISLAV CLINIC OWNER NM002323 07/19/2007 BRADFORD PA 16701 Exclusion - 18NYCRR515 SYSTEM GENERATED FROM CLAIM GERSON SCOTT A MD 01126127 00163408 59 Kings 07/06/1992 BROOKLYN NY 11212 Exclusion - 18NYCRR515 GERSONIA RAYE CNA NM001051 3415686612 06/20/2006 CANANDAIGUA NY 14424 Exclusion - 18NYCRR515 GESSNER WIESLAW P. NM002873 00184339 11/30/2007 Golden CO 80401 Exclusion - 18NYCRR515 GETKO INC 01226613 00020283 60 New York 10/26/1992 NEW YORK NY 10128 Exclusion - 18NYCRR515 GETTMANN CECILIA BARBARA LPN 02043763 00072591 02/05/2003 MASSENA NY 13662 Exclusion - 18NYCRR515 GHAED NASSER MD 01478115 00194140 26 Monroe 11/01/1997 ROCHESTER NY 14642 Exclusion - 18NYCRR515 GHANEM ROLAND Physician NM006983 00113086 99 Out Of State 01/14/2011 Totawa NJ 07512 Exclusion - 18NYCRR515 GHAZARYAN ALVARD HOME HEALTH AID NM002003 59 Kings 01/19/2008 Brooklyn NY 11235 Exclusion - 18NYCRR515 GHAZARYAN LILIK Home Health Aide NM002002 06/17/2010 Brooklyn NY 11235 Exclusion - 18NYCRR515 GHIASUDDIN MOHAMMAD MD 00497232 13 Dutchess 05/22/1997 WAPPINGERS FALLS NY 12590 Exclusion - 18NYCRR515 GHOSAL KALI K MD 00818108 00156685 60 New York 06/12/1990 NEW YORK NY 10030 Exclusion - 18NYCRR515 GHOSH PRASANTA KUMAR MD 00772041 00149123 13 Dutchess 12/31/1991 STAATSBURG NY 12580 Exclusion - 18NYCRR515 GIACOBBE STEPHEN D Employee NM005690 12/20/2009 New York NY 10007 Exclusion - 18NYCRR515 GIANTURCO MICHAEL JAMES MD 00604691 14 Erie 07/20/2000 SNYDER NY 14226 Exclusion - 18NYCRR515 GIBEL INNA NM003468 01/01/1998 Unknown ZZ 00000 Exclusion - 18NYCRR515 GIERSZEWSKI RHONDA Nurse NM005335 00286060 11/04/2009 South Dayton NY 14138 Exclusion - 18NYCRR515 GIGLIA JOSEPH DME PROVIDER SENECA CAZENOVIA OSTOMY NM003363 08/20/2008 West Seneca NY 14224 Exclusion - 18NYCRR515 GIGLIA MARIA E NM003362 04/22/2008 West Seneca NY 14224 Exclusion - 18NYCRR515 GIL DE RUBIO HECTOR MD 01413381 00174379 02/05/2003 FOREST HILLS NY 11375 Exclusion - 18NYCRR515 GILBERT JAN W DDS Dentist 02391468 00029102 28 Nassau 11/07/2010 LAWRENCE NY 11559-1731 Exclusion - 18NYCRR515 GILCHRIST RHONN D CSW Clinical Social Worker 01779973 00031719 14 Erie 07/20/2009 BUFFALO NY 14214 Exclusion - 18NYCRR515 GILL ALYSON R RN NM005832 00483052 12/23/2009 Laurel Springs NJ 08021 Exclusion - 18NYCRR515 REGISTERED NURSE GILL OLGA None NM005867 10/19/2010 Freeport NY 11520 Exclusion - 18NYCRR515 GILLES MARIE L LPN 01795871 00213030 07/19/2007 MT. VERNON NY 10522 Exclusion - 18NYCRR515 PRACTICAL NURSE GILLESPIE DONNA J MASSAGE THERAPIST NM002423 00002452 08/05/2007 Bluepoint NY 11715 Exclusion - 18NYCRR515 GILLIAN TERRY A. Physician NM004981 00126382 04/03/2009 Fresno CA 93720 Exclusion - 18NYCRR515 GILLIES WRIGHT D RPA RPA 02330867 00000172 51 Ulster 05/11/2009 WAWARSING NY 12489 Exclusion - 18NYCRR515 GILLIS ROBERT PATRICK MD 00833454 60 New York 11/20/2000 NEW YORK NY 10003 Exclusion - 18NYCRR515 GINSBERG STEVEN ERIK DPM Podiatrist 02387153 00005906 58 Bronx 04/20/2010 BRONX NY 10458-8185 Exclusion - 18NYCRR515 GIRENKO ELENA SZS Landlord NM006545 62 Richmond 08/03/2011 Staten Island NY 10312 Exclusion - 18NYCRR515 GITTENS DESALINE RN NM005182 00581869 59 Kings 02/20/2011 Brooklyn NY 11226 Exclusion - 18NYCRR515 REGISTERED NURSE GLASS MICHAEL R MD 00174805 00101561 01/18/2007 ITHACA NY 14850 Exclusion - 18NYCRR515 GLEASON ELLEN M LPN 02633961 00137830 04 Cattaraugus 04/19/2007 OLEAN NY 14760 Exclusion - 18NYCRR515 GLENWOOD PHARMACY INC 00854146 00018295 59 Kings 10/27/1993 BROOKLYN NY 11210 Exclusion - 18NYCRR515 GLICKLICH DANA N MD 00430520 00137540 04/07/2003 NEW YORK NY 10010 Exclusion - 18NYCRR515 GLICKMAN STANLEY DMD 00635965 00018873 52 Warren 03/01/1994 GLENS FALLS NY 12801 Exclusion - 18NYCRR515 GLOBAL HEALTH CARE TRAINING, INC. Home Health Care Training School NM006615 08/18/2011 Brooklyn NY 11226 Exclusion - 18NYCRR515 GLOBAL LINE TRANSPORTATION INC Transportation 02847414 00030821/00B90637 62 Richmond 09/07/2011 STATEN ISLAND NY 10305-4649 Exclusion - 18NYCRR515 GLOVER DAVID C. NM001406 00241813 12/11/2006 BUFFALO NY 14215 Exclusion - 18NYCRR515 GLUSHENKO INNA HOME HEALTH AIDE - IMPOSTER NM004691 12/18/2008 Brooklyn NY 11235 Exclusion - 18NYCRR515 GO JAIME Y PC MD 00441263 00129186 46 Steuben 07/20/2000 BATH NY 14810 Exclusion - 18NYCRR515 GODDARD MICHELLE Nurse NM006117 00482239 05/20/2008 Monroe NC 28110 Exclusion - 18NYCRR515 GODDEAU SHANNON Nurses Aide NM007619 09 Clinton 09/20/2011 Cadyville NY 12918 Exclusion - 18NYCRR515 GODFREY KIMBERLY A DO Physician 01953759 00208659 58 Bronx 12/20/2009 BRONX NY 10467-2401 Exclusion - 18NYCRR515 GODWIN ANDREW C MD 00609949 00092095 03 Broome 09/20/1999 VESTAL NY 13850 Exclusion - 18NYCRR515 GODWIN CAROL ADMINISTRATOR AT EXTENDED HOME HEALTH AGENCY NM001503 01/14/2007 SPRINGFIELD GARDENS NY 11433 Exclusion - 18NYCRR515 GOEPP JULIUS G K MD 01805256 00208291 26 Monroe 11/04/2005 ROCHESTER NY 14642 Exclusion - 18NYCRR515 PHYSICIANS GOINGS CONCHITA Y NM006043 00153397 03/09/2010 Lakewood CA 90715 Exclusion - 18NYCRR515 GOLD ARNOLD MD 01524170 PA12963E 99 Out Of State 02/15/1996 MANSFIELD PA 16933 Exclusion - 18NYCRR515 GOLD RICHARD LOUIS MD PC 00495529 00084219 39 Rockland 05/22/1997 MONSEY NY 10952 Exclusion - 18NYCRR515 GOLDBERG BARRY MD 00799344 00152301 05/07/2001 BROOKLYN NY 11220 Exclusion - 18NYCRR515 GOLDBERG GERALD L MD 00758058 00139940 47 Suffolk 03/19/1998 BAYSHORE NY 11706 Exclusion - 18NYCRR515 GOLDBERG JOSEPH NM003470 00176002 01/01/1998 Unknown ZZ 00000 Exclusion - 18NYCRR515 GOLDEN IGOR DME Owner NM007713 99 Out Of State 11/25/2011 Fort Lee NJ 07024 Exclusion - 18NYCRR515 GOLDEN LEONID DME Owner NM007712 99 Out Of State 11/25/2011 Fort Lee NJ 07024 Exclusion - 18NYCRR515 GOLDEN-LEE JENNI R Unknown NM006993 09/27/2011 Hudson Falls NY 12839 Exclusion - 18NYCRR515 SYSTEM GENERATED FROM CLAIM GOLDENHEIM PAUL D NM003332 00172942 04/20/2008 Wilton CT 06897 Exclusion - 18NYCRR515 GOLDMAN ARON MD Physician 01042355 00155611 60 New York 09/12/2011 NEW YORK NY 10019 Exclusion - 18NYCRR515 GOLDMAN CRAIG Pharmacist NM007571 59 Kings 08/18/2011 Brooklyn NY 11232 Exclusion - 18NYCRR515 GOLDMAN NORMAN PHD 01449701 00004414 42 Schenectady 08/19/1999 SCHENECTADY NY 12308 Exclusion - 18NYCRR515 GOLDNER-RADO JUDIT DDS Dentist 02256357 00041372 61 Queens 11/07/2010 JAMAICA NY 11432-4918 Exclusion - 18NYCRR515 GOLDSMITH PRESTON J RPA NM004027 00006467 10/20/2008 Upper Nyack NY 10960 Exclusion - 18NYCRR515 GOLDSTEIN ALBEN GLAZER Physician NM001437 00195302 12/25/2006 ARLINGTON VA 22204 Exclusion - 18NYCRR515 GOLDSTEIN CRYSTAL Nurse NM005885 00565129 03/25/2010 Massapequa NY 11762 Exclusion - 18NYCRR515 GOLDSTEIN JOEL S DPM PC 00435589 00002945 59 Kings 04/30/1992 BROOKLYN NY 11226 Exclusion - 18NYCRR515 GOLDSTEIN STANLEY I DPM 00418011 00001970 39 Rockland 09/18/1985 NEW CITY NY 10956 Exclusion - 18NYCRR515 GOLDWEBER BRIAN A MD Physician 00616486 00139943 31 Onondaga 01/20/2010 EAST SYRACUSE NY 13057-9226 Exclusion - 18NYCRR515 GOLENDAYEV GENNADIY UNLICENSED HOME HEALTH AIDE NM004026 08/24/2008 Brooklyn NY 11214 Exclusion - 18NYCRR515 GOLONDAYEV GENNADY HOME HEALTH AIDE NM003042 02/06/2008 Brooklyn NY 11214 Exclusion - 18NYCRR515 GOLOWATY MARIA Nurse/ Home Health Care Service Owner NM006481 00191692/00400848 07/20/2010 Saugerties NY 12477-9300 Exclusion - 18NYCRR515 GOLOWATY MARIA dba ONE TO ONE CARE Nurse 01352249 51 Ulster 10/14/2009 SAUGERTIES NY 12477 Exclusion - 18NYCRR515 GOMEZ ROY C Physician NM005035 00139002 06/15/2009 Richlands VA 24641 Exclusion - 18NYCRR515 GONCHAROV VIKTOR Nurse NM004728 00238235 10/20/2010 Brooklyn NY 11214 Exclusion - 18NYCRR515 GONDER CHARLES J. NM002885 00533425 10/23/2007 Farmingdale NY 11735 Exclusion - 18NYCRR515 GONDRE FRITZ MD 00248559 00132240 59 Kings 10/24/1996 BROOKLYN NY 11225 Exclusion - 18NYCRR515 GONZALEZ EVELYN RECEPTIONIST FOR SEVEN D PHARMACY NM001392 11/16/2008 BRONX NY 10455 Exclusion - 18NYCRR515 GONZALEZ LILLIAN Nurse NM006057 00564520 02/18/2010 North Las Vegas NV 89031 Exclusion - 18NYCRR515 GONZALEZ RAFAEL P MD 00427830 00128144 60 New York 11/20/1997 NEW YORK NY 10033 Exclusion - 18NYCRR515 GOOD HEALTH ASC OF BAY RIDGE 00976325 59 Kings 09/10/1995 BROOKLYN NY 11220 Exclusion - 18NYCRR515 GOOD LEONARD Physician 01834748 00148707 99 Out Of State 02/18/2010 MANHASSET NY 11030 Exclusion - 18NYCRR515 GOODIE JAMES WALTER LPN 02218211 00257482 55 Westchester 06/07/2005 MOUNT VERNON NY 10552 Exclusion - 18NYCRR515 PRACTICAL NURSE GOODIN RICHARD C MD PC MD 00802479 00107275 08/12/2004 BROOKLYN NY 11205 Exclusion - 18NYCRR515 GOODLET TAMIKO CNA NM000903 341033570997E 05/20/2008 ROCHESTER NY 14609 Exclusion - 18NYCRR515 GOODMAN BEATRICE A LPN NM002412 00191890 08/05/2007 Bayshore NY 11706 Exclusion - 18NYCRR515 PRACTICAL NURSE GOODMAN PAUL H Physician NM005508 00171929 05/30/2010 Amherst OH 44001 Exclusion - 18NYCRR515 GOORAHOO PAUL MD 00889478 00160589 61 Queens 04/19/2001 FAR ROCKAWAY NY 11691 Exclusion - 18NYCRR515 GOOTZEIT SHOLOM 01846051 00193515 12/25/2006 BROOKLYN NY 11206 Exclusion - 18NYCRR515 GORDON CHRISTINA M Nurse NM005884 00549487 03/25/2010 Troy NY 12182 Exclusion - 18NYCRR515 GORDON CRAIG WILLIAM MD 00999739 00165243 58 Bronx 07/19/2007 BRONX NY 10456 Exclusion - 18NYCRR515 PHYSICIANS GORDON DAVID L MD 00492948 00132940 61 Queens 11/04/1993 ASTORIA NY 11105 Exclusion - 18NYCRR515 GORDON MILADA HHA NM003772 03/20/2011 Forest Hills NY 11375 Exclusion - 18NYCRR515 SYSTEM GENERATED FROM CLAIM GORDON VERONICA R LPN Nurse 01789835 00241916/00509993 13 Dutchess 03/18/2010 POUGHKEEPSIE NY 12601 Exclusion - 18NYCRR515 GORIN KEVIN E MD 01103626 00176478 99 Out Of State 10/20/2008 LAKE CHARLES LA 70601 Exclusion - 18NYCRR515 GORMAN JACK M MD NM002563 00134700 10/09/2007 Bronx NY 10463 Exclusion - 18NYCRR515 GORMAN MARIA H LPN Nurse 02409790 00258486 51 Ulster 10/03/2010 KINGSTON NY 12401-5408 Exclusion - 18NYCRR515 GOSNELL KERMIT B Physician NM006429 00107476 08/25/2010 Philadelphia PA 19104 Exclusion - 18NYCRR515 PHYSICIANS GOTTESMAN ALBERT MD 00730910 00150127 28 Nassau 12/18/1997 GREAT NECK NY 11020 Exclusion - 18NYCRR515 GRABER EDWARD JOSEPH MD Physician 00685410 00086970 14 Erie 10/30/2009 WEST SENECA NY 14224-1946 Exclusion - 18NYCRR515 GRAHAM ROSINA NM001296 6817549Q 10/11/2006 BRONX NY 10453 Exclusion - 18NYCRR515 GRAHAM-GUERRIER JUDITH 01446175 00125680 28 Nassau 11/12/2008 ROOSEVELT NY 11575 Exclusion - 18NYCRR515 GRAND C PHARMACY INC 01446991 58 Bronx 03/10/1999 BRONX NY 10456 Exclusion - 18NYCRR515 GRAND CONCOURSE H A SVC INC 01232535 63GR1420 58 Bronx 07/13/1995 BRONX NY 10468 Exclusion - 18NYCRR515 GRANDITS JUDITH E RPN NM002227 00319079 05/28/2007 Hamburg NY 14075 Exclusion - 18NYCRR515 REGISTERED NURSE GRANIERO KENNETH DONCOURT MD Physician 00904307 00162144 30 Oneida 07/20/2011 ROME NY 13440-2844 Exclusion - 18NYCRR515 GRANT MORGAN KIA MD Physician 03079132 00213622 32 Ontario 08/03/2011 GENEVA NY 14456-1651 Exclusion - 18NYCRR515 GRANT TERRY EDWARD Dentist 01552941 00042150 28 Nassau 09/06/2011 HEMPSTEAD NY 11550 Exclusion - 18NYCRR515 DENTAL SCHOOL/DENTIST GRATTON ANTHONY P RPA RPA NM004906 00008283 03/23/2009 Corning CA 96021 Exclusion - 18NYCRR515 PHYSICIANS ASSISTANT GRAUER LOUIS A NM004868 00510572 04/14/2009 Miami FL 33138 Exclusion - 18NYCRR515 REGISTERED NURSE GRAVES GARY LCSW Clinical Social Worker 02182763 00071259/0059912 59 Kings 01/20/2010 BROOKLYN NY 11205-5039 Exclusion - 18NYCRR515 GRAYSON MURRAY NM001078 00025740 06/20/1985 MILFORD NJ 08848 Exclusion - 18NYCRR515 GREAVES YVETTE NM000699 00221072 06/22/2005 ROXBURY MA 02119 Exclusion - 18NYCRR515 GREEN CHRISTOPHER Chiropractor NM005743 00007096 07/13/2011 Wantagh NY 11793 Exclusion - 18NYCRR515 CHIROPRACTOR/PORT-XRAY-SVC (QMB) GREEN MORRIS NM003471 01/01/1998 Unknown ZZ 00000 Exclusion - 18NYCRR515 GREEN SHOE STORE 00417643 59 Kings 07/01/1992 BROOKLYN NY 11211 Exclusion - 18NYCRR515 GREEN SPURGEON JR MD Physician 01708290 GA 033830 99 Out Of State 04/20/2010 PERRY GA 31069-4313 Exclusion - 18NYCRR515 GREENBAUM MARK G MD 01056880 00152004 60 New York 07/19/2005 BIRMINGHAM AL 35283 Exclusion - 18NYCRR515 PHYSICIANS GREENBERG MICHAEL S DPM 00786714 00003564 61 Queens 02/27/1992 CORONA NY 11368 Exclusion - 18NYCRR515 GREENBERG WAYNE Administrator for Skilled Nursing NM005491 07/20/2009 Staten Island NY 10314 Exclusion - 18NYCRR515 GREENE DAVID Physician NM006272 00228280 06/09/2010 Providence RI 02906 Exclusion - 18NYCRR515 PHYSICIANS GREENHOUSE NILES F MD 00722610 00143576 35 Oswego 06/06/1994 CENTRAL SQUARE NY 13036 Exclusion - 18NYCRR515 GREENIDGE NEIL T MD 00179213 00103216 58 Bronx 06/18/1998 BRONX NY 10463 Exclusion - 18NYCRR515 GREER DOUGLAS F. NM002784 00104300 03/20/2008 Washington DC 20007 Exclusion - 18NYCRR515 GREER GARY WAYNE MD 00900885 00154695 51 Ulster 02/29/2008 NEW PALTZ NY 12561 Exclusion - 18NYCRR515 GREGORIO ARTEMIO O MD 00660715 00121509 47 Suffolk 08/10/1994 RIVERHEAD NY 11901 Exclusion - 18NYCRR515 GREGORY VANESA QUAINTANCE DO Physician 02081987 00212965 49 Tioga 05/12/2010 OWEGO NY 13827 Exclusion - 18NYCRR515 GREJDA ANTHONY ALBERT 01790674 037425 99 Out Of State 12/18/2008 PITTSBURGH PA 15205-2816 Exclusion - 18NYCRR515 PHARMACISTS GREY LYNN RN NM007755 00406109 99 Out Of State 11/20/2011 Phoenix AZ 85086 Exclusion - 18NYCRR515 GREYSTONE PHARMACY 00326807 00015643 28 Nassau 05/25/2006 ROCKVILLE CENTRE NY 11570 Exclusion - 18NYCRR515 GRICE ALICIA A. NM001549 00129095 01/15/2007 REMSENBURG NY 11960 Exclusion - 18NYCRR515 GRIECO JULIUS MICHAEL MD 00653594 00090005 47 Suffolk 04/16/2007 SMITHTOWN NY 11787 Exclusion - 18NYCRR515 GRIESEMER CHANTAL L NM000617 00264574 05/19/2005 BALLSTON LAKE NY 12019 Exclusion - 18NYCRR515 GRIESMER CHANTAL L NM003472 01/01/1998 Unknown ZZ 00000 Exclusion - 18NYCRR515 GRIFFIN BRENDA L NM002514 10/20/2008 Hillsdale NY 12529 Exclusion - 18NYCRR515 GRIFFIN JAMES E. JR. NM003523 05/20/2008 Gardner MA 01440 Exclusion - 18NYCRR515 GRIFFIN PATRICK H MD 00904792 00149743 60 New York 11/20/1997 NEW YORK NY 10023 Exclusion - 18NYCRR515 GRIMALDI JOHN Pharmacist NM000603 00022646 04/14/2003 Lake Grove NY 11755 Exclusion - 18NYCRR515 GRIMMICK DANIEL W. Nurse NM005882 00484472 03/25/2010 Clifton Park NY 12065 Exclusion - 18NYCRR515 GROMISCH MARK E MD 01176916 00170354 58 Bronx 02/20/1995 BRONX NY 10451 Exclusion - 18NYCRR515 GROSS ARTHUR J MD 00092159 00071697 28 Nassau 12/13/1992 HICKSVILLE NY 11801 Exclusion - 18NYCRR515 GROSS MARIE M MD 00766014 00147895 48 Sullivan 02/19/1998 MONTICELLO NY 12701 Exclusion - 18NYCRR515 GROSSMAN GARY 01330941 00040597 10/02/2001 DIX HILLS NY 11746 Exclusion - 18NYCRR515 GROSSMAN LEONARD MD 01418120 00180130 59 Kings 02/20/2000 BROOKLYN NY 11215 Exclusion - 18NYCRR515 GROSSMAN ROBERT S PHYSICIAN NM001669 00073866 03/01/2007 NEWTON CT 06470 Exclusion - 18NYCRR515 GROSSO GINO Physician NM007416 00127729 99 Out Of State 09/06/2011 Philadelphia PA 19128 Exclusion - 18NYCRR515 PHYSICIANS GROTEN MARY E Nurse NM005410 00504218 09/24/2009 Fairport NY 14450 Exclusion - 18NYCRR515 GROTH DEBORAH LPN NM006151 00072934 14 Erie 08/18/2011 Buffalo NY 14222 Exclusion - 18NYCRR515 GROVER BEVERLY CNA NM001523 341040051097E 03/09/2006 GILBOA NY 12076 Exclusion - 18NYCRR515 GROYSMAN LYUBOV DME Owner NM007637 59 Kings 11/15/2011 Brooklyn NY 11223 Exclusion - 18NYCRR515 SYSTEM GENERATED FROM CLAIM GRUBESSI WILLIAM L 01057827 00033327 11/20/2006 WESTBURY NY 11590 Exclusion - 18NYCRR515 GRUDUS EDWARD NURSE NM002665 00422357 10/18/2007 Columbus OH 43215 Exclusion - 18NYCRR515 GSSV PHARMACY INC Pharmacy 02801105 00028083 61 Queens 12/20/2009 SUNNYSIDE NY 11104-3302 Exclusion - 18NYCRR515 GUARGLIA ANTHONY T 00460251 00003416 10/17/2003 HORNELL NY 14843 Exclusion - 18NYCRR515 GUARGLIA OPTICIANS INC 00445767 00708003 46 Steuben 05/25/2003 CORNING NY 14830 Exclusion - 18NYCRR515 GUARGLIA OPTICIANS INC 00835185 46 Steuben 02/28/1987 HORNELL NY 14843 Exclusion - 18NYCRR515 GUERRA DANIEL NM004932 05/13/2009 New York NY 10016 Exclusion - 18NYCRR515 PSYCHOLOGIST GUGGENHEIM ISADORA Massage Therapist NM007194 00003813 05/22/2011 Nyack NY 10960-2512 Exclusion - 18NYCRR515 GUILLEN ENRIQUE 01574818 00045832 60 New York 07/27/2004 BROOKLYN NY 11232 Exclusion - 18NYCRR515 DENTAL SCHOOL/DENTIST GULATI DIWAN Pharmacy Owner NM006762 05/22/2011 Glen Head NY 11545 Exclusion - 18NYCRR515 GULATI URMIL ARYA Owner of Chotu Pharmacy NM006744 05/22/2011 Glen Head NY 11545 Exclusion - 18NYCRR515 GULLEY YOLANDA CNA NM006832 340755350496R 03 Broome 08/18/2011 Binghamton NY 13901 Exclusion - 18NYCRR515 GULLO LISA CNA NM000962 3422863105 06/20/2006 WEST SENECA NY 14224 Exclusion - 18NYCRR515 GUNDERSEN ROBERT E CNA NM004482 340852270996E 10/20/2010 Middleburgh NY 12122 Exclusion - 18NYCRR515 GUNTHNER MAUREEN NM002664 00508000 10/18/2007 Hampton Bays NY 11946 Exclusion - 18NYCRR515 GUPTA MAHENDRA MD 00234097 00125086 07/08/2003 BLAUVELT NY 10913 Exclusion - 18NYCRR515 GUPTA RAJENDRA P MD 00500523 00109890 61 Queens 11/10/2003 GREAT NECK NY 11021 Exclusion - 18NYCRR515 PHYSICIANS GUPTA SUSHILA MD 00246497 00131542 58 Bronx 01/20/1998 BRONX NY 10452 Exclusion - 18NYCRR515 GURCIULLO ANDREA M ACCUPUNCTURE NM003328 00001113 02/25/2008 Lido Beach NY 11561 Exclusion - 18NYCRR515 GUREVICH NATALIA P MD 01638182 00192688 61 Queens 09/12/2005 LONG ISLAND CITY NY 11106 Exclusion - 18NYCRR515 PHYSICIANS GURSEL CATHERINE H. NM002415 00445126 12/20/2007 Pensacola FL 32514 Exclusion - 18NYCRR515 GUTIERREZ YAMECI RPA NM004002 00010569 01/29/2008 Kissimmee FL 34744-8910 18NYCRR504.1(d)(19) GUTMAN ARTHUR Manager, Ambulette PRN NM005550 12/29/2009 Brooklyn NY 11235 Exclusion - 18NYCRR515 GUZMAN DANIEL 3890 Broadway Pharmacy Employee NM005283 11/04/2009 New York NY 10033 Exclusion - 18NYCRR515 GUZMAN JEYMY 3890 Broadway Pharmacy Employee NM005284 11/04/2009 New York NY 10033 Exclusion - 18NYCRR515 H M J DRUGS INC 00896277 00018650 58 Bronx 08/21/1990 BRONX NY 10451 Exclusion - 18NYCRR515 H&J SHOES INC 00871536 60 New York 02/27/1992 NEW YORK NY 10002 Exclusion - 18NYCRR515 HAAS CHRISTOPHER K 01619589 00005958 28 Nassau 03/20/2000 PLAINVIEW NY 11803 Exclusion - 18NYCRR515 HAAS HENRY A Pharmacist 02099838 00023021 28 Nassau 03/01/2010 POINT LOOKOUT NY 11569 Exclusion - 18NYCRR515 HABER ALISSA HECKER LMSW NM007043 00051506 04/03/2011 North Woodmere NY 11581 Exclusion - 18NYCRR515 HABIB IMAD Employee NM005346 10/20/2009 North Bergen NJ 07047 Exclusion - 18NYCRR515 HABIB MAGED S. NM002962 00209323 01/22/2008 Boynton Beach FL 33426 Exclusion - 18NYCRR515 HADDAD SAMIR MD Physician 02203198 00220993 59 Kings 03/15/2010 BROOKLYN NY 11206-2722 Exclusion - 18NYCRR515 HADDON WERNER Physician NM006112 00182931 08/06/2010 Orangeburg SC 29116 Exclusion - 18NYCRR515 HAFNER FRANCES B NURSE NM003649 00093983 06/10/2008 Rochester NY 14626 Exclusion - 18NYCRR515 HAGGLUND HOWARD E PHYSICIAN NM003952 00185620 07/22/2008 Norman OK 73069 Exclusion - 18NYCRR515 HAHN CHEUN S MD 00604059 00139955 61 Queens 06/26/1997 OZONE PARK NY 11416 Exclusion - 18NYCRR515 HAILOO OGINA NISHAN T 01086346 00041179 07/08/2003 FARMINGDALE NY 11735 Exclusion - 18NYCRR515 HAIMES LEONARD MD NM002847 00080860 09/27/2007 Pompano Beach FL 33062 Exclusion - 18NYCRR515 HAKHVERDYAN JESSICA Home Health Aide NM004689 03/18/2010 Burgank CA 91501 Exclusion - 18NYCRR515 HAKOBYAN MARIETA HOME HEALTH AIDE NM003604 05/25/2008 Brooklyn NY 11235 Exclusion - 18NYCRR515 HALEBIAN PAUL MD Physician 01141597 00142906 60 New York 10/06/2010 NEW YORK NY 10065-4870 Exclusion - 18NYCRR515 HALEVIE-GOLDMAN BRIAN MD NM002510 00145446 08/31/2007 Walnut Creek CA 94598 Exclusion - 18NYCRR515 HALFIN MILENA CLINICAL LABORATORY TECHNOLOGIST NM003648 00008283 59 Kings 06/10/2008 Brooklyn NY 11234 Exclusion - 18NYCRR515 HALL GEORGE CP JR 00449683 14 Erie 05/10/1994 BUFFALO NY 14223 Exclusion - 18NYCRR515 HALLAM MIGDALIA CNA NM000670 3414377603 09/12/2005 EAST UTICA NY 13502 Exclusion - 18NYCRR515 HALLIDAY DOUGLAS W MD Physician 00899505 00148892 31 Onondaga 10/14/2009 SYRACUSE NY 13210-1803 Exclusion - 18NYCRR515 HALMOR TRADING CORP 00266371 00015356 04/11/2002 NEW YORK NY 10016 Exclusion - 18NYCRR515 HAMILTON BONNIE JONES NM002221 00191467 05/28/2007 Bath NY 14810 Exclusion - 18NYCRR515 PRACTICAL NURSE HAMILTON ROSS 00216931 00117237 60 New York 08/16/1995 NEW YORK NY 10037 Exclusion - 18NYCRR515 HAMILTON TIMOTHY J II 01304076 00001589 58 Bronx 07/08/1997 BRONX NY 10468 Exclusion - 18NYCRR515 HAMLET PHARMACY INC 00718901 00017526 03/08/2002 WHITE PLAINS NY 10603 Exclusion - 18NYCRR515 HAMLIN-HARDY ARETHA E Nurse NM005812 00593005 03/10/2010 Hempstead NY 11550 Exclusion - 18NYCRR515 HANAI HISHAM M. NM002763 11/21/2007 St. Petersburg FL 33710 Exclusion - 18NYCRR515 HANDERHAN LEE NM001984 05/20/2007 East Windsor NJ 08520 Exclusion - 18NYCRR515 HANDLEY DIANE CNA NM006558 341720801101E 14 Erie 01/19/2012 Buffalo NY 14215 Exclusion - 18NYCRR515 SYSTEM GENERATED FROM CLAIM HANDY CHRISTOPHER Nurse NM005755 00241136/00480865 03/01/2010 Mt. Morris NY 14510 Exclusion - 18NYCRR515 HANDY VELMA CNA NM001231 3416672907 10/18/2007 ROCHESTER NY 14611 Exclusion - 18NYCRR515 HANERFELD MELISSA L Dental Hygienist NM007121 00021187 05/02/2011 Selkirk NY 12158 Exclusion - 18NYCRR515 HANNA DONNA MARIA aka GLASER Nurse NM005484 00537882 06/18/2009 Golden CO 80401 Exclusion - 18NYCRR515 HANNAH-ALBON JENNIFER M LPN NM007089 00267474 04/25/2011 Tonawanda NY 14120 Exclusion - 18NYCRR515 HANSEN TAMMY Nurse NM001386 00549889 05/31/2010 POMONA NY 10970 Exclusion - 18NYCRR515 HAPKE BETH W MD Physician 01341111 00242656 03 Broome 09/04/2011 JOHNSON CITY NY 13790-1805 Exclusion - 18NYCRR515 HAPPINESS TRADERS, INC. Perfume Company NM003044 04/05/2011 Carle Place NY 11514 Exclusion - 18NYCRR515 HARBOR MEDICAL & DIAGNOSTIC P.C. NM001964 00094241 05/15/2007 Hollis NY 11423 Exclusion - 18NYCRR515 HARDING LATOYA CNA NM005727 342764940109E 10/20/2010 Rochester NY 14621 Exclusion - 18NYCRR515 HARGRAVE JOSEPH F Business Owner NM007488 09/27/2011 Secaucus NJ 07094 Exclusion - 18NYCRR515 SYSTEM GENERATED FROM CLAIM HARGRAVE LLOYD J Business Owner NM007487 09/27/2011 Buffalo NY 14211 Exclusion - 18NYCRR515 SYSTEM GENERATED FROM CLAIM HARMOR PHARMACY INC 00270237 00016063 61 Queens 10/05/1992 RICHMOND HILL NY 11419 Exclusion - 18NYCRR515 HARPE KELLY MICHELE RN NM007088 00591592 04/25/2011 Mechanicville NY 12118 Exclusion - 18NYCRR515 HARPER MARGARET NM000542 00228307 42 Schenectady 03/27/2006 SCHENECTADY NY 12306 Exclusion - 18NYCRR515 HARRAN JULES L MD 00075136 00045052 59 Kings 03/25/1990 BROOKLYN NY 11218 Exclusion - 18NYCRR515 HARRICHAND SANDRA CNA NM003609 342113400404E 12/18/2008 Cambria Heights NY 11411 Exclusion - 18NYCRR515 HARRICO GRAND DRUG CORP 00270984 00001950 59 Kings 06/28/1987 BROOKLYN NY 11211 Exclusion - 18NYCRR515 HARRINGTON ROSEMARY Nurse NM006118 00389792 12/20/2007 Punta Gorda FL 33955 Exclusion - 18NYCRR515 HARRIS ANNETTE CNA NM006926 340372380594R 61 Queens 02/01/2011 Jamaica NY 11434 Exclusion - 18NYCRR515 HARRIS JACQUELINE CNA NM007271 342359201105E 25 Madison 09/05/2011 Eaton NY 13334 Exclusion - 18NYCRR515 HARRIS JESSE President, Elderchoice of Hudson Valley NM006629 11/06/2008 Tarrytown NY 10591 Exclusion - 18NYCRR515 HARRIS KYLE G NURSE NM002736 00482198 04/20/2008 Corning NY 14830 Exclusion - 18NYCRR515 HARRIS LYESHA M Home Health Aide NM006396 09/21/2010 Schenectady NY 12303 Exclusion - 18NYCRR515 HARRIS PAUL - INMATE # 29139-179 NM001337 00195626 11/20/2006 BEAUMONT TX 77720 Exclusion - 18NYCRR515 HARRIS VITTORIO 01334225 00002479 58 Bronx 07/13/1992 BRONX NY 10475 Exclusion - 18NYCRR515 HARRIS-BOSCAINO LYNDA PHD Clinical Psychologist 01426237 00011791 39 Rockland 09/19/2011 SPRING VALLEY NY 10977-3118 Exclusion - 18NYCRR515 HARRISON VERONICA CNA NM001083 3425750206 01/18/2007 ELMIRA NY 14905 Exclusion - 18NYCRR515 HARRON RAY A MD Physician NM004922 00080969 01/12/2009 Bridgeport WV 26330 Exclusion - 18NYCRR515 HARTWRIGHT ALVA JAMES MD 01682984 00204263 60 New York 05/06/2004 LONG BEACH NY 11561 Exclusion - 18NYCRR515 PHYSICIANS HARUTHUNIAN ASPET PC MD 00203136 00112296 60 New York 12/18/1997 NEW YORK NY 10040 Exclusion - 18NYCRR515 HARVEY BURT F DDS PC Dentist 01660466 00045888 59 Kings 01/20/2010 BROOKLYN NY 11213-5802 Exclusion - 18NYCRR515 HARVEY CLYDE 00247190 00128570 60 New York 10/25/2007 NEW YORK NY 10040 Exclusion - 18NYCRR515 PHYSICIANS HARWAYNE JONATHAN LLOYD DPM Podiatrist/Accupuncture 01189124 00004616/00002561 60 New York 12/17/2009 NEW YORK NY 10009-2039 Exclusion - 18NYCRR515 HARYADI TIRTADHARYANA MD 00929240 00129564 14 Erie 02/11/1991 BUFFALO NY 14213 Exclusion - 18NYCRR515 HASHEM GAMAL I DDS 01065681 00041209 55 Westchester 09/20/1999 YONKERS NY 10704 Exclusion - 18NYCRR515 HASTINGS BARRY K DDS Dentist 00638073 00031317 16 Franklin 07/06/2009 NORTH BANGOR NY 12966 Exclusion - 18NYCRR515 HASTINGS JENNIFER ANN Clinical Psychologist 02893281 00016867 99 Out Of State 03/18/2010 TROY NY 12180 Exclusion - 18NYCRR515 HATCH TIMOTHY Home and Community Support Service Worker NM007038 04/14/2011 Cropseyville NY 12052 Exclusion - 18NYCRR515 SYSTEM GENERATED FROM CLAIM HAUGHTON GEORGE G. Physician Assistant NM005330 00000978 02/25/2009 East Meadow NY 11554 Exclusion - 18NYCRR515 HAVELIWALA YOOSUF MD 00700270 00107399 60 New York 04/06/1994 NEW YORK NY 10025 Exclusion - 18NYCRR515 HAYAT ABU M A MD 00217923 00117511 59 Kings 04/30/1992 BROOKLYN NY 11224 Exclusion - 18NYCRR515 HAYES BRENDA L CNA NM006930 341624780501E 52 Warren 08/18/2011 Chestertown NY 12817 Exclusion - 18NYCRR515 HAYES DEBRA LEE LPN 00572385 00125812 55 Westchester 07/29/1997 SHENOROCK NY 10587 Exclusion - 18NYCRR515 HAYES KARA a/k/a Kramer Kara NM005143 474197 02/12/2009 Painted Post NY 14870 Exclusion - 18NYCRR515 REGISTERED NURSE HAYGOOD REGINA JOYCE DPM 00921655 00003932 59 Kings 12/18/1995 BROOKLYN NY 11229 Exclusion - 18NYCRR515 HAYPAPETYAN RAISA HOME HEALTH AIDE NM001487 59 Kings 11/20/2008 BROOKLYN NY 11235 Exclusion - 18NYCRR515 HEALTH FIRST INC 00923900 00018870 60 New York 06/06/1990 NEW YORK NY 10031 Exclusion - 18NYCRR515 HEARING AID CENTER 01101275 62HE1470 14 Erie 06/18/1996 BUFFALO NY 14202 Exclusion - 18NYCRR515 HEARING AID CTR OF TROY INC 00395262 63HE9014 38 Rensselaer 11/24/1991 TROY NY 12180 Exclusion - 18NYCRR515 HEARING CENTER OF ORANGE CO 01024588 60CO1770 33 Orange 02/02/1992 NEWBURGH NY 12550 Exclusion - 18NYCRR515 HEDAYA HAROLD MD 00598361 00128104 07/10/2006 NEW YORK NY 10014 Exclusion - 18NYCRR515 HEDMAN ROY Personal Care Assistant. NM006711 11/10/2010 Rochester NY 14621 Exclusion - 18NYCRR515 HEILMAN LISA NM001562 00523505 99 Out Of State 12/20/2006 SPARKS NV 89431 Exclusion - 18NYCRR515 HEINS ANTON III Physician NM007190 00144802 99 Out Of State 08/15/2011 Amherst NH 03031 Exclusion - 18NYCRR515 HELDEMAN MARVIN D MD 00121320 00082583 60 New York 01/06/2005 NEW YORK NY 10001 Exclusion - 18NYCRR515 PHYSICIANS HELLEIS JOSEPH Chiropractor NM006588 00010896 99 Out Of State 03/20/2006 PERRIS CA 90601 Exclusion - 18NYCRR515 HELLER JOSEPH MD 00099312 00074634 60 New York 12/28/1988 NEW YORK NY 10040 Exclusion - 18NYCRR515 HEMRAJANI SURESH K MD Physician 01263074 00166892 60 New York 08/02/2011 NEW YORK NY 10040-2105 Exclusion - 18NYCRR515 HEMSLEY HENRY W MD 00550789 00105106 08 Chenango 10/19/2000 NORWICH NY 13815 Exclusion - 18NYCRR515 HENKIN TIFFANY NM001991 05/20/2007 Davie FL 33328 Exclusion - 18NYCRR515 HENN ROBERT LPN NM002420 00221534 08/05/2007 Massapequa NY 11758 Exclusion - 18NYCRR515 PRACTICAL NURSE HENRY RHONDA L A/K/A COHEN RHONDA L NM003163 00437390 02/25/2008 Amsterdam NY 12010 Exclusion - 18NYCRR515 HENRY SHIRLEEN LPN 01790454 00228369 55 Westchester 09/12/2005 MT VERNON NY 10550 Exclusion - 18NYCRR515 PRACTICAL NURSE HEPBURN CAIPHIA CNA NM000616 3407194102 10/06/2005 BRONX NY 10452 Exclusion - 18NYCRR515 SYSTEM GENERATED FROM CLAIM HERBA EDWARD JOHN Physician NM006506 00223710 10/26/2010 Chicago IL 60612 Exclusion - 18NYCRR515 HERENA RICARDO S. NM002705 11/11/2006 Eastchester NY 10709 18NYCRR504.1(d)(19) HERIC THOMAS Physician NM001387 04/10/2009 MALIBU CA 90265 Exclusion - 18NYCRR515 PHYSICIANS HERMAN PETER MD 00299683 00098254 60 New York 10/20/1998 NEW YORK NY 10021 Exclusion - 18NYCRR515 HERMELE NOEL STEPHEN NM001594 00132592 01/31/2007 DENVER CO 80202 Exclusion - 18NYCRR515 HERNANDEZ JOSE NM001302 10/19/2006 MIAMI FL 33145 Exclusion - 18NYCRR515 HERNANDEZ ROBEL 3890 BROADWAY PHARMACY OWNER NM004045 08/13/2008 West Orange NJ 07052 Exclusion - 18NYCRR515 HERRERA MARIO Personal Assistant NM004487 07/20/2009 Roosevelt NY 11575 Exclusion - 18NYCRR515 HERSHORN MICHAEL PSYCHOLOGIST NM004128 00008938 06/19/2008 Tamarac FL 33321 Exclusion - 18NYCRR515 HERZLICH DOUGLAS B DPM PC Podiatrist 00842493 00003749 58 Bronx 04/20/2011 BRONX NY 10461 Exclusion - 18NYCRR515 PODIATRIST HERZOG BRUCE PC MD 00249349 00119141 61 Queens 08/16/1995 ELMHURST NY 11373 Exclusion - 18NYCRR515 HEW JACQUELINE 01357331 00198944 59 Kings 05/20/2008 ELMONT NY 11003 Exclusion - 18NYCRR515 HEWITT MARY NM001228 00389969 08/20/2006 GAINSVILLE FL 32653 Exclusion - 18NYCRR515 HEYMANN BERNARD J MD 00088582 00070364 60 New York 09/01/1989 NEW YORK NY 10040 Exclusion - 18NYCRR515 HICKMAN LINDA CNA NM001059 3416070904 51 Ulster 05/20/2007 MARLBORO NY 12542 Exclusion - 18NYCRR515 HICKS GERALD M Pharmacy 02407418 00031409 09 Clinton 10/04/2010 CHAMPLAIN NY 12919 Exclusion - 18NYCRR515 HICKS WILLIAM J MD PC 01153864 00168625 26 Monroe 02/13/1996 ROCHESTER NY 14608 Exclusion - 18NYCRR515 HIDALGO MERLIN Z MD 00708058 00146234 39 Rockland 03/17/1991 WESLEY HILLS NY 10952 Exclusion - 18NYCRR515 HILAIRE GERARD J MD 00221325 00118615 59 Kings 06/24/1992 BROOKLYN NY 11226 Exclusion - 18NYCRR515 HILL CATHERINE Nurse NM005333 00098086 11/04/2009 Port Jefferson Station NY 11776 Exclusion - 18NYCRR515 HILL LAURIE LEIGH MD 01870626 00209333 14 Erie 07/19/2005 N TONAWANDA NY 14120 Exclusion - 18NYCRR515 PHYSICIANS HILL MARSHALYN COLLEEN LPN NM007307 00297000 61 Queens 07/19/2011 Laurelton NY 11413 Exclusion - 18NYCRR515 HILLSDON NANCY J Licensed Master Social Worker NM006763 00060854 11/02/2009 Jericho NY 11753 Exclusion - 18NYCRR515 HINA DRUG CORP 00814062 00018060 59 Kings 10/24/1991 BROOKLYN NY 11212 Exclusion - 18NYCRR515 HINES SHAREE NM001224 342058831103E 10/18/2007 ROCHESTER NY 14608 Exclusion - 18NYCRR515 HINKES NATALIA HOME HEALTH AIDE NM001499 05/20/2008 BROOKLYN NY 11229 Exclusion - 18NYCRR515 HIRSCH GERALD PAUL DDS 01743315 00024017 05/07/2001 YONKERS NY 10705 Exclusion - 18NYCRR515 HIRSCH MARK STUART DDS 00526389 00032989 39 Rockland 09/18/1995 NEW CITY NY 10956 Exclusion - 18NYCRR515 HIS HOLDINGS INC Collection Agency NM005122 09/28/2010 Buffalo NY 14223 Exclusion - 18NYCRR515 HO SHING CHAU MD 00948150 00158841 61 Queens 10/19/2000 ELMHURST NY 11373 Exclusion - 18NYCRR515 HOAGLAND ARDICE NM006586 00503619 03/20/2006 DENVER CO 80221 Exclusion - 18NYCRR515 HOBGOOD LAURA S MD 01245023 00177281 59 Kings 10/20/1999 BROOKLYN NY 11235 Exclusion - 18NYCRR515 HOCKADAY LINDA Bus Matron NM005033 07/15/2009 Brooklyn NY 11233 Exclusion - 18NYCRR515 HOFFER LEE WARREN MD 00775122 FL047463 99 Out Of State 08/20/1998 CORAL SPRINGS FL 33067 Exclusion - 18NYCRR515 HOFFMAN ALEXANDER MD 00163213 00097124 59 Kings 04/27/1993 BROOKLYN NY 11221 Exclusion - 18NYCRR515 HOFFMAN DAWN MARIE NM000629 00480602 10/06/2005 ROCHESTER NY 14613 Exclusion - 18NYCRR515 HOFFMAN MARTIN L MD PC 00579731 00132856 04/10/2002 POMONA NY 10970 Exclusion - 18NYCRR515 HOFFMAN ROBERT LLOYD II DDS 01597566 00045043 08/06/2001 NEW YORK NY 10027 Exclusion - 18NYCRR515 HOGAN DIANA Medical Biller NM005262 11/11/2009 Bellmore NY 11710 Exclusion - 18NYCRR515 HOLGUIN TERESA PHARMACY EMPLOYEE NM004363 08/20/2008 New York NY 10032 Exclusion - 18NYCRR515 HOLISTIC HOME CARE AGENCY Nurse 02329697 59 Kings 10/20/2010 BROOKLYN NY 11236 Exclusion - 18NYCRR515 HOLLAND JAMES A MD Physician 01058355 00161727 55 Westchester 09/21/2010 VALHALLA NY 10595 Exclusion - 18NYCRR515 HOLLANDER ALEXANDER DDS 01287489 00043920 59 Kings 12/20/2000 BROOKLYN NY 11220 Exclusion - 18NYCRR515 HOLLENBECK BRENDA NM001770 03/26/2007 Penn Yan NY 14527 Exclusion - 18NYCRR515 HOLLEY WILLIAM ANDRE DPM Podiatrist 02994663 00004933 14 Erie 01/10/2012 BUFFALO NY 14214-2634 Exclusion - 18NYCRR515 HOLMAN ANTOINETTE JUNE Nurse 02570047 00228546 58 Bronx 01/20/2010 BRONX NY 10471 Exclusion - 18NYCRR515 HOLMES DANETTE 01332470 00043916 09/05/2002 BRONX NY 10459 Exclusion - 18NYCRR515 HOLMES PAMELA LPN NM007206 00257021 99 Out Of State 04/20/2011 Mayfield OH 44124-2220 Exclusion - 18NYCRR515 HOLOHAN PATRICIA ANN Nurse NM005890 00486205 03/25/2010 Elmhurst NY 11373 Exclusion - 18NYCRR515 HOLSTEIN ANDREA LYNN PHARMACY NM001404 00046457 12/11/2006 DUBLIN OH 43017 Exclusion - 18NYCRR515 HOLTZBERG ALBERT 01313175 00023328 59 Kings 03/19/1998 BROOKLYN NY 11219 Exclusion - 18NYCRR515 HOLZBERGER PHILIP CHARLES MD 00520356 00077646 13 Dutchess 08/10/1994 MILLBROOK NY 12545 Exclusion - 18NYCRR515 HOOD HENRY ROBIN NM000442 26 Monroe 05/18/2006 Rochester NY 14608 Exclusion - 18NYCRR515 HOOPER KELLY Employee NM007095 04/20/2011 New York NY 10018 Exclusion - 18NYCRR515 HOPEWELL DONALD K. NM002874 00229989 11/30/2007 Leawood KS 66206 Exclusion - 18NYCRR515 HORLOCHER ROBERT A JR NM003374 00048209 07/20/2008 Mt. Sinai NY 11766 Exclusion - 18NYCRR515 HORNE JAMES T MD PC 00140767 00089644 55 Westchester 06/20/2000 BRONXVILLE NY 10708 Exclusion - 18NYCRR515 HOROWITZ MICHAEL Chiropractor NM005744 00007885 07/13/2011 Marlboro NJ 07746 Exclusion - 18NYCRR515 CHIROPRACTOR/PORT-XRAY-SVC (QMB) HOROWITZ NORMAN NM003473 01/01/1998 Unknown ZZ 00000 Exclusion - 18NYCRR515 HORWITZ KENNETH RONALD 01646006 00042014 99 Out Of State 12/11/2006 SO PLAINFIELD NY 07080 Exclusion - 18NYCRR515 HOSENBOLD BRUCE L Pharmacy 02816324 00033671 28 Nassau 04/20/2010 LEVITTOWN NY 11756-5310 Exclusion - 18NYCRR515 HOTALING VICKIE J. NM001560 00232304 07/19/2007 SCHUYLERVILLE NY 12871 Exclusion - 18NYCRR515 PRACTICAL NURSE HOTCHANDANI GOPE C Physician NM006086 00134473 99 Out Of State 08/15/2011 Iron Mountain MI 49801 Exclusion - 18NYCRR515 HOUGH RODNEY K MD 01814479 PA12607E 99 Out Of State 01/20/2006 CARLISLE PA 17013 Exclusion - 18NYCRR515 PHYSICIANS HOWELL BRENDA L NM004834 00337875 10/20/2008 Tucson AZ 85705 Exclusion - 18NYCRR515 HOWELL CLIFTON O Physician NM007413 00214143 99 Out Of State 09/20/2011 West Orange NJ 07052 Exclusion - 18NYCRR515 HOWLEY JOHN W MD Physician 01239005 00184483 30 Oneida 12/22/2010 UTICA NY 13501-5930 Exclusion - 18NYCRR515 HRABARCHUK EUGENE K MD 00652117 NJ016436 99 Out Of State 11/20/1997 NUTLEY NJ 07110 Exclusion - 18NYCRR515 HSIAO LUKE I J Physician NM006688 00132830 10/08/2010 San Bernardino CA 92404 Exclusion - 18NYCRR515 HSU GEORGE S MD 01520474 ND005205 99 Out Of State 09/19/2005 GLEN ULLIN ND 58631 Exclusion - 18NYCRR515 PHYSICIANS HUANG BENJAMIN PHYSICIAN NM002926 00150137 01/03/2008 Irvine CA 92602 Exclusion - 18NYCRR515 HUANG MARK X MD Physician 02173504 00220258 60 New York 10/20/2011 NEW YORK NY 10038-2612 Exclusion - 18NYCRR515 HUANG PAKY PA-KAI MD 00769131 00148249 61 Queens 12/18/1997 FOREST HILLS NY 11375 Exclusion - 18NYCRR515 HUDNELL SHEREE INFORMATION INTEGRATOR NM001072 26 Monroe 04/19/2007 ROCHESTER NY 14612 Exclusion - 18NYCRR515 HUDNELL SHEREE INFORMATION INTEGRATOR NM000703 26 Monroe 07/04/2006 ROCHESTER NY 14612 Exclusion - 18NYCRR515 HUDSON MEDICAL P.C. MEDICAL CLINIC NM002607 00187870 10/24/2007 Brooklyn NY 11228 Exclusion - 18NYCRR515 HUDSON TIFFANY S Residential Care Aide NM006406 14 Erie 08/18/2011 Cheektowaga NY 14225 Exclusion - 18NYCRR515 HUFF MICHAEL BORCHARD Physician NM006091 03/18/2010 Buffalo NY 14228 Exclusion - 18NYCRR515 HUGHES BRET ALAN MD 01173739 00181649 60 New York 08/21/1991 NEW YORK NY 10030 Exclusion - 18NYCRR515 HUH MOON HO MD 00884991 00117526 61 Queens 12/18/1997 FLUSHING NY 11354 Exclusion - 18NYCRR515 HUMAN SERVICE CTRS CLINIC TRT 01093287 P7873000 59 Kings 03/20/2006 ELMHURST NY Exclusion - 18NYCRR515 HUMISTON KARL E MD 00492622 00142429 60 New York 07/16/1991 NEW YORK NY 10025 Exclusion - 18NYCRR515 HUMPHREY DONNA I A/K/A REISDORF Nurse NM005649 00331505/00127088 02/08/2010 Warsaw NY 14569 Exclusion - 18NYCRR515 HUMPHREY DOROTHY NM000945 00209338 07/20/2008 BRONX NY 10459 Exclusion - 18NYCRR515 HUNG CHE-WU 00246777 00116919 47 Suffolk 05/10/1994 PATCHOGUE NY 11772 Exclusion - 18NYCRR515 HUNT WAYNE KENARD NM001320 00486954 10/19/2006 BROOKLYN NY 11226 Exclusion - 18NYCRR515 HUNTER JANE M LPN 01209021 00084590 41 Saratoga 07/11/1993 WATERFORD NY 12188 Exclusion - 18NYCRR515 HUNTINGTON HEALTH CARE SRVCS 01247112 28 Nassau 02/15/1995 HICKEVILLE NY 11801 Exclusion - 18NYCRR515 HURLEY CHARLES NUR NM001529 NONE 07/20/2005 CHICOPEE MA 01020 Exclusion - 18NYCRR515 HUSAIN ABDUL 01314158 00037988 59 Kings 06/20/2000 BROOKLYN NY 11208 Exclusion - 18NYCRR515 HUSAIN MUSA KAZIM MD 00455481 00114800 59 Kings 09/16/1991 BROOKLYN NY 11207 Exclusion - 18NYCRR515 HUSAIN TAHERA MD 00691043 00147569 59 Kings 11/09/1991 BROOKLYN NY 11226 Exclusion - 18NYCRR515 HUSSAIN ABUL F MD 02153560 PA69617L 06/20/2006 CARBONDALE PA 18047 Exclusion - 18NYCRR515 PHYSICIANS HUSSAIN AMER OWNER OF MESHAIM PHARMACY NM001243 09/19/2006 WHITESTONE NY 11357 Exclusion - 18NYCRR515 HUSSAIN CHAUDHRY PHARMACIST NM001244 02/05/2007 WHITESTONE NY 11357 Exclusion - 18NYCRR515 HUSSAIN S KHALID MD 00822115 NJ037818 99 Out Of State 10/24/1990 VINELAND NJ 08360 Exclusion - 18NYCRR515 HUTCHINSON PAULINE R Nurse NM006470 00214310/00445005 10/05/2010 Mt Vernon NY 10550 Exclusion - 18NYCRR515 HYMAN MARLENE ANN LPN LPN 02131491 00251927 61 Queens 05/22/2011 LAURELTON NY 11413-1640 Exclusion - 18NYCRR515 HYPPOLITE FRITZ MD Physician 00844880 00133283 61 Queens 05/20/2010 ELMHURST NY 11373-4998 Exclusion - 18NYCRR515 I & S SURGICAL SUPPLY INC 01301399 61 Queens 02/11/1993 FOREST HILLS NY 11375 Exclusion - 18NYCRR515 IANNELLO ANNA RN NM007620 00457544 99 Out Of State 09/20/2011 Englewood CO 80110 Exclusion - 18NYCRR515 IANNIELLO MICHAEL JOSEPH DPM 01377004 00004395 59 Kings 06/17/1999 BROOKLYN NY 11208 Exclusion - 18NYCRR515 IAROCHKINA NATALIA ILLEGAL HOME HEALTH AIDE NM003982 08/05/2008 Brooklyn NY 11230 Exclusion - 18NYCRR515 IBEH FIDELIS TONY Pharmacist 01638522 00040602 58 Bronx 12/21/2009 BROOKLYN NY 11225-4901 Exclusion - 18NYCRR515 IBRAGIMOV ARTHUR None NM006439 10/04/2010 Queens NY 11415 Exclusion - 18NYCRR515 IBRAGIMOV DAVID None NM002284 10/04/2010 Flushing NY 11375 Exclusion - 18NYCRR515 IBRAGIMOV MARIA A/K/A ISAKOV None NM006708 11/07/2010 Queens NY 11375 Exclusion - 18NYCRR515 IBRAHIM AYMAN M.D. NM001482 P36346 08/01/2006 BROOKLYN NY 11209 Exclusion - 18NYCRR515 IBRIK AMIR DDS 01382907 00044487 31 Onondaga 02/07/2002 SYRACUSE NY 13203 Exclusion - 18NYCRR515 ICOCHEA ROSENDO S MD Physician 01511586 00193456 55 Westchester 11/16/2010 SCARSDALE NY 10583-7918 Exclusion - 18NYCRR515 IDE NANCY J Nurse NM005125 08/25/2009 Newark NY 14513 Exclusion - 18NYCRR515 IGBINADUWA NEWTON E 01411449 00036673 61 Queens 07/12/2004 JAMAICA NY 11434 Exclusion - 18NYCRR515 PHARMACISTS IGNASIAK ROBERT Physician NM007208 00152523 99 Out Of State 10/02/2011 Freeport FL 32439-0289 Exclusion - 18NYCRR515 ILEM PRISCILLA G 00753746 00105467 58 Bronx 04/16/2008 BRONX NY 10468 Exclusion - 18NYCRR515 ILIOU CLAUDE BERNARD INT NM000621 00191402 09/12/2005 PORT CHARLOTTE FL 33983 Exclusion - 18NYCRR515 ILYAYEV STEVE Owner/Management Services Company NM005362 09/20/2009 Rego Park NY 11374 Exclusion - 18NYCRR515 IMAGING & RADIOLOGY NM002469 08/15/2007 Gillette NJ 07933 Exclusion - 18NYCRR515 IMMEDIATE HOME CARE INC Home Health Care Agency 01529033 59 Kings 12/18/2008 BROOKLYN NY 11211-6119 Exclusion - 18NYCRR515 INCE KAREN CLINIC EMPLOYEE NM001055 06/20/2005 SAINT ALBANS NY 11412 Exclusion - 18NYCRR515 INCLEDON STEVEN LOUIS MD Physician 01637741 00182555 10/20/2009 BRONX NY 10461 Exclusion - 18NYCRR515 INGALLS DAVID P. NM001426 00136605 12/25/2006 NEWBURY MA 01950 Exclusion - 18NYCRR515 INGRAM OPAL CNA NM006184 330063051289E 06/02/2010 Troy NY 12182 Exclusion - 18NYCRR515 INGRAO FRANK 01288600 00023512 10/08/2002 POUGHKEEPSIE NY 12601 Exclusion - 18NYCRR515 INGRASSIA JOHN J MD 00408975 00045062 28 Nassau 12/13/1990 FREEPORT NY 11520 Exclusion - 18NYCRR515 INNES GEORGE M JR MD 01246708 00173637 22 Jefferson 07/19/2005 WATERTOWN NY 13601 Exclusion - 18NYCRR515 PHYSICIANS INSEL JONATHAN M PC MD 00528863 00106224 47 Suffolk 09/12/2005 CLINTON TWP MI 48038 Exclusion - 18NYCRR515 PHYSICIANS INSONIA COLLEEN NM004867 00273285 04/14/2009 Cohutta GA 30710 Exclusion - 18NYCRR515 PRACTICAL NURSE INTEGRAL NETWORK INC 01391886 59 Kings 05/27/1997 BROOKLYN NY 11235 Exclusion - 18NYCRR515 INTER-CITY MEDICAL LAB INC 00792154 50001233 59 Kings 11/18/1988 BROOKLYN NY 11223 Exclusion - 18NYCRR515 INYEARD MONIQUE CNA NM006185 342211961104E 06/20/2011 Troy NY 12180 Exclusion - 18NYCRR515 IQBAL MOHAMMED S MD 00778414 NJ031654 99 Out Of State 03/19/2009 RIDGEWOOD NJ 07450-3534 Exclusion - 18NYCRR515 PHYSICIANS ISAKOV MIKHAIL Manager NM006442 10/04/2010 Queens NY 11375 Exclusion - 18NYCRR515 ISHAK MAHER M 01551995 00037047 33 Orange 10/19/2006 CENTRAL VALLEY NY 10917 Exclusion - 18NYCRR515 DENTAL SCHOOL/DENTIST ISHERWOOD JOAN M LPN 01341313 00080646 55 Westchester 09/05/1996 WHITE PLAINS NY 10603 Exclusion - 18NYCRR515 ISKANDER HANY M Physician NM007069 OH 2256802 59 Kings 03/20/2011 Brooklyn NY 11232 Exclusion - 18NYCRR515 ISLA PIERRE-CARRIE NM002402 00229650 08/20/2007 Rochdale Village NY 11434 Exclusion - 18NYCRR515 ISLAND AMBULETTE INC 01124170 00030952 47 Suffolk 04/20/2000 KINGS PARK NY 11754 Exclusion - 18NYCRR515 ISLAND MEDICAL PROFESSIONAL P.C. NM004502 00098458 10/13/2008 Valle Stream NY 11580 Exclusion - 18NYCRR515 ISLAND ORTHOTIC AND PROSTHETI Medical Appliance Dealer 02171048 28 Nassau 11/03/2009 FREEPORT NY 11520-3357 Exclusion - 18NYCRR515 ISLAND PHARMACY&SURGICAL INC 01121099 00020052 59 Kings 01/20/2006 BROOKLYN NY 11203 Exclusion - 18NYCRR515 ISMAIL MOHAMED Pharmacy Owner NM005787 06/09/2003 Parsippany NJ 07054 Exclusion - 18NYCRR515 ISRAELI ALEXANDER V MD Physician 02378229 00225588 61 Queens 03/18/2010 MIDDLE VILLAGE NY 11379 Exclusion - 18NYCRR515 ITZHAKOV ESTHER Home Health Aide NM002672 07/20/2010 Staten Island NY 10314 Exclusion - 18NYCRR515 IVANSON ANDREW Physician 01936034 00209134 59 Kings 07/14/2010 BROOKLYN NY 11235 Exclusion - 18NYCRR515 IVI ENTERPRISES INC 01246946 59 Kings 12/13/1994 BROOKLYN NY 11235 Exclusion - 18NYCRR515 IVY LEAGUE GROUP HOLDING CO 01381566 61 Queens 02/12/1994 PEGO PARK NY 11374 Exclusion - 18NYCRR515 IVY LEAGUE HOLDING CORP 01295147 61 Queens 02/12/1994 REGO PARK NY 11374 Exclusion - 18NYCRR515 IZARD MARK W MD Physician 00770892 CT010196 99 Out Of State 05/31/2011 HARTFORD CT 06106-2601 Exclusion - 18NYCRR515 IZZO FRANK Dentist NM006795 00042826 42 Schenectady 02/05/2012 Schenectady NY 12306 Exclusion - 18NYCRR515 SYSTEM GENERATED FROM CLAIM IZZO JAIME A. A/K/A JAIME A. ROBERTS NM001493 04/23/2009 ABINGDON MD 21009 Exclusion - 18NYCRR515 REGISTERED NURSE J & R DRUGS 01790312 00023394 28 Nassau 12/14/2001 WESTBURY NY 11590 Exclusion - 18NYCRR515 J AND D DRUGS INC 00333995 00009873 55 Westchester 01/04/1993 MT VERNON NY 10550 Exclusion - 18NYCRR515 J C ORTHOPEDIC INC CO 00349055 58 Bronx 10/31/2005 BRONX NY 10462 Exclusion - 18NYCRR515 J P MEDICAL PC Medical PC NM007424 00030409 61 Queens 09/07/2011 Woodside NY 11377 Exclusion - 18NYCRR515 JABLONS DAVID Clinical Social Worker 02764294 00050934 59 Kings 02/22/2011 BROOKLYN NY 11207-9252 Exclusion - 18NYCRR515 JACKSON BERTRAM V 01521402 00000357 59 Kings 03/06/1995 BROOKLYN NY 11213 Exclusion - 18NYCRR515 JACKSON BETTY J NURSE NM003325 00196772 02/25/2008 Rochester NY 14619 Exclusion - 18NYCRR515 JACKSON KAY-DEAN CAREEN LPN NM007219 00292012 61 Queens 06/05/2011 Far Rockaway NY 11691 Exclusion - 18NYCRR515 JACKSON SHELETTA CNA NM004823 02/19/2009 Buffalo NY 14208 Exclusion - 18NYCRR515 SYSTEM GENERATED FROM CLAIM JACKSON, JEFFREY A. MD NM003564 00174608 04/25/2008 West Milton OH 45383 Exclusion - 18NYCRR515 JACOB SARAMMA LPN NM000548 00132120 26 Monroe 05/18/2006 ROCHESTER NY 14606 Exclusion - 18NYCRR515 JACOBS BRAD JUSTIN MD 01466866 00175524 60 New York 02/20/2008 NEW YORK NY 10025 Exclusion - 18NYCRR515 JACOBSON CLIFFORD ROBERT MD 00466239 00135796 09/04/2002 GENESEO NY 14454 Exclusion - 18NYCRR515 JACOBSON JESSICA JAMES OCCUPATIONAL THERAPY NM001629 00013875 02/19/2007 DOBBS FERRY NY 10522 Exclusion - 18NYCRR515 JACQUELINE INC 01179368 00020411 59 Kings 10/06/1997 BROOKLYN NY 11236 Exclusion - 18NYCRR515 JADAN SVIATOSLAV Unknown NM007606 99 Out Of State 09/20/2011 Fort Dix NJ 08640 Exclusion - 18NYCRR515 JADROVSKA NADA RN 02689765 00430010 26 Monroe 05/20/2008 ROCHESTER NY 14609 Exclusion - 18NYCRR515 JAIN SHANTI MD 00730956 00150356 58 Bronx 03/31/1990 BRONX NY 10452 Exclusion - 18NYCRR515 JAIN VIKAS KUMAR MD 01641689 FL067601 11/20/2007 GRANVILLE OH 43023 Exclusion - 18NYCRR515 JAISWAL ANAND KUMAR PHARMACIST NM001226 03/17/2010 GLEN HEAD NY 11568 Exclusion - 18NYCRR515 JAKERIN AHMED KAISAR Physician NM007272 00241056 58 Bronx 06/30/2011 Bronx NY 10467 18NYCRR504.1(d)(19) JAMES DONOVAN C Physician NM005437 00212915 12/14/2009 Pueblo CO 81004 Exclusion - 18NYCRR515 JAMES GARY D DO 01222655 KY000698 04/29/2003 CADIZ KY 42211 Exclusion - 18NYCRR515 JAMES GLORIA Nurse NM001530 N/A 07/20/2005 JERSEY CITY NJ 07305 Exclusion - 18NYCRR515 JAMES R PICKARD TBI TBI Waiver Program Service Provider 02082626 TBI00245 31 Onondaga 08/15/2011 JORDAN NY 13080-9749 Exclusion - 18NYCRR515 JAMES ROBERT T MD 01210255 PA42754L 99 Out Of State 04/20/2006 SAYRE PA 18840 Exclusion - 18NYCRR515 JANASH MANUSH unemployed NM002629 06/18/2009 Flushing NY 11375 Exclusion - 18NYCRR515 SYSTEM GENERATED FROM CLAIM JANES ROBERT L. NM004734 262515 03/25/2009 Portland OR 97204 Exclusion - 18NYCRR515 PRACTICAL NURSE JANI HARESH V. NM002872 00186418 11/12/2007 Jackson MI 49201 Exclusion - 18NYCRR515 JANNEN JAN PAUL OD 00582196 0T002411 31 Onondaga 08/14/1988 SYRACUSE NY 13202 Exclusion - 18NYCRR515 JANOWITZ EDWARD R MD 00137311 00087406 60 New York 08/24/1997 NEW YORK NY 10002 Exclusion - 18NYCRR515 JAPSON SUSANNE MARIE C RN 01794756 00420745 47 Suffolk 04/25/2005 BROOKHAVEN NY 11719 Exclusion - 18NYCRR515 REGISTERED NURSE JASMIN FRANTZ MD 01111224 00176059 58 Bronx 06/17/1999 BRONX NY 10466 Exclusion - 18NYCRR515 JAVAID TARIQ MD PC 00209921 00114626 59 Kings 02/01/1991 BROOKLYN NY 11219 Exclusion - 18NYCRR515 JAVED MOHAMMAD TARIQ PHYSICIAN NM002925 00200542 12/28/2007 Wellington FL 33414 Exclusion - 18NYCRR515 JAVED TAHIR ALI MD 01702487 PA59573L 99 Out Of State 10/19/2004 SAYRE PA 18840 Exclusion - 18NYCRR515 PHYSICIANS JAY DRUGS INC 00822404 00018121 47 Suffolk 09/20/2000 COPIAGUE NY 11726 Exclusion - 18NYCRR515 JAY MANJULA M MD Physician 01852299 00208320 26 Monroe 03/10/2010 ROCHESTER NY 14622-2157 Exclusion - 18NYCRR515 JC DRUG INC 01528532 00022289 61 Queens 04/19/2001 REGO PARK NY 11374 Exclusion - 18NYCRR515 JDS AMBULANCE CORP 01451261 00B90433 08/13/2003 WOODMERE NY 11598 Exclusion - 18NYCRR515 JEAN BAPTISTE CARL S MD 00177591 102591 60 New York 10/27/2008 NEW YORK NY 10014-4737 Exclusion - 18NYCRR515 PHYSICIANS JEAN PHALENE CNA NM006750 342470290806E 59 Kings 08/18/2011 Brooklyn NY 11234 Exclusion - 18NYCRR515 JEAN ROBERT ROMULUS PC MD 01002235 59 Kings 02/06/1995 BROOKLYN NY 11210 Exclusion - 18NYCRR515 JEAN-LOUIS HOOVER NM001042 00001891 06/20/2006 BRONX NY 10466 Exclusion - 18NYCRR515 PHYSICAL THERAPIST JEFFERSON RICHARD J Physician NM006508 00094287 11/01/2010 Los Angeles CA 90056 Exclusion - 18NYCRR515 JENAMED INC 01130212 47 Suffolk 11/20/1997 E NORTHPORT NY 11731 Exclusion - 18NYCRR515 JENKINS ELIZABETH HOM NM000635 NONE 07/26/2005 CAMPBELL NY 14821 Exclusion - 18NYCRR515 JENKINS GEORGEANN Nurse NM005868 00426501 02/22/2010 Rochester NY 14606 Exclusion - 18NYCRR515 JENKINS JOHN HOM NM000650 NONE 07/26/2005 CAMPBELL NY 14821 Exclusion - 18NYCRR515 JENKINS ROY L NM002143 00231934 06/20/2007 Sperryville VA 22740 Exclusion - 18NYCRR515 REGISTERED NURSE JENSEN BERNARD P MD 00727188 00145457 41 Saratoga 06/20/2000 SARATOGA SPRINGS NY 12866 Exclusion - 18NYCRR515 JENSEN GAIL L. Nurse NM006082 00155218 08/16/2010 Brooklyn NY 11209 Exclusion - 18NYCRR515 JENSEN RICHARD F 02506256 00005546 09 Clinton 10/18/2007 CHAMPLAIN NY 12919 Exclusion - 18NYCRR515 JEREIS HANI Respiratory Therapist NM002277 00000012 55 Westchester 06/05/2011 Yonkers NY 10704 Exclusion - 18NYCRR515 JERICHO LLC KALM NM001237 09/19/2006 NEW HYDE PARK NY 11040 Exclusion - 18NYCRR515 JERRO GEORGE E MD 00708594 00130010 62 Richmond 07/28/1993 STATEN ISLAND NY 10310 Exclusion - 18NYCRR515 JESTER ANN PHLEBOTOMIST NM000862 11/20/2008 BROOKLYN NY 11208 Exclusion - 18NYCRR515 JILL ROLL INC 00886737 00377000 33 Orange 12/29/1991 NEW WINDSOR NY 12550 Exclusion - 18NYCRR515 JOACHIM NANCY Physician 01886777 00178125 99 Out Of State 03/14/2011 NEW YORK NY 10032-1559 Exclusion - 18NYCRR515 JOBITY PAMELA CNA NM002103 340726160296E 09/20/2009 Jamaica NY 11433 Exclusion - 18NYCRR515 JOE CINDY K Nurse NM005332 00580255 11/04/2009 Lake Alfred FL 33850 Exclusion - 18NYCRR515 JOHN NICOLE CNA NM000672 3415039107 03/23/2005 LONG ISLAND CITY NY 11102 Exclusion - 18NYCRR515 CHIROPRACTOR/PORT-XRAY-SVC (QMB) JOHN SHARON CNA NM006186 339066020990E 06/02/2010 New York NY 10027 Exclusion - 18NYCRR515 JOHN WINIFRED NM002642 11/03/2007 Far Rockaway NY 11691 Exclusion - 18NYCRR515 JOHNSON ELIZABETH L Pharmacist 01321237 00039471 26 Monroe 08/15/2011 ROCHESTER NY 14625 Exclusion - 18NYCRR515 JOHNSON GREGORY A MD 00918387 00162264 38 Rensselaer 11/01/1997 TROY NY 12180 Exclusion - 18NYCRR515 JOHNSON JAMECA CNA NM003343 341361370899E 07/20/2008 Buffalo NY 14215 Exclusion - 18NYCRR515 JOHNSON JEFFREY 01307657 58 Bronx 05/22/1992 BRONX NY 10456 Exclusion - 18NYCRR515 JOHNSON KEVIN DARNELL DDS 01344912 00043812 58 Bronx 02/17/1994 BRONX NY 10451 Exclusion - 18NYCRR515 JOHNSON RONIE MONTE HOME ATTENDANT NM004562 11/20/2008 Brooklyn NY 11212 Exclusion - 18NYCRR515 JOHNSON TONE PHYSICIAN NM002928 00149548 01/02/2008 Corpus Christi TX 78413 Exclusion - 18NYCRR515 JOHNSTON SETH SAGE MD Physician 01037521 00160860 41 Saratoga 11/20/2011 SCHUYLERVILLE NY 12871-1317 Exclusion - 18NYCRR515 JOINER JESSIE LPN NM006267 00103305 06/06/2011 Jamaica NY 11432 Exclusion - 18NYCRR515 PRACTICAL NURSE JOMADRIENNE INC 01015549 00019419 59 Kings 10/05/1997 BROOKLYN NY 11228 Exclusion - 18NYCRR515 JON COLBERT INC 01433903 41 Saratoga 04/20/2000 BALLSTON LAKE NY 12019 Exclusion - 18NYCRR515 JONES BEULAH DORISMARIE MD 00182027 00104667 61 Queens 05/07/1997 JAMAICA NY 11434 Exclusion - 18NYCRR515 JONES CAROLE MD 00152369 00093417 58 Bronx 04/30/1982 BRONX NY 10457 Exclusion - 18NYCRR515 JONES CHRISTINA LYNN Nurse NM006011 00285797 04/29/2010 Elmira NY 14904 Exclusion - 18NYCRR515 JONES CYNTHIA LYNN 02186698 00039769 01/15/2007 ITHACA NY 14850 Exclusion - 18NYCRR515 JONES JAMES H CNA NM007809 342744941108E 02/05/2012 Lockport NY 14209 Exclusion - 18NYCRR515 SYSTEM GENERATED FROM CLAIM JONES MONIQUE CNA NM006277 341252970199E 05/20/2010 Rochester NY 14615 Exclusion - 18NYCRR515 JONES NAYTHANIA MD 00854760 00146678 60 New York 02/07/1994 NEW YORK NY 10025 Exclusion - 18NYCRR515 JONES ROBIN Nurse NM005487 00270209 06/18/2009 Charlotte NC 28205 Exclusion - 18NYCRR515 JONES TALYA LPN 02421534 00273216 26 Monroe 04/20/2008 ROCHESTER NY 14611 Exclusion - 18NYCRR515 JONES TIGE Therapist 02347386 00021424 99 Out Of State 03/15/2010 TROY NY 12180-2393 Exclusion - 18NYCRR515 JOSEPH ENOCK MD Physician 00278588 00134174 60 New York 09/06/2011 NEW YORK NY 10030-2107 Exclusion - 18NYCRR515 PHYSICIANS JOSEPH LISA VALENCIA LPN 02636684 00276257 59 Kings 08/16/2011 BROOKLYN NY 11236 Exclusion - 18NYCRR515 JOSEPH MANGIARACINA PC MD 00772321 58 Bronx 10/19/1988 BRONX NY 10458 Exclusion - 18NYCRR515 JOSEPH SABA 02099512 00000000 31 Onondaga 09/30/2004 SYRACUSE NY 13208 Exclusion - 18NYCRR515 JOSHI JANAKKUMAR G Physician NM004402 00133558 09/05/2008 Colorado Springs CO 80909 Exclusion - 18NYCRR515 JUCKETT REBECCA NURSE/NURSE AIDE NM001056 10/20/2005 GRANVILLE NY 12832 Exclusion - 18NYCRR515 JULES HARVEY SHOES INC 00871898 60 New York 02/02/1992 NEW YORK NY 10002 Exclusion - 18NYCRR515 JUNG ELMER F JR DDS 00575984 00020336 42 Schenectady 10/13/1993 SCHENECTADY NY 12305 Exclusion - 18NYCRR515 JUNIOUS ROOSEVELT CNA NM006582 3421297606 26 Monroe 08/20/2006 ROCHESTER NY 14621 Exclusion - 18NYCRR515 JUROW JAMES Nurse NM005486 00370100 06/18/2009 Goodyear AZ 85395 Exclusion - 18NYCRR515 JUSINO-DELPOZO GILDA V Dentist NM005759 00047608 03/01/2010 Auburn NY 13021 Exclusion - 18NYCRR515 K & M TRADING CO INC 01111875 61 Queens 06/22/1994 FOREST HILLS NY 11375 Exclusion - 18NYCRR515 KABIR ABU MAHAMMAD FAZLUL Pharmacy 01310076 00035063 28 Nassau 05/26/2010 WESTBURY NY 11590 Exclusion - 18NYCRR515 KABNICK EARL M MD 01052937 00136041 55 Westchester 08/16/1993 YONKERS NY 10710 Exclusion - 18NYCRR515 KACZMAREK GREGORY T Nurse NM004727 00265067 07/20/2009 Schenectady NY 12306 Exclusion - 18NYCRR515 KACZOR DANIEL C DDS 00650899 00024512 14 Erie 10/06/1997 BLASDELL NY 14219 Exclusion - 18NYCRR515 KADE NIRMAL MD 00810600 00154738 61 Queens 12/18/2008 CORONA NY 11363 Exclusion - 18NYCRR515 PHYSICIANS KADIWALA MOHAMED Y MD 01960145 FL018100 09/11/2001 NEW PORT RICHEY FL 34652 Exclusion - 18NYCRR515 KADURA MUFTAH A Physician 01747364 00204779 25 Madison 11/13/2011 WAMPSVILLE NY 13163 Exclusion - 18NYCRR515 KADYMOFF ELDAR MD Physician 02391642 00228086 28 Nassau 09/20/2011 EAST MEADOW NY 11554-3610 Exclusion - 18NYCRR515 KAHAN ABRAHAM NM001262 05/04/2005 BROOKLYN NY 11219 Exclusion - 18NYCRR515 KAHAN STEVEN J. NM003005 00000307 06/19/2008 New York NY 10024 Exclusion - 18NYCRR515 KAHN MOHAMMAD SAEED A/KA/ "SAHI" NM001490 01/14/2007 HUNTINGTON NY 11746 Exclusion - 18NYCRR515 KAKATY JOHN ANTHONY DDS 00596869 00024963 30 Oneida 10/20/1998 UTICA NY 13501 Exclusion - 18NYCRR515 KAKAVAND ANN MARIE M NURSE NM002722 00356193 10/30/2007 Cheektowaga NY 14225 Exclusion - 18NYCRR515 KALAJIAN ALBERT M DPM Podiatrist 00415641 00002608 59 Kings 09/15/2010 NEW YORK NY 11208 Exclusion - 18NYCRR515 KALANI JIM 01445629 00193131 07/05/2001 OTISVILLE NY 10963 Exclusion - 18NYCRR515 KALVAR PATRICIA NICOLE DPM 00905495 00003834 60 New York 11/04/1993 NEW YORK NY 10035 Exclusion - 18NYCRR515 KAM HOI YAT MD Physician 01443365 00183043 58 Bronx 12/19/2011 FRESH MEADOWS NY 11365 Exclusion - 18NYCRR515 KAM OLEG Business Owner NM006514 62 Richmond 08/21/2011 Staten Island NY 10309 Exclusion - 18NYCRR515 KAMBLE KAIZER THIMMAPPA MD 00616739 107286 06 Chautauqua 03/23/2009 DUNKIRK NY 14048-2539 Exclusion - 18NYCRR515 KAMBLI KIRANCHANDRA BHASKAR 00868039 00160519 59 Kings 04/21/1992 BROOKLYN NY 11212 Exclusion - 18NYCRR515 KAMEN BARRY 01270300 00001401 61 Queens 01/07/1997 FOREST HILLS NY 11375 Exclusion - 18NYCRR515 KAMENCHUK TATYANA Home Health Aide NM004970 07/20/2010 Brooklyn NY 11235 Exclusion - 18NYCRR515 KAMINSTEIN PHILIP MD 00792232 00074282 61 Queens 02/15/1995 FOREST HILLS NY 11375 Exclusion - 18NYCRR515 KAMRAN SHAHID MD 01163877 00178670 28 Nassau 05/27/1992 MANHASSET NY 11030 Exclusion - 18NYCRR515 KANE ALLA Issued Illegitimate Home Health Aide Certs. NM002628 04/26/2010 Huntington NY 11743 Exclusion - 18NYCRR515 KANE MICHAEL NM003475 01/01/1998 Brooklyn NY 11235 Exclusion - 18NYCRR515 KANEVSKY ZHANNA MD Physician 01782672 00208006 28 Nassau 05/12/2010 BROOKLYN NY 11229 Exclusion - 18NYCRR515 KANFER NORMAN 00729286 00022389 28 Nassau 05/27/1988 PLAINVIEW NY 11803 Exclusion - 18NYCRR515 KANG BONGJAE MASSAGE THERAPIST NM002217 00014140 05/28/2007 New York NY 10011 Exclusion - 18NYCRR515 SYSTEM GENERATED FROM CLAIM KANG PETER MD 00747993 00152374 61 Queens 11/20/1997 ELMHURST NY 11373 Exclusion - 18NYCRR515 KANIA KEVIN Pharmacy Technician NM006761 14 Erie 08/18/2011 Lackawanna NY 14218 Exclusion - 18NYCRR515 KANIA WILLIAM F Pharmacy 00664553 00017517 14 Erie 05/19/2011 LACKAWANNA NY 14218-2001 Exclusion - 18NYCRR515 KANIA WILLIAM F Pharmacist 01286960 00024377 14 Erie 05/19/2011 LACKAWANNA NY 14218-2001 Exclusion - 18NYCRR515 PHARMACISTS KANOWITZ ROBERT WILLIAM DPM Podiatrist 00896075 00003636 28 Nassau 05/03/2011 OCEANSIDE NY 11572 Exclusion - 18NYCRR515 KANTHA SRI KANAG Physician NM006928 00162452 99 Out Of State 11/30/2010 Secaucus NJ 07094 Exclusion - 18NYCRR515 KANTOR DEBORAH Collection Agent NM005113 09/28/2010 Tonawanda NY 14150 Exclusion - 18NYCRR515 KANTOR HOWARD L 01794687 MA053995 04/29/2003 BOSTON MA 02114 Exclusion - 18NYCRR515 KANTRO SCOTT R DPM 00405707 00002953 61 Queens 07/20/2006 FAR ROCKAWAY NY 11691 Exclusion - 18NYCRR515 PODIATRIST KAPLAN EDMUND S MD Physician 01553584 00191780 60 New York 04/04/2011 NEW YORK NY 10075-1850 Exclusion - 18NYCRR515 KAPMAN MITCHELL Owner of CMORS NM007421 09/06/2011 Bronx NY 10458 Exclusion - 18NYCRR515 SYSTEM GENERATED FROM CLAIM KARAGEZYAN SEVIL HOME HEALTH AIDE NM001668 08/20/2008 LOS ANGELES CA 90028 Exclusion - 18NYCRR515 KARALLA MARK H PHYSICIAN NM003122 00157137 02/22/2008 Los Angeles CA 90077 Exclusion - 18NYCRR515 KARAPETYAN SHOGHIK NM002285 59 Kings 10/20/2008 Brooklyn NY 11238 Exclusion - 18NYCRR515 KARIMU ANDE L. NM002891 00002516 12/20/2007 Burlington, Ontario CN 00000 Exclusion - 18NYCRR515 KARK PIETER ROBERT ADRIAAN MD 01020819 00169991 31 Onondaga 04/06/2007 SYRACUSE NY 13205 Exclusion - 18NYCRR515 KARLIN MICHAEL Physician NM006119 00159317 05/20/2008 Great Neck NY 11024 Exclusion - 18NYCRR515 KARNABI MARWAN PHA NM000663 00042791 59 Kings 10/06/2005 BROOKLYN NY 11220 Exclusion - 18NYCRR515 DENTAL SCHOOL/DENTIST KARP IRA PHARMACIST NM003247 00021096 01/24/2008 New York NY 10023 Exclusion - 18NYCRR515 KARPF RICHARD JAMES MD Physician 01562830 00156127 07/23/2004 MINEOLA NY 11501 Exclusion - 18NYCRR515 KARSHENBOYM ALEXANDER MEDICAL CLINIC OWNER NM002515 10/15/2007 Albion NY 14411 Exclusion - 18NYCRR515 KASHAN STEVEN MD PC 00761784 00128602 28 Nassau 04/20/2000 HICKSVILLE NY 11801 Exclusion - 18NYCRR515 KASSAPIDIS ANASTASSIOS MD 00139859 00089344 61 Queens 05/01/1993 ASTORIA NY 11105 Exclusion - 18NYCRR515 KASSIM MOHAMMED DELI OWNER NM001650 03/04/2007 BRONX NY 10461 Exclusion - 18NYCRR515 KASWAN MALCOLM J MD 00237201 00127496 05/07/2002 WATER MILL NY 11976 Exclusion - 18NYCRR515 KATRYUK OLESYA Home Health Aide NM003653 03/18/2010 Staten Island NY 10312 Exclusion - 18NYCRR515 KATS MARINA Management Services Company Owner NM005443 11/19/2009 Buffalo NY 14221 Exclusion - 18NYCRR515 KATZ ALAN S DPM 01038444 00004106 11/20/2006 NANUET NY 10954 Exclusion - 18NYCRR515 KATZ JANICE MD NM002851 00171380 09/20/2007 Lexington VA 24450 Exclusion - 18NYCRR515 KATZ MEIR G. A/K/A MARK KATZ Administrator NM001508 05/20/2009 STATEN ISLAND NY 10309 Exclusion - 18NYCRR515 SYSTEM GENERATED FROM CLAIM KATZ MICHAEL MARTIN MD 00931984 00164591 59 Kings 07/07/2000 BROOKLYN NY 11211 Exclusion - 18NYCRR515 KATZ ROBERT DDS 00388481 00022820 04/07/2003 BRENTWOOD NY 11717 Exclusion - 18NYCRR515 KATZ RONALD PHD 01208066 MA002564 11/04/2005 NEW YORK NY 10003 Exclusion - 18NYCRR515 KATZAP IZEA DDS 01267752 00043756 02/07/2002 REGO PARK NY 11374 Exclusion - 18NYCRR515 KATZMAN JERRY MD 00804568 00146553 22 Jefferson 10/06/2005 WATERTOWN NY 13601 Exclusion - 18NYCRR515 PHYSICIANS KAUFMAN BRIAN D. NM000614 00008646 06/22/2005 HONEOYE FALLS NY 14472 Exclusion - 18NYCRR515 KAUFMAN SHOSHANA Social Worker NM005870 00075435 03/17/2010 Old Bridge NJ 08857 Exclusion - 18NYCRR515 KAUFMAN STEPHANIE RN NM007041 00483835 04/03/2011 Washingtonville NY 10992 Exclusion - 18NYCRR515 KAUFOLD ARTHUR S DPM 00406102 00002956 59 Kings 08/13/1996 BROOKLYN NY 11219 Exclusion - 18NYCRR515 KAVURI SURENDRANATH, MD NM003563 00115954 05/11/2008 Dublin GA 31021 Exclusion - 18NYCRR515 KAY GIDEON 00336416 00029840 61 Queens 10/30/2007 FLUSHING NY 11354 Exclusion - 18NYCRR515 KEARSE ROBERTA SUP NM000684 N/A 59 Kings 09/12/2005 BROOKLYN NY 11233 Exclusion - 18NYCRR515 KEEN MONTE STEVEN MD 01024006 00151467 60 New York 10/19/2000 NEW YORK NY 10032 Exclusion - 18NYCRR515 KEENAN CHIROPRACTIC NM005147 NA 01/20/2009 Watertown NY 13601 Exclusion - 18NYCRR515 SYSTEM GENERATED FROM CLAIM KEENAN JOHN M CHIROPRACTOR NM004802 00005776 22 Jefferson 11/20/2008 Watertown NY 13601 Exclusion - 18NYCRR515 KEHINDE JOHN Owner of NY Placement Resources NM005114 11/10/2010 Bronx NY 10452 Exclusion - 18NYCRR515 KEHINDE RONALD Owner/ Training School NM002742 09/21/2010 Bronx NY 10452 Exclusion - 18NYCRR515 KELBERG ROBERT PHYSICIAN NM003102 00114346 02/12/2008 Springfield VA 22153 Exclusion - 18NYCRR515 KELLER CHARLES RITNER MD JR 00450371 00076197 26 Monroe 11/30/1989 HILTON NY 14468 Exclusion - 18NYCRR515 KELLER WERNER K MD 00810619 00141682 59 Kings 05/08/1990 BROOKLYN NY 11209 Exclusion - 18NYCRR515 KELLEY COLIN THOMAS Physician NM007020 00239895 02/12/2012 Invergargill NZ 09812 Exclusion - 18NYCRR515 PHYSICIANS KELLMAN RAPHAEL MD 01444513 00181549 61 Queens 03/14/1996 LITTLE NECK NY 11362 Exclusion - 18NYCRR515 KELLY GLENN R DC 01995344 00009320 28 Nassau 08/18/2005 WEST HEMPSTEAD NY 11552 Exclusion - 18NYCRR515 PSYCHOLOGIST KELLY JOHN P RPA NM007040 00007491 04/03/2011 Whitestone NY 11357 Exclusion - 18NYCRR515 KELLY KARE LTD 01009181 55 Westchester 01/10/1993 YONKERS NY 10704 Exclusion - 18NYCRR515 KELLY KARE LTD. 01072279 55 Westchester 03/01/1994 BRONXVILLE NY 10708 Exclusion - 18NYCRR515 KELSO SCOTT ALEXANDER MD 01151422 MDD41580 01/23/2007 NEW YORK NY 10011 Exclusion - 18NYCRR515 KENMAR SURGICAL AIDS INC 00323657 59 Kings 05/01/2000 BROOKLYN NY 11235 Exclusion - 18NYCRR515 KENNEDY KATHLEEN Nurse NM006280 00234579/00501510 07/15/2010 Glen Head NY 11545 Exclusion - 18NYCRR515 KENNEDY NICOLE MARGARET LPN NM007216 00232442 06/05/2011 Baldwin NY 11510 Exclusion - 18NYCRR515 KENNEY LORI ANN NM001556 09/20/2007 BRENTWOOD NY 11717 Exclusion - 18NYCRR515 KENO DEBORAH DENISE MD 00947342 00143721 58 Bronx 08/15/1991 BRONX NY 10456 Exclusion - 18NYCRR515 KENYON MARY E. NM000664 0237815 11 Cortland 06/19/2008 CORTLAND NY 13045 Exclusion - 18NYCRR515 KEPPLER JAN MD 01037145 00171167 28 Nassau 09/12/1991 VALLEY STREAM NY 11580 Exclusion - 18NYCRR515 KESCHNER MATTHEW Chiropractor NM007396 00010185 60 New York 10/18/2011 New York NY 10016-2507 Exclusion - 18NYCRR515 KESSELMAN RUSSELL H NM002382 00070709 08/06/2007 Orlando FL 32817 Exclusion - 18NYCRR515 KESTEN MARK M MD 00234166 00125121 60 New York 07/08/1996 NEW YORK NY 10028 Exclusion - 18NYCRR515 KHADIJA PHARMACY INC 01718652 00023247 59 Kings 06/16/1998 BROOKLYN NY 11217 Exclusion - 18NYCRR515 KHALATOV LEONID MD PC 01446395 00175448 08/13/2003 WOODMERE NY 11598 Exclusion - 18NYCRR515 KHALID KHAWAJA STUDENT NM001644 03/04/2007 BROOKLYN NY 11220 Exclusion - 18NYCRR515 KHALIL ROSALY SABA MD 00921999 00138389 58 Bronx 06/30/1994 BRONX NY 10452 Exclusion - 18NYCRR515 KHAN AAZUM NM003476 01/01/1998 Unknown ZZ 00000 Exclusion - 18NYCRR515 KHAN ABDUL H DDS 00802662 00038036 10/15/2002 TAMPA FL 33617 Exclusion - 18NYCRR515 KHAN AZIZ DDS 01000224 00040670 04/07/2003 NEW YORK NY 10027 Exclusion - 18NYCRR515 KHAN JIBRAN Physician NM006163 00224163 05/30/2010 Woonsocket RI 02895 Exclusion - 18NYCRR515 KHAN KHWAJA M MD 01058300 00133559 60 New York 01/04/1990 NEW YORK NY 10026 Exclusion - 18NYCRR515 KHAN M MUDASSIR A 01324065 00031745 59 Kings 03/20/2001 BROOKLYN NY 11230 Exclusion - 18NYCRR515 KHAN MD MUZAMMEL HUSSAIN Pharmacist 01360654 00035168 58 Bronx 10/20/2011 BRONX NY 10459-4111 Exclusion - 18NYCRR515 KHAN MOHAMMAD SAEED A/K/A SAHI Pharmacy Owner NM001229 01/20/2010 HUNTINGTON NY 11746 Exclusion - 18NYCRR515 KHAN MUNIR AHMED Pharmacy Owner NM006638 08/20/2009 Jersey City NJ 07302 Exclusion - 18NYCRR515 KHAN NISARUDDIN MD PC 01010815 00148273 09/09/2003 OLEAN NY 14760 Exclusion - 18NYCRR515 KHANALI BAHRAM Chiropractor NM006060 00010478 01/20/2010 Miami FL 33155 Exclusion - 18NYCRR515 KHANDRIUS YURI Medical Assistant NM007423 62 Richmond 09/20/2011 Staten Island NY 10308-1312 Exclusion - 18NYCRR515 KHANTHAN SUBRAMANIAM E MD 01518065 00115190 59 Kings 11/18/1998 BROOKLYN NY 11218 Exclusion - 18NYCRR515 KHARKOVER ALEKSANDR PT Physical Therapist 02158890 00022064 59 Kings 11/29/2011 BROOKLYN NY 11223-1403 Exclusion - 18NYCRR515 KHAYATA MAZEN MD NM002848 00164243 09/27/2007 Paradise Valley AZ 85253 Exclusion - 18NYCRR515 KHEYSON OLEG Unknown NM006515 59 Kings 08/21/2011 Brooklyn NY 11209 Exclusion - 18NYCRR515 KHIMITCH OXANA Home Health Aide NM002627 08/20/2009 Brooklyn NY 11204 Exclusion - 18NYCRR515 KHOSHBIN BIJAN MD 01160907 00153801 59 Kings 04/09/1992 BROOKLYN NY 11231 Exclusion - 18NYCRR515 KHOURI SALWA G MD 01030235 00162440 58 Bronx 11/11/1989 BRONX NY 10462 Exclusion - 18NYCRR515 KHOURY THERESE MARIE 02757160 00006673 01 Albany 12/18/2008 ALBANY NY 12206 Exclusion - 18NYCRR515 KHURANA NARENDRA K PC MD 00210146 00114726 58 Bronx 11/25/1983 BRONX NY 10457 Exclusion - 18NYCRR515 KHYMYCH OKSANA Unlicensed HHA NM004909 03/20/2011 Brooklyn NY 11214 Exclusion - 18NYCRR515 SYSTEM GENERATED FROM CLAIM KIELY ANDREW A Physician NM005898 00095479 03/01/2010 Long Beach CA 90815 Exclusion - 18NYCRR515 KIENZLE RICHARD J. NM000678 00179719 01/04/2006 COPPERHILL TN 37317 Exclusion - 18NYCRR515 REGISTERED NURSE KILARU RAVI KUMAR Physician NM005340 00245510 11/03/2009 Danbury CT 06810 18NYCRR504.1(d)(19) KIM ELAINE Office Manager NM007708 61 Queens 12/19/2011 Bayside NY 11360-1138 Exclusion - 18NYCRR515 KIM GILBERT Y DDS Dentist 00861156 00037981 61 Queens 12/19/2011 FLUSHING NY 11354-5517 Exclusion - 18NYCRR515 SYSTEM GENERATED FROM CLAIM KIM HO YON MD Physician 01769319 00184700 61 Queens 12/25/2011 FLUSHING NY 11354-5562 Exclusion - 18NYCRR515 PHYSICIANS KIM IL YOUNG NM001428 00125127 12/18/2006 ARCADIA CA 91006 Exclusion - 18NYCRR515 KIM NIGEL JASON DDS Dentist 02693378 00052373 60 New York 11/07/2010 NEW YORK NY 10011-2172 Exclusion - 18NYCRR515 KIM STEVEN NM001295 09/20/2006 HAMBURG NY 07419 Exclusion - 18NYCRR515 KIM YOUNG I MD 00658475 00130366 47 Suffolk 02/20/2000 MEDFORD NY 11763 Exclusion - 18NYCRR515 KIMYAGAROVA IRINA DO 02270217 00222382 61 Queens 10/20/2008 FOREST HILLS NY 11375 Exclusion - 18NYCRR515 KING BRENDA J. NM001488 06/20/2007 ROCHESTER NY 14618 Exclusion - 18NYCRR515 SYSTEM GENERATED FROM CLAIM KING CHRISTOPHER G Chiropractor NM005499 00009461 11/01/2009 Middletown NJ 10940 Exclusion - 18NYCRR515 KING JOHN ANDERSON Physician NM001682 00201149 04/01/2010 Orlando FL 23837 Exclusion - 18NYCRR515 KING JOHN E MD Physician 00994234 00994234 61 Queens 04/12/2010 FOREST HILLS NY 11375-5254 Exclusion - 18NYCRR515 KING NANCY D RPN NM002229 00258280 05/28/2007 Hyde Park NY 12538 Exclusion - 18NYCRR515 REGISTERED NURSE KINGS CO MEDICAL DOCTOR CARE 02039783 CAH00042 59 Kings 12/19/2006 BROOKLYN NY 11224 Exclusion - 18NYCRR515 KINGS HIGHWAY DIAGNOSTICS IMAGING PHYSICIAN GROUP NM002472 08/15/2007 Gillette NJ 07933 Exclusion - 18NYCRR515 KINIMAKA CHAMONIX Physician NM007699 00262217 59 Kings 01/10/2012 Brooklyn NY 10165 Exclusion - 18NYCRR515 KIRKLAND TERESA A/K/A THERESA KIRKLAND NM000696 N/A 01/04/2006 ALDEN NY 14004 Exclusion - 18NYCRR515 KIRKOROV VLADIMIR Physician NM007250 00203548 07/19/2007 Rome NY 13442 Exclusion - 18NYCRR515 KIRKPATRICK DAHLIA V MD Physician 00235254 00125906 59 Kings 08/18/2011 BROOKLYN NY 11213-4514 Exclusion - 18NYCRR515 KIRSHNER JAY Pharmacist 01447543 00042409 28 Nassau 09/27/2011 LONG BEACH NY 11561-2512 Exclusion - 18NYCRR515 PHARMACISTS KISINA TATYANA MD 02244553 00223341 59 Kings 10/20/2008 BROOKLYN NY 11230 Exclusion - 18NYCRR515 PHYSICIANS KISNER ROBIN S RN NM004925 00565247 04/30/2009 Painted Post NY 14870 Exclusion - 18NYCRR515 REGISTERED NURSE KISS CHERYL A/K/A CHERYL KLUCHAR NM001411 00507284 12/11/2006 POUGHKEEPSIE NY 12601 Exclusion - 18NYCRR515 KISSEL ARTHUR AKA FROOM Clinic Owner NM005892 03/25/2010 Hallandale FL 33009 Exclusion - 18NYCRR515 KITE CHARLES HAVENER MD 01047176 00139527 01 Albany 09/05/1996 ALBANY NY 12208 Exclusion - 18NYCRR515 KITOTI NADIA E CNA NM004062 342578050607E 10/20/2008 Valatie NY 12184 Exclusion - 18NYCRR515 KIZHNERMAN IGOR Optician 01632842 00006787 61 Queens 12/20/2009 JAMAICA NY 11432-5215 Exclusion - 18NYCRR515 KLEIN GAIL Nurse NM006187 00089919 06/02/2010 Mechanicville NY 12118 Exclusion - 18NYCRR515 KLEIN IRA NM004837 00109180 12/18/2008 Fort Worth TX 76119 Exclusion - 18NYCRR515 KLEIN LAWRENCE DPM 050-Podiatrist 00415518 00002611 59 Kings 06/18/2009 BROOKLYN NY 11201 Exclusion - 18NYCRR515 KLEIN PAUL G DPM 00633972 00003254 61 Queens 04/06/1993 REGO PARK NY 11374 Exclusion - 18NYCRR515 KLEIN STEPHEN MD 00831892 00148278 61 Queens 10/06/1997 JAMAICA NY 11433 Exclusion - 18NYCRR515 KLEINER KENNETH MD 00673872 00142335 62 Richmond 06/19/1996 STATEN ISLAND NY 10305 Exclusion - 18NYCRR515 KLEINMAN DENNIS G MD 01151197 NJ037089 99 Out Of State 12/08/1993 ENGLEWOOD NJ 07631 Exclusion - 18NYCRR515 KLEVANOSKY GARY UNKNOWN NM003951 07/22/2008 Ronkonkoma NY 11779 Exclusion - 18NYCRR515 KLEYNERMAN IOSIF MD 01057818 00173554 59 Kings 11/14/1997 BROOKLYN NY 11204 Exclusion - 18NYCRR515 KLIBANOFF EDWARD PC MD 00121682 00082669 12/03/2002 BRONX NY 10451 Exclusion - 18NYCRR515 KLIMOVA LUBOV TANYA MD 01030253 00171228 59 Kings 09/09/1996 BROOKLYN NY 11214 Exclusion - 18NYCRR515 KLUTCHKO BRUCE STEWART MD 00647943 00134734 60 New York 09/20/1998 NEW YORK NY 10016 Exclusion - 18NYCRR515 KNAUBER DEBRA L NM003643 00171361 05/26/2008 Darien Center NY 14040 Exclusion - 18NYCRR515 KNEIS DONNA M Nurse NM005667 00149855/00390794 02/09/2010 Concord NY 14141 Exclusion - 18NYCRR515 KNIGHT OVID DEAN MD Physician 00638697 00087830 04 Cattaraugus 03/25/2010 FRANKLINVILLE NY 14737-1028 Exclusion - 18NYCRR515 KNOX HERBERT C JR DPM Podiatrist 01477572 00005010 14 Erie 02/06/2009 BUFFALO NY 14214-2635 Exclusion - 18NYCRR515 PODIATRIST KNOX JOHN Chiropractor NM007710 00009814 39 Rockland 12/19/2011 Monsey NY 10952-2833 Exclusion - 18NYCRR515 KOAM MEDICAL SERVICE PC Physicians Group 02332103 00031806 61 Queens 12/25/2011 FLUSHING NY 11354-2826 Exclusion - 18NYCRR515 SYSTEM GENERATED FROM CLAIM KOBYLECKYJ CRYSTNA LPN / RN NM007308 00512360 / 00244335 33 Orange 07/19/2011 Washingtonville NY 10992 Exclusion - 18NYCRR515 KOCHER KATHLEEN M NM002269 00202060 07/02/2007 Brooklyn NY 11234 Exclusion - 18NYCRR515 PRACTICAL NURSE KODESCH KURT WILLIAM MASSAGE THERAPIST NM001655 00006300 02/20/2007 SCHENECTADY NY 12308 Exclusion - 18NYCRR515 KOENIG RICHARD M MD 00508030 00123515 39 Rockland 03/04/1992 SPRING VALLEY NY 10977 Exclusion - 18NYCRR515 KOERBER JR WALTER ALBERT Physician NM006875 00143558 11/12/2010 Harrisburg PA 17110 Exclusion - 18NYCRR515 KOH YOUNG W MD 00200091 00111357 59 Kings 10/07/1991 BROOKLYN NY 11233 Exclusion - 18NYCRR515 KOHLMEYER JENNIFER A LPN NM006023 00268449 05/26/2011 Coxsackie NY 12051 Exclusion - 18NYCRR515 KOMAL PHARMACY INC 01263212 00020883 59 Kings 10/06/1997 BROOKLYN NY 11218 Exclusion - 18NYCRR515 KONITS ROCHELLE MD 00573473 00144340 28 Nassau 11/13/1989 LONG BEACH NY 11561 Exclusion - 18NYCRR515 KONTOMICHALOS DEBORAH Unknown NM006746 17 Fulton 09/20/2011 Johnstown NY 12095 Exclusion - 18NYCRR515 KONTOS DIMITRIOS D MD 00159706 00095829 60 New York 02/20/2000 NEW YORK NY 10033 Exclusion - 18NYCRR515 KOPCHYNSKI G HAROLD MD 00096144 47 Suffolk 10/20/1998 AMITYVILLE NY 11701 Exclusion - 18NYCRR515 KORAL ALLEN DDS 00281925 00029532 59 Kings 03/20/2001 BROOKLYN NY 11215 Exclusion - 18NYCRR515 KORMAN DAVID MD 00159408 00095729 59 Kings 04/16/1995 BROOKLYN NY 11203 Exclusion - 18NYCRR515 KORN MARC IRWIN Nursing Home Owner NM007228 14 Erie 07/20/2011 Amherst NY 14051-1775 Exclusion - 18NYCRR515 KORNAK PAUL H NM001822 MD038985E (PA) 04/19/2007 Lisbon OH 44432 Exclusion - 18NYCRR515 KORNBLATT STEVEN OD 01581819 0U004541 47 Suffolk 05/18/2006 JAMAICA NY 11432 Exclusion - 18NYCRR515 KOROT ALLAN OD 00360710 0T002621 53 Washington 04/06/1994 HUDSON FALLS NY 12839 Exclusion - 18NYCRR515 KORT AMIT Unknown NM004804 04/23/2009 Roslyn NY 11576 Exclusion - 18NYCRR515 SYSTEM GENERATED FROM CLAIM KOSICH MARTIN O. NM001075 00108834 06/20/2006 CATSKILL NY 12414 Exclusion - 18NYCRR515 KOSTIOCHENKO KATHERINA Adminstrative Assistant NM006547 59 Kings 08/03/2011 Brooklyn NY 11229 Exclusion - 18NYCRR515 KOSYANENKO LYUDMILA Home Health Aide NM002804 01/20/2010 Brooklyn NY 11235 Exclusion - 18NYCRR515 KOTZEN STEPHEN H. NM003007 00362847 12/20/2007 Massena NY 13662 Exclusion - 18NYCRR515 KOUMOUNDOUROS LELA HOME HEALTH AIDE NM001510 03/20/2009 BROOKLYN NY 11218 Exclusion - 18NYCRR515 SYSTEM GENERATED FROM CLAIM KOUYOUMDJIAN MEGUERDICH K MD 00663323 00093975 40 St. Lawrence 05/20/1998 GOUVERNEUR NY 13642 Exclusion - 18NYCRR515 KOVACH MARTHA L. NM003006 00226577 05/20/2008 Cato NY 13033 Exclusion - 18NYCRR515 KOVALENKO OLENA HHA NM003683 05/20/2009 Brooklyn NY 11210 Exclusion - 18NYCRR515 SYSTEM GENERATED FROM CLAIM KOVALEVA GALINA Home Health Aide NM002932 06/17/2010 Brooklyn NY 11229 Exclusion - 18NYCRR515 KOVALIENKO VALENTINA Office Manager NM007462 59 Kings 09/27/2011 Brooklyn NY 11235-2166 Exclusion - 18NYCRR515 SYSTEM GENERATED FROM CLAIM KOVAR MILAN MD 00527404 00105287 17 Fulton 05/20/1998 JOHNSTOWN NY 12095 Exclusion - 18NYCRR515 KOVARSKAYA LEVIT GALINA MD 01038206 00163730 58 Bronx 07/09/2004 NEW YORK NY 10016 Exclusion - 18NYCRR515 PHYSICIANS KOWLES JAMES ANDREW Physician NM007070 00124513 10/18/2007 Windsor VT 05089 Exclusion - 18NYCRR515 KOZAKIEWICZ KIMBERLY LPN NM002404 05/20/2009 Schenectady NY 12303 Exclusion - 18NYCRR515 PRACTICAL NURSE KRAINOV YURI Dentist 01596010 00046221 59 Kings 08/15/2011 BROOKLYN NY 11229 Exclusion - 18NYCRR515 KRAITER ANATOLY Unknown NM007721 59 Kings 01/16/2012 Brooklyn NY 11235-5016 Exclusion - 18NYCRR515 SYSTEM GENERATED FROM CLAIM KRAJCIR TIRZAH RUTH NM000823 04/20/2006 JOHNSTOWN NY 12095 Exclusion - 18NYCRR515 KRANT HOWARD Business Owner NM005893 04/09/2010 Monmouth Beach NJ 07750 Exclusion - 18NYCRR515 KRASI SVETLANA Home Health Aide NM004880 05/20/2010 Rockaway Beach NY 11693 Exclusion - 18NYCRR515 KRAUSE MARYCATHERINE Physician NM006072 00195095 03/01/2000 Greenwich CT 06830-5424 Exclusion - 18NYCRR515 KRAVCHENKO YURIY HHA NM003651 05/20/2009 Brooklyn NY 11224 Exclusion - 18NYCRR515 SYSTEM GENERATED FROM CLAIM KRAVTSOVA YELENA HHA NM002782 12/20/2009 Brooklyn NY 11214 Exclusion - 18NYCRR515 KRAWCZUK WILLIAM JOHN DDS 00596887 00026483 02/04/2003 SYRACUSE NY 13215 Exclusion - 18NYCRR515 KRESHOVER JERROLD 01296813 00025745 47 Suffolk 04/06/1994 AMITYVILLE NY 11701 Exclusion - 18NYCRR515 KRESSER KATHRYN MEDICAID SERVICE COORDINATOR NM001235 04/19/2007 BUFFALO NY 14217 Exclusion - 18NYCRR515 KRIKUN BORIS MD 00715288 00150206 61 Queens 03/17/1999 FOREST HILLS NY 11375 Exclusion - 18NYCRR515 KRIS-TAL CORP 01396845 00021431 33 Orange 11/04/2004 GOSHEN NY 10924 Exclusion - 18NYCRR515 DENTAL SCHOOL/DENTIST KROPP OLENA NURSE NM003242 00548128 01/24/2008 Lindenhurst NY 11757 Exclusion - 18NYCRR515 KRUTOSHINSKIY VITALIY Home Health Aide NM002767 59 Kings 10/20/2010 Brooklyn NY 11235 Exclusion - 18NYCRR515 KUBACKI JOSEPH MD Physician 00853136 PA017939 99 Out Of State 10/18/2011 PHILADELPHIA PA 19133-3100 Exclusion - 18NYCRR515 KUCHMENT RAISA MD 00891570 00159442 60 New York 12/07/1989 NEW YORK NY 10033 Exclusion - 18NYCRR515 KUKFA MICHAEL 01243594 00175129 26 Monroe 04/22/2008 ROCHESTER NY 14607 Exclusion - 18NYCRR515 KULAK RICHARD PAUL Physician 01881052 00210974 31 Onondaga 01/16/2012 LIVERPOOL NY 13088-4604 Exclusion - 18NYCRR515 PHYSICIANS KULIK PAVEL Physician 02279683 00224945 59 Kings 02/15/2012 BROOKLYN NY 11204-5955 Exclusion - 18NYCRR515 PHYSICIANS KUNES CAROL ANN WASZAK Nurse NM005760 00068247/00416046 03/01/2010 Attica NY 14011 Exclusion - 18NYCRR515 KUNIKATA HAMADA NM001844 00106968 04/20/2007 Guttenbeerg NJ 07093 Exclusion - 18NYCRR515 KURAYEVA SARA Issued Illegitimate Home Health Aide Certs. NM002626 05/20/2010 Kew Gardens NY 11415 Exclusion - 18NYCRR515 KUREYEVA SARA Home Health Aid NM006594 61 Queens 03/18/2009 Kew Gardens NY 11415 Exclusion - 18NYCRR515 CYTOTECHNOLOGIST KURINETS VLADIMIR 01688628 00046523 59 Kings 02/20/2001 BROOKLYN NY 11236 Exclusion - 18NYCRR515 KURTZ JOEL Dentist NM006120 00000861/00030933 05/19/2005 Livingston NJ 07039 Exclusion - 18NYCRR515 KURYLOWICZ, RONALD A Physician NM004112 00126038 09/28/2010 VENICE CA 90292 Exclusion - 18NYCRR515 KUSTICH SUSAN KATHERINE DPM 01230744 00004677 61 Queens 07/08/1997 MASPETH NY 11378 Exclusion - 18NYCRR515 KUTSCHER LAURA NM000655 00218126 06/22/2005 PENNELLVILLE NY 13132 Exclusion - 18NYCRR515 KUZMA OKSANA Unlicensed Home Health Aide NM004904 10/20/2010 Brooklyn NY 11230 Exclusion - 18NYCRR515 KWADWO OPONG-PEPRAH Technician Assistant NM007302 99 Out Of State 08/21/2011 Washington DC 20010-2442 Exclusion - 18NYCRR515 KWIK AID PHARMACY INC 01902134 00024156 39 Rockland 01/24/2008 CONGERS NY 10920 Exclusion - 18NYCRR515 KWIK WILLIAM KINGHAN Optometrist 02330523 00006383 39 Rockland 02/15/2012 ROCHESTER NY 14623-5862 Exclusion - 18NYCRR515 OPTOMETRISTS KWON YOUNG HO MD 00639643 00146249 60 New York 11/08/1994 NEW YORK NY 10001 Exclusion - 18NYCRR515 KYAW MAUNG M DMD 01649141 00044852 59 Kings 05/06/2004 FLUSHING NY 11355 Exclusion - 18NYCRR515 DENTAL SCHOOL/DENTIST KYEI-ANTI AFIA AGYARKWAAH NURSE NM003770 00520335 06/30/2008 Shirley NY 11967 Exclusion - 18NYCRR515 KYZYZAK MICHAEL Message Therapist NM005250 00016424 08/03/2009 Wappingers Falls NY 12590 Exclusion - 18NYCRR515 L & B PROSTH & ORTH CTR INC 01088733 59 Kings 11/16/1994 BROOKLYN NY 11235 Exclusion - 18NYCRR515 L P PHARMACY INC 01382989 00021453 60 New York 04/04/1998 NEW YORK NY 10013 Exclusion - 18NYCRR515 L&L PSYCHOLOGICAL SVCS PC 01767133 00000000 02/05/2003 OLD GREENWICH NY 06870 Exclusion - 18NYCRR515 L'ARCHEVEQUE DEE M MD Physician 01788843 00207056 59 Kings 11/15/2009 BROOKLYN NY 11219-2916 Exclusion - 18NYCRR515 LA BRUNA VINCENT FRANCIS 00933440 00003756 58 Bronx 11/12/1994 BRONX NY 10454 Exclusion - 18NYCRR515 LABRUNA VINCENT A DDS 01175566 00040330 09/04/2002 NEW YORK NY 10016 Exclusion - 18NYCRR515 LACLAIR LACEY CNA NM001093 341998430703E 02/20/2008 CHURUBUSCO NY 12923 Exclusion - 18NYCRR515 LACUANAN EDWIN DUMLAO MD 00831916 00158206 58 Bronx 05/20/1998 BRONX NY 10452 Exclusion - 18NYCRR515 LADIEU DIANE P. NM001318 00510354 05/20/2007 PLATTSBURGH NY 12903 Exclusion - 18NYCRR515 REGISTERED NURSE LAFERIERE GENA LPN NM002421 00225978 08/05/2007 Queens Village NY 11427 Exclusion - 18NYCRR515 PRACTICAL NURSE LAFONTAINE SONIA Clinic Owner NM005891 03/25/2010 Miami FL 33125 Exclusion - 18NYCRR515 LAFOREST ROUDLIE CNA NM005441 342150390604E 10/20/2010 Huntington Station NY 11746 Exclusion - 18NYCRR515 LAGDIWALA DIMPLE P Pharmacist / Owner 02523742 00047293 58 Bronx 12/06/2010 BRONX NY 10452-1615 Exclusion - 18NYCRR515 LAGUNDINO FLORDELINO MD 00302745 VA027784 99 Out Of State 05/02/1996 FREDERICKSBURG VA 22408 Exclusion - 18NYCRR515 LAHHAM HASSAN MD Physician 01039894 00169553 61 Queens 07/11/2011 CORONA NY 11368-2312 Exclusion - 18NYCRR515 PHYSICIANS LAING COMFORT ASABEA Home Health Aide Imposter NM005865 55 Westchester 07/20/2011 Yonkers NY 10701 Exclusion - 18NYCRR515 LAKE GERALD EUGENE Physician NM006686 00144372 10/01/2010 San Diego CA 92101 Exclusion - 18NYCRR515 LAKE PLACID DRUGS INC 00649234 00017999 15 Essex 08/08/1988 LAKE PLACID NY 12946 Exclusion - 18NYCRR515 LAKHTER ALEXANDER CLINICAL BUSINESS MANAGER NM001067 11/20/2005 E. STROUDSBURG PA 18301 Exclusion - 18NYCRR515 LALA LEKHU KEWALRAM MD 00844940 00146833 58 Bronx 11/01/1990 BRONX NY 10454 Exclusion - 18NYCRR515 LALL KAILASH CHANDER MD Physician 00637458 00138935 14 Erie 11/29/2011 WEST SENECA NY 14224-3433 Exclusion - 18NYCRR515 LAMARE REGINA Nurse NM006167 00278438 04/20/2010 Chazy NY 12992 Exclusion - 18NYCRR515 LAMBERT MELVILLE A MD 00200151 61 Queens 11/18/1992 LONG ISLAND CITY NY 11106 Exclusion - 18NYCRR515 LANCASTER ROBIN L NM002429 00228806 08/05/2007 East Rochester NY 14445 Exclusion - 18NYCRR515 PRACTICAL NURSE LANDAU HERBERT PHD 00440928 00005381 28 Nassau 10/16/2003 FT SALONGA NY 11768 Exclusion - 18NYCRR515 PHYSICIANS ASSISTANT LANDRINI FRANCES Employee NM000905 08/20/2009 BRIDGEPORT CT 06606 Exclusion - 18NYCRR515 LANDSMAN SHARON MARSELAS A/K/A LOUISE Physician NM005730 00116792 02/22/2010 Woburn MA 01801 Exclusion - 18NYCRR515 LANE ABBIE VENUS DDS 01122485 00042030 07/20/2006 BROOKLYN NY 11226 Exclusion - 18NYCRR515 LANGER SYDNEY E MD 00382807 00041162 60 New York 11/05/1997 NEW YORK NY 10003 Exclusion - 18NYCRR515 LANGFORD EDWARD A PC MD 00577115 00126556 14 Erie 05/27/1993 BUFFALO NY 14215 Exclusion - 18NYCRR515 LANGMAN LEONARD A MD Physician 00695414 00143343 59 Kings 11/29/2011 Brooklyn NY 11217-3910 Exclusion - 18NYCRR515 LANIER DONNA Nurse NM006121 00287674 09/20/2005 Mulberry FL 33860 Exclusion - 18NYCRR515 LANIERI BARBARA R NM002723 00424808 10/30/2007 Bellport NY 11713 Exclusion - 18NYCRR515 LANKIN RADISLAV Private Citizen NM006273 06/17/2010 Buffalo NY 14228 Exclusion - 18NYCRR515 LANTING FELIX Physician 00120681 00082323 62 Richmond 04/03/2011 STATEN ISLAND NY 10314-5662 Exclusion - 18NYCRR515 LAPI NICHOLAS F MD 00134785 00086641 28 Nassau 09/15/1995 WOODMERE NY 11598 Exclusion - 18NYCRR515 LAPORTE EDYNE LPN NM001329 00274856 08/20/2007 NORTH WOODMERE NY 11581 Exclusion - 18NYCRR515 LARICCHIA SAMUEL 01306069 99 Out Of State 06/21/2006 BROOKFIELD CT 06804 Exclusion - 18NYCRR515 LARICCHIA SAMUEL 01062326 00026116 37 Putnam 07/23/1997 BREWSTER NY 10509 Exclusion - 18NYCRR515 LARIMAR PHARMACY INC 00745359 00017667 60 New York 10/24/2005 NEW YORK NY 10033 Exclusion - 18NYCRR515 LARKIN DAVID Physician NM005689 00147004 12/20/2009 Los Alamitos CA 90720 Exclusion - 18NYCRR515 LARKINS ROBERT DO PC 00242099 00116624 61 Queens 09/20/1998 DOUGLASTON NY 11362 Exclusion - 18NYCRR515 LAROCCA MICHAEL Transportation Company Owner NM000668 05/20/2009 FAR ROCKAWAY NY 11691 Exclusion - 18NYCRR515 SYSTEM GENERATED FROM CLAIM LARROBY CHEMISTS INC 00276619 00012518 59 Kings 10/20/1998 BROOKLYN NY 11236 Exclusion - 18NYCRR515 LARROW ROBERT J RN NM007442 00453361 15 Essex 08/18/2011 Mineville NY 12956 Exclusion - 18NYCRR515 LASID SALES INC 00893765 00018646 58 Bronx 05/06/1992 BRONX NY 10456 Exclusion - 18NYCRR515 LASTRA ABRAHAM Employee NM001330 10/20/2010 IRVINGTON NJ 07111 Exclusion - 18NYCRR515 LATHROP BRENDA CNA NM001227 330121641289E 09/18/2006 ROCHESTER NY 14621 Exclusion - 18NYCRR515 LATIMER CHRISTINA MARY RN NM007191 00455769 05/22/2011 Washingtonville NY 10992-2029 Exclusion - 18NYCRR515 LATONA ANTHONY Chiropractor NM007293 00003747 07/13/2011 Woddhaven NY 11421 Exclusion - 18NYCRR515 CHIROPRACTOR/PORT-XRAY-SVC (QMB) LAUERSEN NIELS H MD 00182834 00104954 04/11/2002 NEW YORK NY 10021 Exclusion - 18NYCRR515 LAUREANO ESMERALDA CNA NM006784 342490371006E 61 Queens 08/18/2011 Far Rockaway NY 11691 Exclusion - 18NYCRR515 LAWLER PAUL J 01727797 00000490 08/13/2003 ENGLEWOOD FL 34224 Exclusion - 18NYCRR515 LAWRENCE BRIAN NURSE NM002643 00510324 11/03/2007 Lehigh Acres FL 33936 Exclusion - 18NYCRR515 LAWRENCE GOTKIND NM001418 00118080 12/20/2006 TORONTO, CANADA M2N2Z9 Exclusion - 18NYCRR515 LAWRENCE KRISTINA M CNA NM007351 342685140508E 18 Genesee 08/03/2011 Batavia NY 14020 Exclusion - 18NYCRR515 LAWSON J D 02592836 00033514 99 Out Of State 03/26/2007 SYRACUSE NY 13218 Exclusion - 18NYCRR515 LAYNE DELILAH CNA NM006376 342323670705E 01/19/2011 Albany NY 12202 Exclusion - 18NYCRR515 LAZAREV ALEXANDER NM003478 01/01/1998 Unknown ZZ 00000 Exclusion - 18NYCRR515 LE PORE ROBERT F 00641429 00002874 14 Erie 03/20/2000 BUFFALO NY 14222 Exclusion - 18NYCRR515 LEACH SARA Nurse NM006705 00507830 07/20/2010 Schenectady NY 12303 Exclusion - 18NYCRR515 LEANZA TERESA NURSE NM003062 00500183 02/10/2008 Westhampton Beach NY 11978 Exclusion - 18NYCRR515 LEATHER SAMUEL GELTZER MD Physician 01642671 00202325 30 Oneida 10/12/2009 ROME NY 13440-2427 Exclusion - 18NYCRR515 LEBEL ALEXANDER DDS 01525891 00045645 59 Kings 11/04/2005 BROOKLYN NY 11229 Exclusion - 18NYCRR515 DENTAL SCHOOL/DENTIST LEBENSFELD MAYDE ANN DPM 00908223 00003946 61 Queens 05/29/1995 HOWARD BEACH NY 11414 Exclusion - 18NYCRR515 LEBENTRITT JODY RPN NM002426 00316179 08/05/2007 Troy NY 12180 Exclusion - 18NYCRR515 REGISTERED NURSE LECUYER-GRAUS MICHELLE A NURSE NM001672 00424967 02/19/2007 PLANO TX 75023 Exclusion - 18NYCRR515 LEE ANTHONY TUN Physician NM001676 00119145 03/20/2008 VILLA PARK CA 92861 Exclusion - 18NYCRR515 LEE BENJAMIN EUN Physician 00629245 00130038 29 Niagara 05/10/2010 LOCKPORT NY 14094 Exclusion - 18NYCRR515 LEE CHONG H MD Physician 00218364 00117609 60 New York 01/20/2010 NEW YORK NY 10034-2835 Exclusion - 18NYCRR515 LEE DUK H MD Physician 01224982 00147598 35 Oswego 05/31/2010 OSWEGO NY 13126-2507 Exclusion - 18NYCRR515 LEE GEORGE T MD 00341855 NJ033965 99 Out Of State 11/24/1991 PASSAIC NJ 07055 Exclusion - 18NYCRR515 LEE HARRISON HEE YOUNG, MD NM003366 00196433 99 Out Of State 04/07/2008 Tartzana CA 91356 Exclusion - 18NYCRR515 LEE JOSEPH YO-SUP Physician 02810988 00002585 40 St. Lawrence 02/20/2011 CANTON NY 13617-1450 Exclusion - 18NYCRR515 PHYSICIANS LEE KYUNG JA MD 00257814 00132307 59 Kings 06/29/1995 BROOKLYN NY 11207 Exclusion - 18NYCRR515 LEE ROBERT DAVID 01637681 00038107 09/04/2002 BROOKLYN NY Exclusion - 18NYCRR515 LEE WEI LOON 01694260 00044478 60 New York 03/26/2007 NEW YORK NY 10013 Exclusion - 18NYCRR515 LEE-PEREZ SHIRLEY R.N NM000689 00365277 10/06/2005 VALLEY STREAM NY 11580 Exclusion - 18NYCRR515 LEEMAR DRUGS INC 01090817 00019933 59 Kings 01/22/1991 BROOKLYN NY 11237 Exclusion - 18NYCRR515 LEFF JAY S DPM 00995602 00004112 61 Queens 05/25/1994 DOUGLASTON NY 11363 Exclusion - 18NYCRR515 LEFF JEROME BENJAMIN DPM Podiatrist 00725439 00003415 59 Kings 06/08/2010 BROOKLYN NY 11213 Exclusion - 18NYCRR515 LEGASPI MARLON LPN / RN NM007718 00274955/ 00581721 39 Rockland 12/19/2011 Valley Cottage NY 10989 Exclusion - 18NYCRR515 LEGRAND COSMAS PHYSICAL THERAPIST NM000447 00000586 02/03/2006 BROOKLYN NY 11226 Exclusion - 18NYCRR515 PHYSICAL THERAPIST LEHRMAN NATHANIEL S MD 00078331 00046420 28 Nassau 11/09/1992 ROSLYN NY 11576 Exclusion - 18NYCRR515 LEIBSTEIN RUSSELL D. Nurse NM006172 00292400 05/31/2010 Sayville NY 11782 Exclusion - 18NYCRR515 LEMBO MICHAEL L Clinical Engineering Dept Tech NM003368 08/19/2010 Bridgeport NY 13030 Exclusion - 18NYCRR515 LENTINI SALVATORE Chiropractor NM005265 00007614 10/13/2009 Chester NY 10918 Exclusion - 18NYCRR515 LEONARD CAROL A LPN 02063445 155768 07 Chemung 03/18/2009 HORSEHEADS NY 14845 Exclusion - 18NYCRR515 PRACTICAL NURSE LEONARD CLAUDE 00657507 00121617 58 Bronx 03/25/1987 BRONX NY 10457 Exclusion - 18NYCRR515 LEONARD DEBORAH R NURSE NM001634 00318692 02/19/2007 ALBION NY 14411 Exclusion - 18NYCRR515 LEONARD JONATHAN B DPM 00759637 00003258 60 New York 05/18/2000 NEW YORK NY 10029 Exclusion - 18NYCRR515 LEONARDO ELIZABETH aka DEMATTEO Nurse NM005929 502097 02/22/2010 Delmar NY 12054 Exclusion - 18NYCRR515 LEONE JOSEPH J 01333348 00035678 59 Kings 11/20/1997 BROOKLYN NY 11228 Exclusion - 18NYCRR515 LEONE KATHLEEN A. NM001409 00225138 06/20/2007 SOUTHOLD NY 11971 Exclusion - 18NYCRR515 PRACTICAL NURSE LEONID VOROBYEV 02150585 11/02/2008 MORGANVILLE NJ 07751 Exclusion - 18NYCRR515 LERMAN SARA 02524394 00000000 60 New York 01/04/2005 NEW YORK NY 10021 Exclusion - 18NYCRR515 LESHNOWER ALAN L DPM 00904316 00003948 60 New York 10/06/1997 NEW YORK NY 10128 Exclusion - 18NYCRR515 LESSLER PAUL Physician NM005897 00092239 03/04/2010 Augusta GA 30907 Exclusion - 18NYCRR515 LEUNG FRANCES MA 01382998 00034818 05/07/2001 ALBION NY 14411 Exclusion - 18NYCRR515 LEUNG KING T. MD NM002525 00123457 08/31/2007 Mesa AZ 85207 Exclusion - 18NYCRR515 LEVIN JOHN MICHAEL MD 02313844 PA12816E 99 Out Of State 11/10/2004 SUSQUEHANNA PA 18847 Exclusion - 18NYCRR515 PHYSICIANS LEVIN KONSTANTIN DDS 01808662 00047174 59 Kings 03/18/2004 BROOKLYN NY 11224 Exclusion - 18NYCRR515 DENTAL SCHOOL/DENTIST LEVIN MAXIM G Owner NM005862 02/18/2010 Getzville NY 14068 Exclusion - 18NYCRR515 LEVIN RICHARD ANDREW DMD 00651556 00035329 09/10/2003 ROCHESTER NY 14618 Exclusion - 18NYCRR515 LEVINE EDWARD JAY MD 00991635 00152068 62 Richmond 05/18/2000 STATEN ISLAND NY 10312 Exclusion - 18NYCRR515 LEVINE GAYLE MARIE Nurse NM006207 00541913 06/08/2010 West Babylon NY 11704 Exclusion - 18NYCRR515 LEVINE WILLIAM MICHAEL DPM Podiatrist 01622742 00005003 61 Queens 09/20/2011 FAR ROCKAWAY NY 11691-3625 Exclusion - 18NYCRR515 LEVINSON GERALD MD 00156809 00094949 59 Kings 03/20/1992 BROOKLYN NY 11221 Exclusion - 18NYCRR515 LEVINSTIM EDWIN 01309791 00030894 55 Westchester 04/20/2000 MT VERNON NY 10552 Exclusion - 18NYCRR515 LEVY ALEX A/K/A SASHA Manager NM005266 10/13/2009 Flushing NY 11367 Exclusion - 18NYCRR515 LEVY ALEXANDER DBA FIRST CITY MED. Business Owner NM003479 12/29/2009 Staten Island NY 00000 Exclusion - 18NYCRR515 LEVY ALLEN STEVEN PHD LCSW PC 01418542 00031114 99 Out Of State 11/20/2006 FAIRFIELD CT 06430 Exclusion - 18NYCRR515 DENTAL SCHOOL/DENTIST LEVY DANIEL a/k/a DIMA LEVY Business Owner NM005267 10/13/2009 Queens NY 11374 Exclusion - 18NYCRR515 LEVY EDWARD EZRA 01559420 00045812 04/13/2006 FOREST HILLS NY 11375 Exclusion - 18NYCRR515 LEVY LORRAINE Director of Customer Service NM006715 99 Out Of State 03/27/2011 Coconut Creek FL 33066 Exclusion - 18NYCRR515 SYSTEM GENERATED FROM CLAIM LEVY PARKE Owner of Americare in Home NM006714 59 Kings 03/27/2011 Brooklyn NY 11209 Exclusion - 18NYCRR515 SYSTEM GENERATED FROM CLAIM LEVY STEPHEN N MD 00987839 00146446 60 New York 10/04/2005 WILTON CT 06897 Exclusion - 18NYCRR515 PHYSICIANS LEVYKH ELEANORA BILLER FOR UNITED ZSLK NM001287 07/19/2007 BROOKLYN NY 11235 Exclusion - 18NYCRR515 SYSTEM GENERATED FROM CLAIM LEW BRIAN salesperson NM001334 02/19/2009 LITTLE NECK NY 11362 Exclusion - 18NYCRR515 SYSTEM GENERATED FROM CLAIM LEW CHARLES MD NM002892 00168395 11/21/2007 Tacoma WA 98466 Exclusion - 18NYCRR515 LEWIS BETTINA Home Health Aide NM006405 47 Suffolk 09/19/2011 Mastic Beach NY 11951 Exclusion - 18NYCRR515 LEWIS CHARLES M MD 00488133 00141702 61 Queens 11/20/1997 JAMAICA NY 11418 Exclusion - 18NYCRR515 LEWIS DAN STEVEN Physician NM006066 00188356 12/20/2011 Mamaroneck NY 10543 Exclusion - 18NYCRR515 LEWIS DANIELLE R CNA NM004082 342509921206E 05/20/2010 Bay Shore NY 11706 Exclusion - 18NYCRR515 LEWIS DAVID Dentist 02613050 00045565 99 Out Of State 10/05/2010 MIDDLE VILLAGE NY 11379-2630 Exclusion - 18NYCRR515 LEWIS DUGALD THOMAS MD 01124125 00164025 14 Erie 08/20/1998 BUFFALO NY 14201 Exclusion - 18NYCRR515 LEWIS R BRESTIN DDS PC Dental Groups 01466944 61 Queens 02/05/2012 JAMAICA NY 11432-5523 Exclusion - 18NYCRR515 DENTAL SCHOOL/DENTIST LEWIS ROGER B 00277005 UT005216 99 Out Of State 10/18/2007 OREM UT 84057 Exclusion - 18NYCRR515 LEWIS SHEILA M CNA NM005162 341251520199E 14 Erie 09/20/2011 Buffalo NY 14215 Exclusion - 18NYCRR515 LEXUS MEDICAL SUPPLY CORP 01394949 55 Westchester 08/22/1995 MOUNT VERNON NY 10550 Exclusion - 18NYCRR515 LEYBINA FAINA Issued Illegitimate Home Health Aide Certs. NM002625 04/26/2010 Brooklyn NY 11229 Exclusion - 18NYCRR515 LEYBINSKI ANNA Home Health Aide - Unlicensed NM002684 04/26/2010 Brooklyn NY 11223 Exclusion - 18NYCRR515 LEYBINSKI GEORGY Home Health Aide - Unlicensed NM002685 04/26/2010 Brooklyn NY 11223 Exclusion - 18NYCRR515 LI MIKE YOU NM005149 001122 02/12/2009 New York NY 10032 Exclusion - 18NYCRR515 SYSTEM GENERATED FROM CLAIM LI STAN XUHUI MD Physician 02394452 00214281 61 Queens 12/18/2011 FLUSHING NY 11355-4257 Exclusion - 18NYCRR515 LIBERTY MEDICAL SUPPLY INC 03234273 59 Kings 11/25/2011 BROOKLYN NY 11224-2589 Exclusion - 18NYCRR515 LIFE SCIENCE PHARMACY INC Pharmacy 02258804 00025104 33 Orange 04/29/2010 HARRIMAN NY 10926-3329 Exclusion - 18NYCRR515 LIFESTART CLINIC INC. 00955995 P7673000 42 Schenectady 10/24/1998 SCHENECTADY NY 12308 Exclusion - 18NYCRR515 LIGHTHOUSE SUPPORT SERVICES 01061430 P7863000 47 Suffolk 04/20/2000 RIVERHEAD NY 11901 Exclusion - 18NYCRR515 LIGHTNING DRUG CORP 01112138 00019991 59 Kings 09/30/1991 BROOKLYN NY 11237 Exclusion - 18NYCRR515 LIM FRANKLIN DPM 01143824 00004643 60 New York 09/06/1994 NEW YORK NY 10002 Exclusion - 18NYCRR515 LIM JAE SUP Massage Therapist NM005764 00016807 01/27/2010 Flushing NY 11354 Exclusion - 18NYCRR515 LIM JOCELYN 01891881 00211997 60 New York 04/17/2008 NEW YORKE NY 10016 18NYCRR504.1(d)(19) LIMANSKY RAYMOND Physician NM007067 00131669 11/18/2010 West Covina CA 91790 Exclusion - 18NYCRR515 LIN ANDREW NYIAU 00763837 00144011 59 Kings 07/08/1992 BROOKLYN NY 11229 Exclusion - 18NYCRR515 LIN BOYUAN Acupuncture NM006010 00000947 03/15/2010 Larchmont NY 10538 Exclusion - 18NYCRR515 LINDENHURST DRUG INC 00730992 00017600 47 Suffolk 01/04/1993 LINDENHURST NY 11757 Exclusion - 18NYCRR515 LINDSEY KAREN A. NM002528 02/20/2008 Delmar NY 12054 Exclusion - 18NYCRR515 LINEHAN ERIN Nurse NM006061 00283714 01/20/2010 Waterloo NY 13165 Exclusion - 18NYCRR515 LIONETTI ANTHONY L MD Physician NM004924 00148307 99 Out Of State 01/12/2009 Voorhees NJ 08043 Exclusion - 18NYCRR515 LIPMAN CLIFFORD R MD 01680271 NJ038121 99 Out Of State 03/13/2000 RAHWAY NJ 07065 Exclusion - 18NYCRR515 LIPNER JEFFREY A PSYCHOLOGIST NM002406 00006354 08/05/2007 Commack NY 11725 Exclusion - 18NYCRR515 PSYCHOLOGIST LIPOVSKY BORIS MD 00916550 00163587 59 Kings 11/24/1991 BROOKLYN NY 11235 Exclusion - 18NYCRR515 LIPSIUS PETER L MD 01574390 00185341 54 Wayne 06/20/2000 NEWARK NY 14513 Exclusion - 18NYCRR515 LIPTON GEORGE M 00424777 00103718 99 Out Of State 05/30/2008 HOLLYWOOD FL 33021 Exclusion - 18NYCRR515 LISTENGART BARBARA ESTHER RESPIRATORY THERAPY TECHNICIAN NM002533 00000354 09/17/2007 Elmira NY 14901 Exclusion - 18NYCRR515 LITT BARRY LOUIS DDS 00894431 00039144 58 Bronx 04/19/2007 BRONX NY 10475 Exclusion - 18NYCRR515 LITWER LAWRENCE RONALD Physician NM006623 00144015 05/15/2009 Portland OR 97225 Exclusion - 18NYCRR515 LIU JIA Acupuncturist NM006356 00000556 06/28/2010 Rego Park NY 11374 Exclusion - 18NYCRR515 LIVINGSTON ROBERT MD NM003372 00087691 04/07/2008 Boca Raton FL 33431 Exclusion - 18NYCRR515 LIVSHITS BORIS Clinic Employee NM005489 06/18/2009 Brooklyn NY 11214 Exclusion - 18NYCRR515 LIZZI FRANK A 00371068 00096785 01 Albany 07/22/2008 ALBANY NY 12208 Exclusion - 18NYCRR515 LLANES LEANA Unknown NM007352 58 Bronx 08/03/2011 Bronx NY 10465 Exclusion - 18NYCRR515 LLORENS JOSE B MD 00393848 00121628 28 Nassau 05/26/1989 HEMPSTEAD NY 11550 Exclusion - 18NYCRR515 LO BASSO NICHOLAS 01337113 00021257 28 Nassau 09/29/1992 LYNBROOK NY 11563 Exclusion - 18NYCRR515 LO LANCASTER MD 01185900 00180526 60 New York 06/30/1994 NEW YORK NY 11373 Exclusion - 18NYCRR515 LOBACZ FRANK M MD Physician 00397526 00120717 47 Suffolk 01/10/2012 BAY SHORE NY 11706-8011 Exclusion - 18NYCRR515 LOBBATO VINCENT J MD 00770030 00140606 60 New York 11/01/1997 NEW YORK CITY NY 10003 Exclusion - 18NYCRR515 LOBO ANGEL NM001942 00112902 05/20/2007 Garden City NY 11530 Exclusion - 18NYCRR515 PHYSICIANS LOCASCIO JOSEPH Owner Radiology Faclilty NM006122 05/20/2008 Pelham NY 10803 Exclusion - 18NYCRR515 LOCASCIO THOMAS NM001311 00006112 10/19/2006 FLORAL PARK NY 11001 Exclusion - 18NYCRR515 LOCK ABRAHAM JOSEPH MD 00987848 00166176 59 Kings 08/26/1997 BROOKLYN NY 11230 Exclusion - 18NYCRR515 LOCKE CHARLES JOHN MD 02395637 00228374 22 Jefferson 10/06/2005 WATERTOWN NY 13601 Exclusion - 18NYCRR515 PHYSICIANS LOCRICCHIO LEIGH LPN NM004362 00278457 05/20/2009 West Babylon NY 11704 Exclusion - 18NYCRR515 PRACTICAL NURSE LOCURATOLO LUIS R MD 00195693 00109960 61 Queens 03/17/1992 FLUSHING NY 11368 Exclusion - 18NYCRR515 LOGERFO JILL ANN Respiratory Therapist NM007227 00006725 06/06/2011 North Baldwin NY 11510 Exclusion - 18NYCRR515 SYSTEM GENERATED FROM CLAIM LOKMAN DARMAL NM001764 03/26/2007 Bayside NY 11364 Exclusion - 18NYCRR515 LOMBARDO STEPHEN J MD 00489038 00134749 62 Richmond 08/13/1996 STATEN ISLAND NY 10301 Exclusion - 18NYCRR515 LONG BEACH AUDIOLOGICAL 01019089 61LO9250 28 Nassau 05/27/1993 LONG BEACH NY 11561 Exclusion - 18NYCRR515 LONG ISLAND AMBULANCE INC 01718881 00000309 47 Suffolk 03/10/1999 RONKONKOMA NY 11779 Exclusion - 18NYCRR515 LONGAKER WILLIAM D PC MD 00521435 00046863 50 Tompkins 07/20/2000 ITHACA NY 14850 Exclusion - 18NYCRR515 LOPEDOTE ANDREW Chiropractor NM007482 00006407 28 Nassau 10/24/2011 Hicksville NY 11801 Exclusion - 18NYCRR515 LOPEZ IRIS PCA NM001203 03/20/2007 BRENTWOOD NY 11717 Exclusion - 18NYCRR515 LOPEZ JOSE A. NM001322 00192852 11/20/2006 BLOOMFIELD NJ 07003 Exclusion - 18NYCRR515 LORENZO AGNES L MD Physician 00411418 00126573 46 Steuben 06/20/2011 BATH NY 14810 Exclusion - 18NYCRR515 LORENZO ARNOLD NM003524 02/20/2008 Miami FL 33194 Exclusion - 18NYCRR515 LOSHAKOV IGOR DPM Podiatrist 02560245 00005883 59 Kings 04/28/2011 BROOKLYN NY 11204-3407 Exclusion - 18NYCRR515 LOUGHER BELINDA M NURSE NM002728 00475140 12/18/2008 Waverly NY 14892 Exclusion - 18NYCRR515 LOUIS CHARPENTIER JOCELYNE 01518092 00500913 28 Nassau 03/20/2006 NORTH WOODMERE NY 11581 Exclusion - 18NYCRR515 PHYSICIANS LOUIS JACQUES CAUVIN MD 00792434 00154875 04/09/2003 HARTSDALE NY 10530 Exclusion - 18NYCRR515 LOUIS ROBERT P. Dentist 02138250 00043350 59 Kings 06/20/2011 BROOKLYN NY 11230 Exclusion - 18NYCRR515 LOUIS-JACQUES CARLINE MD Physician 01427536 00186848 48 Sullivan 12/14/2009 HARRIS NY 12742 Exclusion - 18NYCRR515 LOUISME JEAN F Nurse NM005273 00562587 10/14/2009 Spring Valley NY 10977 Exclusion - 18NYCRR515 LOVE CHAYLA Food Service Employee NM007389 31 Onondaga 08/22/2011 Syracuse NY 13215 Exclusion - 18NYCRR515 LOVEALL AMY M LPN 02153359 00265992 35 Oswego 06/07/2005 FULTON NY 13069 Exclusion - 18NYCRR515 PRACTICAL NURSE LOVETT GARETH WAYNE MD 01196703 00165654 10/02/2001 HAUPPAUGE NY 11788 Exclusion - 18NYCRR515 LOVING PHARMACY INC Pharmacy 03247385 00029763 59 Kings 11/24/2010 BROOKLYN NY 11220-3807 Exclusion - 18NYCRR515 LOVING PHARMACY INC PHARMACY NM001236 09/19/2006 NEW YORK NY 10023 Exclusion - 18NYCRR515 LOWE JAMES E JR MD PC 00836080 00140031 60 New York 05/20/1998 NEW YORK NY 10021 Exclusion - 18NYCRR515 LOWEDAVIS MARJORIE ELAINE LPN 01818235 00232685 28 Nassau 05/03/2011 HEMPSTEAD NY 11550 Exclusion - 18NYCRR515 LOWELL LISA B A/K/A DIETRICH LISA B 01769346 00200556 02/05/2003 NEW YORK NY 10021 Exclusion - 18NYCRR515 LOWERY DRUGS INC 00259912 00016741 61 Queens 05/06/2004 SUNNYSIDE NY 11104 Exclusion - 18NYCRR515 LOWRIE LORETTA Personal Care Assistant NM004827 07/20/2009 Rochester NY 14621 Exclusion - 18NYCRR515 LOY THERESA M NM001064 02/24/2008 CORTLAND NY 13045 Exclusion - 18NYCRR515 LU PETER MD Physician 02698479 00236998 61 Queens 12/19/2011 JAMAICA NY 11418-2821 Exclusion - 18NYCRR515 LUBAN ARTHUR M.D NM000612 00094241 05/15/2007 BROOKLYN NY 11224 Exclusion - 18NYCRR515 PHYSICIANS LUBINSKI SANDRA M NM002410 00452731 08/05/2007 Bullhead City AZ 86429 Exclusion - 18NYCRR515 REGISTERED NURSE LUCAS GEOFFREY L MD Physician 01213336 00183608 51 Ulster 09/07/2011 KINGSTON NY 12401-4692 Exclusion - 18NYCRR515 LUCAS KATINA ANNE VOTSIS 01228353 00352161 10/19/2006 STATEN ISLAND NY 10314 Exclusion - 18NYCRR515 LUCCHESE PETER DDS Dentist 02521295 00044345 61 Queens 09/04/2011 JAMAICA NY 11432-5724 Exclusion - 18NYCRR515 LUCENTE RICHARD JR MD Physician 02151953 00215528 62 Richmond 08/16/2010 STATEN ISLAND NY 10305-2244 Exclusion - 18NYCRR515 LUGO NELSON 02580734 00179836 99 Out Of State 10/12/2008 BRONX NY 10459 Exclusion - 18NYCRR515 LUIKART WALTER P MD 00107608 00077909 60 New York 08/10/1994 NEW YORK NY 10016 Exclusion - 18NYCRR515 LUKO INCORPORATED 00917368 00018794 61 Queens 10/05/1992 LITTLE NECK NY 11362 Exclusion - 18NYCRR515 LUKOVSKY MICHAEL P 01465374 00045130 59 Kings 08/19/1999 BROOKLYN NY 11204 Exclusion - 18NYCRR515 LUKULA AYODEJI E MD Physician 01466586 00193051 05 Cayuga 09/05/2011 AUBURN NY 13021-1852 Exclusion - 18NYCRR515 PHYSICIANS LUNDQUIST MARK 02301637 00042820 99 Out Of State 12/20/2006 LITTLE FALLS NY 13365 Exclusion - 18NYCRR515 LUPIANO JOHN D MD Physician 01075236 00164659 60 New York 09/20/2011 NEW YORK NY 10019-2802 Exclusion - 18NYCRR515 LURIE JEANNINE ELDON Nurse NM006469 00333809 10/05/2010 New York NY 10017 Exclusion - 18NYCRR515 LUXON TAMELIA CNA NM002513 00526419 08/20/2007 Uriah AL 36480 Exclusion - 18NYCRR515 LUYAO ASUNCION T NM001677 00115242 02/27/2007 PORT ST. LUCIA FL 34952 Exclusion - 18NYCRR515 LYDIG DRUG STORE INC 00770163 00020762 58 Bronx 03/28/1993 BRONX NY 10462 Exclusion - 18NYCRR515 LYNCH KARI Nurse NM005688 00584139 12/20/2009 Springfield MA 01118 Exclusion - 18NYCRR515 LYNCH WAYNE Owner of Global Training School NM004907 11/10/2010 Brooklyn NY 11213 Exclusion - 18NYCRR515 LYNN ERIC RN RN NM006619 00504436 03/19/2009 Scranton Pa 18508 Exclusion - 18NYCRR515 REGISTERED NURSE LYNN JERRY H DDS 00340712 00022427 08/07/2002 NEW YORK NY 10019 Exclusion - 18NYCRR515 LYONS IRENE CNA NM000428 3401660104 18 Genesee 04/19/2007 LEROY NY 14482 Exclusion - 18NYCRR515 LYTE-JACKSON JENNIFER NM001420 340112201292E 10/18/2007 ST. ALBANS NY 11412 Exclusion - 18NYCRR515 M & B PHARMACY INC 00861936 00018355 59 Kings 01/08/1992 BROOKLYN NY 11211 Exclusion - 18NYCRR515 M M K INC 00973377 00019144 59 Kings 12/07/1994 BROOKLYN NY 11206 Exclusion - 18NYCRR515 M&D FAMILY PHARMACY INC 02002995 00024570 61 Queens 08/13/2003 REGO PARK NY 11374 Exclusion - 18NYCRR515 DENTAL SCHOOL/DENTIST M&M MEDICAL TRANSPORT Transportation 02301499 00034729 26 Monroe 02/19/2009 ROCHESTER NY 14609 Exclusion - 18NYCRR515 SYSTEM GENERATED FROM CLAIM MA CONCORD, LLC Dental Clinic NM006404 09/29/2010 Brooklyn NY 11201 Exclusion - 18NYCRR515 MACCABEE NETA MD 02592001 00228969 61 Queens 09/12/2005 GLEN OAKS NY 11004 Exclusion - 18NYCRR515 PHYSICIANS MACCONE ROBERT J MD Physician 00756221 00146450 47 Suffolk 11/28/2010 EAST ISLIP NY 11730-2502 Exclusion - 18NYCRR515 MACHKOVSKY BORIS MD 01030648 00167027 61 Queens 08/03/1990 JAMAICA NY 11432 Exclusion - 18NYCRR515 MACINTOSH PATRICIA Medical Biller NM005243 10/11/2009 Seaford NY 11783 Exclusion - 18NYCRR515 MACOMBER, ROBERT RPA RPA NM004343 00001681 11/30/2009 Clifton Springs NY 13165 Exclusion - 18NYCRR515 MACPHERSON GEOFFREY Physician NM006475 00104381 06/23/2010 Renton WA 98055 Exclusion - 18NYCRR515 MACZO SERENA A. LPN NM006197 00241660 29 Niagara 11/29/2011 NIAGARA FALLS NY 14301 Exclusion - 18NYCRR515 MADDALI SRINIVAS 01429487 00041981 60 New York 11/11/1997 NEW YORK NY 10128 Exclusion - 18NYCRR515 MADDEN JILL E Nurse NM006772 00181951 09/20/2010 Naples NY 14512 Exclusion - 18NYCRR515 MADUPU GANGADHAR MD Physician 02112967 00216519 30 Oneida 09/20/2010 ROME NY 13440-2847 Exclusion - 18NYCRR515 MAGAGA TATYANA HOME HEALTH AIDE NM003688 08/20/2008 Brooklyn NY 11201 Exclusion - 18NYCRR515 MAGIDSON JAMES S MD 00115893 00080879 47 Suffolk 05/10/1994 PATCHOGUE NY 11772 Exclusion - 18NYCRR515 MAGIET HENRY 01311173 00028513 04/11/2002 WHITE PLAINS NY 10605 Exclusion - 18NYCRR515 MAGILL DAVID BRYAN DO Physician 02568367 00231237 60 New York 09/06/2011 NEW YORK NY 10016-4901 Exclusion - 18NYCRR515 PHYSICIANS MAGNA DRUG INC 01438673 00021354 07/20/2006 JACKSON HEIGHTS NY 11372 Exclusion - 18NYCRR515 MAGNANO MICHAEL R 00471976 00010884 02 Allegany 08/10/1989 CUBA NY 14727 Exclusion - 18NYCRR515 MAGNIFICENT 7'S ENTRPRS INC 01259443 00B00855 61 Queens 01/19/2006 FAR ROCKAWAY NY 11691 Exclusion - 18NYCRR515 MAGO & MAGO INC 01413450 00021427 58 Bronx 05/28/1995 BRONX NY 10460 Exclusion - 18NYCRR515 MAHADEO BHARAT Pharmacist 02520469 00049186 59 Kings 05/31/2010 BROOKLYN NY 11201 Exclusion - 18NYCRR515 MAHDI SAAD MD NM003393 00220829 04/16/2008 Springfield VT 22150 Exclusion - 18NYCRR515 MAHER BRIAN NM000923 00266041 05/23/2006 FARMINGDALE NY 11735 Exclusion - 18NYCRR515 MAHMUD PERVEZ A Group Home Aide NM006471 04/25/2011 Manorville NY 11949 Exclusion - 18NYCRR515 MAHONEY JAMES Business Manager NM006123 04/20/2005 Kingston NY 12401 Exclusion - 18NYCRR515 MAHRAN ADEL M PHD 01386543 60 New York 08/20/1998 NEW YORK NY 10128 Exclusion - 18NYCRR515 MAIDEN LANE PODIATRY, PC Podiatrist Office NM006206 PSC# 41790 06/08/2010 New York NY 10038 Exclusion - 18NYCRR515 MAILLARD BRIAN P Optometrist 02632391 00006803 43 Schoharie 12/06/2010 COBLESKILL NY 12043-5112 Exclusion - 18NYCRR515 MAIORANO DAWN CNA NM000628 3405774105 01/04/2006 PORT JEFFERSON STATION NY 11776 Exclusion - 18NYCRR515 MAJESKY STACIE LEE A/K/A MILLER NM003324 00500297 02/25/2008 Corning NY 14830 Exclusion - 18NYCRR515 MAJEWSKI CHRISTINA M Personal Care Aide NM006266 01/17/2012 Fort Johnson NY 12070 Exclusion - 18NYCRR515 SYSTEM GENERATED FROM CLAIM MAJOR BYRON J JR MD 00435552 00121016 60 New York 10/19/1989 NEW YORK NY 10028 Exclusion - 18NYCRR515 MAKAM CHANDRASHEKARA SETTY MD 00425521 00119228 61 Queens 03/31/1990 HOLLIS HILLS NY 11427 Exclusion - 18NYCRR515 MAKHDOOMI GOWHAR M MD 00544078 00141710 14 Erie 02/19/1998 BUFFALO NY 14209 Exclusion - 18NYCRR515 MAKHLIN MIKHAIL MD 01750018 00207258 59 Kings 02/19/2009 BROOKLYN NY 11209 Exclusion - 18NYCRR515 PHYSICIANS MAKKER RAM MD Physician 01450706 00193129 59 Kings 04/20/2010 BROOKLYN NY 11238-4266 Exclusion - 18NYCRR515 MALAMUD ALEXANDER Manager of Transportation Company NM007631 99 Out Of State 10/25/2011 Fairlawn NJ 07410 Exclusion - 18NYCRR515 MALAMUD CHAYA Managerial Agent NM007632 99 Out Of State 10/25/2011 Fairlawn NJ 07410 Exclusion - 18NYCRR515 MALATY ZARIF F MD 00212060 00115252 59 Kings 02/02/1995 BROOKLYN NY 11207 Exclusion - 18NYCRR515 MALEKA PHARMACY INC 00462831 00017249 61 Queens 09/13/1999 WOODSIDE NY 11377 Exclusion - 18NYCRR515 MALIK LIAQUAT MD 00874906 00160508 59 Kings 08/09/1990 BROOKLYN NY 11228 Exclusion - 18NYCRR515 MALIK SAFIULLAH M MD Physician 00891603 00158481 04 Cattaraugus 06/08/2010 OLEAN NY 14760-1858 Exclusion - 18NYCRR515 MALL NADEEM Direct Care Worker NM007419 09/06/2011 Schenectady NY 12309 Exclusion - 18NYCRR515 SYSTEM GENERATED FROM CLAIM MALLELA ROBERT CHANDRAN MD Physician 01600691 00197159 11/03/2009 BROOKLYN NY 11221 Exclusion - 18NYCRR515 MALOID KAREN D Nurse NM006354 00259287 06/28/2010 Liverpool NY 13088 Exclusion - 18NYCRR515 MALONE ROBIN D RPT Physicial Therapist 02726534 00021089 08 Chenango 06/08/2010 NORWICH NY 13815-4046 Exclusion - 18NYCRR515 MALONEY BETH ANNE LPN NM006987 00261844 04/20/2011 Waverly NY 14892-9503 Exclusion - 18NYCRR515 PRACTICAL NURSE MANALO ELMER P Physician NM004111 00156913 99 Out Of State 09/07/2011 INDIANOPOLIS IN 46237 Exclusion - 18NYCRR515 MANASHIROVA MEDINA R.N. NM001509 00521717 03/20/2008 BROOKLYN NY 11214 Exclusion - 18NYCRR515 MANCINI JOHN PHARMACIST NM003184 00034825 07/20/2008 Wappingers Falls NY 12590 Exclusion - 18NYCRR515 MANCINI JOHN PHARMACIST 01224006 55 Westchester 09/08/1997 YONKERS NY 10704 Exclusion - 18NYCRR515 MANDEL STEPHEN Z DPM 00543499 00002807 59 Kings 02/26/1992 BROOKLYN NY 11236 Exclusion - 18NYCRR515 MANDERSON VIVIENNE V LPN 01238471 00141775 55 Westchester 12/20/1993 MOUNT VERNON NY 10553 Exclusion - 18NYCRR515 MANFREDONIA SERAPHIN J NM001906 00084820 05/01/2007 Juno Beach FL 33408 Exclusion - 18NYCRR515 PHYSICIANS MANGAR KARINA OTHER NM002322 07/23/2007 New Hyde Park NY 11040 Exclusion - 18NYCRR515 SYSTEM GENERATED FROM CLAIM MANGAR LAKHRAM 01331488 00038379 59 Kings 01/20/2009 BROOKLYN NY 11237 Exclusion - 18NYCRR515 PHARMACISTS MANGIARDI JOHN R MD 00849243 00136921 12/30/2008 GREENWICH CT 06830 Exclusion - 18NYCRR515 PHYSICIANS MANGLA JAGDISH C MD 00448077 00108227 26 Monroe 08/13/1996 ROCHESTER NY 14603 Exclusion - 18NYCRR515 MANHATTAN DIAGNOSTICS IMAGING PHYSICIAN GROUP NM002471 08/15/2007 Gillette NJ 07933 Exclusion - 18NYCRR515 MANN STEWART Physician NM007081 00134998 99 Out Of State 04/27/2011 Anthony TX 88021 Exclusion - 18NYCRR515 MANNING EARLINE CNA NM001431 3402544008 03/20/2009 ST. ALBANS NY 11412 Exclusion - 18NYCRR515 SYSTEM GENERATED FROM CLAIM MANYAM AMMAJI MD 00921706 00153462 60 New York 11/24/1991 NEW YORK NY 10035 Exclusion - 18NYCRR515 MANZI DIANA LPN 01995784 00157581 03/08/2002 NEDROW NY 13120 Exclusion - 18NYCRR515 MAPES BRANDON NM006587 00531094 03/20/2006 TUSCON AZ 85739 Exclusion - 18NYCRR515 MARABLE DEBRA K LPN 01357473 00136775 55 Westchester 09/05/1996 PEEKSKILL NY 10566 Exclusion - 18NYCRR515 MARASA ERNEST FRED 01325680 00036147 26 Monroe 10/20/1999 ROCHESTER NY 14607 Exclusion - 18NYCRR515 MARGINI LORENZO M MD 00206840 00113598 60 New York 09/03/1997 NEW YORK NY 10024 Exclusion - 18NYCRR515 MARIANI VICTOR F 01231061 00184345 61 Queens 09/18/2008 JAMAICA NY 11432 Exclusion - 18NYCRR515 MARINOS JAMES JR 01293470 00025577 59 Kings 04/06/1993 BROOKLYN NY 11207 Exclusion - 18NYCRR515 MARION DONALD WILLIAM MD 01545564 PA29529E 08/20/2006 PITTSBURGH PA 15213 Exclusion - 18NYCRR515 MARK TAN M D P C MD Physician 00986705 00165674 47 Suffolk 04/25/2011 SMITHTOWN NY 11787-2871 Exclusion - 18NYCRR515 MARKAVA TRANSPORTATION CO INC 01334954 00031253 07/09/2002 MONSEY NY 10952 Exclusion - 18NYCRR515 MARKELIS MARIO 01249536 00126215 99 Out Of State 10/03/2007 HALLANDALE FL 33009 Exclusion - 18NYCRR515 MARKINSON ANDREA BETH DPM 00988298 00003950 59 Kings 12/18/1993 BROOKLYN NY 11215 Exclusion - 18NYCRR515 MARKS MICHAEL DAVID DPM 00401074 00002231 03/11/2002 ELMIRA NY 14901 Exclusion - 18NYCRR515 MARKUS HAROLD H MD 00114883 00080490 60 New York 10/17/1989 NEW YORK NY 10013 Exclusion - 18NYCRR515 MARONEY JACQUILYN M LPN NM005148 00241296 28 Nassau 09/06/2011 Lynbrook NY 11563 Exclusion - 18NYCRR515 PRACTICAL NURSE MARRERO HENRY CNA NM006276 342599210807E 07/15/2010 Sauquoit NY 13456 Exclusion - 18NYCRR515 MARTIN ANN N Nurse NM005505 00523045 06/18/2009 El Paso TX 79930 Exclusion - 18NYCRR515 MARTIN DUANE G NM002508 00152927 08/06/2007 Gilbert AZ 85296 Exclusion - 18NYCRR515 MARTIN MARY ELIZABETH NP/RN/LPN 02392923 00300828 26 Monroe 05/20/2009 ROCHESTER NY 14642-0001 Exclusion - 18NYCRR515 MARTIN MARY J Nurse NM005756 00507509 03/01/2010 Craryville NY 12521 Exclusion - 18NYCRR515 MARTIN PAUL G HOME HEALTH AIDE NM000863 05/07/2006 JAMAICA NY 11434 Exclusion - 18NYCRR515 MARTIN TASHIANY NURSING HOME EMPLOYEE NM002929 01/20/2008 Lawrenceville GA 30045 Exclusion - 18NYCRR515 MARTINEZ DOUGLAS UNLICENSED DENTIST NM000705 00009203 58 Bronx 04/10/2006 NEW YORK NY 10128 Exclusion - 18NYCRR515 MARTINEZ JACINTO 020-Dentist 01719502 00046959 61 Queens 07/01/2009 QUEENS NY 11377 Exclusion - 18NYCRR515 MARTINO TOM OWNER OF TXRX INC NM001230 11/12/2008 HUMBLE TX 77338 Exclusion - 18NYCRR515 MARTONE KENNETH 02159891 00046518 28 Nassau 07/19/2007 W HEMPSTEAD NY 11552 Exclusion - 18NYCRR515 PHARMACISTS MARTORELLA LOUIS A PC MD 00514576 106723 39 Rockland 04/01/2009 NEW CITY NY 10956-3041 Exclusion - 18NYCRR515 PHYSICIANS MARURI NAGESWARA R 01324294 00032865 61 Queens 05/10/1994 CORONA NY 11368 Exclusion - 18NYCRR515 MARVILLI DOMINICK J 00938298 00038594 62 Richmond 08/18/1994 STATEN ISLAND NY 10301 Exclusion - 18NYCRR515 MARYMINA INC 02193011 00025021 33 Orange 12/29/2005 HIGHLAND MILLS NY 10930 Exclusion - 18NYCRR515 MASAAZI JANE PERSONAL CARE AIDE NM001168 07/19/2007 BELLEROSE NY 11426 Exclusion - 18NYCRR515 MASCI JOSEPH E NM001660 00496441 02/20/2007 CHARLOTTESVILLE, VA 22901 Exclusion - 18NYCRR515 MASKARON MICHAEL M MD 00197342 00110424 59 Kings 08/13/1996 BROOKLYN NY 11212 Exclusion - 18NYCRR515 MASLAND WILLIAM S NM001843 00089576 04/20/2007 Tucson AZ 86749 Exclusion - 18NYCRR515 MASON PETRINA Personal Assistant NM004824 04/20/2010 Rochester NY 14613 Exclusion - 18NYCRR515 MASOOD MARUK Office Manager NM007365 99 Out Of State 11/29/2011 Warren NJ 07059-6773 Exclusion - 18NYCRR515 MASOOD YOUSUF MD Physician 02175473 NJ071467 99 Out Of State 11/29/2011 FREEHOLD NJ 07728-1703 Exclusion - 18NYCRR515 MASSARO LORNA SUSAN LPN 01347891 00079400 55 Westchester 07/08/1997 NORTH SALEM NY 10560 Exclusion - 18NYCRR515 MASTEN STARR L Nurse NM006068 00224091 05/12/2010 Belmont NY 14813 Exclusion - 18NYCRR515 MASTRODONATO D. NM001763 03/20/2007 Greensboro NC 27401 Exclusion - 18NYCRR515 MASTROKOSTAS ATHANASIOS Pharmacist 01681727 00044621 59 Kings 09/12/2005 BROOKLYN NY 11231 Exclusion - 18NYCRR515 MASTROMARINO MICHAEL Dentist 02016764 00044455 99 Out Of State 03/01/2010 FORT LEE NJ 07024 Exclusion - 18NYCRR515 MASTRONARDI RONALD PAUL NURSE NM001440 00483943 12/11/2006 JEFFERSON VALLEY NY 10535 Exclusion - 18NYCRR515 MATE NEIL ROBERT DDS Dentist 01026773 00036749 59 Kings 08/03/2009 BROOKLYN NY 11222 Exclusion - 18NYCRR515 MATERA ALESSIO F MD 00562749 00093271 55 Westchester 10/22/1987 VALHALLA NY 10595 Exclusion - 18NYCRR515 MATHEWS RONALD D 01387264 00035701 44 Schuyler 07/19/2007 ODESSA NY 14869 Exclusion - 18NYCRR515 MATHISON LYNN Nurse NM003451 00144796 04/20/2005 Bronxville NY 10708 Exclusion - 18NYCRR515 MATIJEVIC IVO MD 00564934 00130059 10/02/2001 KEY BISCAYNE FL 33149 Exclusion - 18NYCRR515 MATIONG TEODULO R MD 00841727 00149681 58 Bronx 03/09/1990 BRONX NY 10454 Exclusion - 18NYCRR515 MATSUDA KAZUKO T. NM001724 00195357 11/20/2007 Santa Monica CA 90405 Exclusion - 18NYCRR515 MATTHEW-THOMPSON LAURA JEAN 01183531 00147763 31 Onondaga 06/19/2008 SYRACUSE NY 13210 Exclusion - 18NYCRR515 MAURER ROBERT T. Massage Therapist NM002963 00013561 09/05/2011 Bayport NY 11705 Exclusion - 18NYCRR515 MAUSKAR SHREEKANT B DDS Dentist 01495303 00045092 01 Albany 05/19/2011 LOUDONVILLE NY 12211-1878 Exclusion - 18NYCRR515 MAXINEAU ROSE 02046353 00249320 28 Nassau 12/18/2008 FREEPORT NY 11520 Exclusion - 18NYCRR515 MAYELL MOHINDER Dentist 00288477 00033439 59 Kings 01/20/2010 BROOKLYN NY 11208 Exclusion - 18NYCRR515 MAYES MICHAELENE A NURSE NM003327 00247905 02/25/2008 Kirkwood NY 13795 Exclusion - 18NYCRR515 MAYO LESLIE Nurse NM006188 00155685 01 Albany 06/02/2010 Watervliet NY 12189 Exclusion - 18NYCRR515 MAYO SHAQUANA R HOME HEALTH AIDE NM003103 02/13/2007 Albany NY 12206 Exclusion - 18NYCRR515 MAYS QUIANA CNA NM000842 3415421710 05/18/2006 NEWBURGH NY 12550 Exclusion - 18NYCRR515 MAZUR-CAHILL SUSAN P 02498566 00270509 47 Suffolk 02/20/2008 CENTER MORICHES NY 11934 Exclusion - 18NYCRR515 MAZURENKO FELIX CLINIC OWNER NM002324 07/19/2007 Brooklyn NY 11206 Exclusion - 18NYCRR515 SYSTEM GENERATED FROM CLAIM MAZZELLA KERI LYNN LPN NM004307 00273627 51 Ulster 04/25/2011 Highland NY 12528 Exclusion - 18NYCRR515 MB GLOBUS, LLC Dental Clinic NM006403 09/29/2010 Jamacia NY 11432 Exclusion - 18NYCRR515 MBONU GODFREY UGOCHUKWU MD Physician 02358221 00226508 60 New York 09/20/2011 NEW YORK NY 10025 Exclusion - 18NYCRR515 MC DONALD ROBERT JAY DPM 00886544 00003774 61 Queens 03/01/1994 JACKSON HEIGHTS NY 11372 Exclusion - 18NYCRR515 MCALLISTER NICOLE RN 02944916 00430280 99 Out Of State 04/25/2011 BRONX NY 10467-2404 Exclusion - 18NYCRR515 MCATAMNEY JOHN P Chiropractor NM006535 00007303 08/19/2010 Garden City NY 11530 Exclusion - 18NYCRR515 MCCARTHY BRIAN PSYCHOTHERAPIST NM006579 04/19/2007 FOREST HILLS NY 11375 Exclusion - 18NYCRR515 MCCAULEY PRISCILLA Personal Assistant. NM004826 08/19/2010 Rochester NY 14613 Exclusion - 18NYCRR515 MCCLOSKEY DEBRA NM000631 00008066 06/07/2005 SCHENECTADY NY 12302 Exclusion - 18NYCRR515 PHYSICIANS ASSISTANT MCCONNELL MARY THERESA RN NM005823 00215835 02/01/2011 Baldwin NY 11510 Exclusion - 18NYCRR515 MCCURCHIN LYNETTE AGNES 01280299 00415906 47 Suffolk 09/20/2006 BAY SHORE NY 11706 Exclusion - 18NYCRR515 MCCUTCHEON BRYAN C Pharmacist 01797557 00030923 47 Suffolk 08/05/2009 MILLER PLACE NY 11764-2454 Exclusion - 18NYCRR515 MCDADE SUSAN Nurse NM003104 00318115 08/19/2010 Rensselaer NY 12144 Exclusion - 18NYCRR515 MCDERMOTT MICHAEL J RN 02501435 00530877 01/15/2007 SELDEN NY 11784 Exclusion - 18NYCRR515 MCFADDEN LORRAINE RN NM001023 00251181 03/26/2007 BUFFALO NY 14210 Exclusion - 18NYCRR515 MCFARLAND MATTHEW NURSE NM003654 00269877 01/20/2009 Selden NY 11784 Exclusion - 18NYCRR515 PRACTICAL NURSE MCGRAIL-LASSMAN LISA 01606986 00041770 47 Suffolk 04/20/2008 LINDENHURST NY 11757 Exclusion - 18NYCRR515 MCGRAW DUANE C LPN 02300498 00232735 42 Schenectady 10/06/2004 SCHENECTADY NY 12305 Exclusion - 18NYCRR515 PRACTICAL NURSE MCIVER SHARON HHA NM006596 61 Queens 07/20/2011 Far Rockaway NY 11691 Exclusion - 18NYCRR515 SYSTEM GENERATED FROM CLAIM MCKAY MEDICAL 01116696 00B90060 58 Bronx 05/08/2008 BRONX NY 10466 Exclusion - 18NYCRR515 MCKEE MICHELE RN NM004088 00515874 06/18/2009 Westhampton NY 11977 Exclusion - 18NYCRR515 REGISTERED NURSE MCKEN ROXANNE V LPN LPN 01455036 00202185 61 Queens 08/15/2011 SPRINGFIELD GARDENS NY 11413-2639 Exclusion - 18NYCRR515 MCKENZIE EUNICE DORMA 01622953 00221919 55 Westchester 08/12/2004 MT VERNON NY 10552 Exclusion - 18NYCRR515 PHYSICIANS MCKENZIE MARIE A 01304094 00000579 60 New York 12/18/1997 WHEATLEY HEIGHTS NY 10010 Exclusion - 18NYCRR515 MCKENZIE STACY MICHAEL Home Health Aide NM007694 61 Queens 12/25/2011 South Ozone Park NY 11420-1811 Exclusion - 18NYCRR515 SYSTEM GENERATED FROM CLAIM MCKENZIE THEODORE 01304127 00000116 47 Suffolk 05/22/1992 WHEATLEY HTS NY 11798 Exclusion - 18NYCRR515 MCKIBBEN AT GRAHAM PHARM INC 00904967 00018725 59 Kings 12/02/1987 BROOKLYN NY 11206 Exclusion - 18NYCRR515 MCKNIGHT MELODY A/K/A CHAMBERS MELODY NM003365 09/01/2008 Buffalo NY 14214 Exclusion - 18NYCRR515 MCKNIGHT-MAYNARD JOY MEDICAL BILLING CLERK NM001162 08/20/2006 VIRGINIA BEACH VA 23453 Exclusion - 18NYCRR515 MCNAIR DENISE HELENE MD 01203112 00180810 60 New York 05/08/1992 NEW YORK NY 10026 Exclusion - 18NYCRR515 MCNALLEY ESTRIE HENRY CNA NM007062 330667180790E 04/17/2011 Bronx NY 10466 Exclusion - 18NYCRR515 MCNALLY BRIAN J NM004835 00495356 10/20/2008 Chazey VT 12921 Exclusion - 18NYCRR515 MCNAMARA DAVID FRANCIS RPN NM001654 00510109 08/20/2007 Auburn NY 13021 Exclusion - 18NYCRR515 REGISTERED NURSE MCNEIL APRYL MD 01929542 00208412 01/20/2008 DANBURY CT 06811 Exclusion - 18NYCRR515 MCNEIL JOHN P RPA NM007600 00003390 99 Out Of State 10/19/2011 Greensboro NC 27410 Exclusion - 18NYCRR515 MCPARTLAND SHAWN D MD 01047218 00162787 47 Suffolk 11/20/1997 ROCKY POINT NY 11778 Exclusion - 18NYCRR515 MCTAMNEY LINDA NM001088 00233501 06/20/2007 VALLEY STREAM NY 11580 Exclusion - 18NYCRR515 PRACTICAL NURSE MCVEY MARGARET MARY RN / Nurse Practitioner- Adult Health & Peds NM007380 00402721 / 00301706 /00381735 47 Suffolk 08/16/2011 Port Jefferson Station NY 11776 Exclusion - 18NYCRR515 MEADE NEIL A MD NM004884 00114236 03/23/2009 Laurel MD 20708 Exclusion - 18NYCRR515 PHYSICIANS MECCA JOSEPH THOMAS MD 00696608 00100721 59 Kings 02/14/1990 BROOKLYN NY 11218 Exclusion - 18NYCRR515 MED LEGAL SOURCE INC. DME Company NM005646 12/20/2009 Cold Spring Harbor NY 11724 Exclusion - 18NYCRR515 MED-TECH O & P SERVICES INC 01288875 60 New York 05/21/1998 NEW YORK NY 10016 Exclusion - 18NYCRR515 MEDI-ZINE AMBULETTE SERVICE I 00321522 00028572 55 Westchester 12/15/1994 YONKERS NY 10701 Exclusion - 18NYCRR515 MEDIBUS HELPMOBILE INC 01099485 MN000159 99 Out Of State 12/23/1991 MINNEAPOLIS MN 55408 Exclusion - 18NYCRR515 MEDICAL GERIATRICS INC 01691267 99 Out Of State 03/27/2006 WILMINGTON VT 05363 Exclusion - 18NYCRR515 MEDICAL SOLUTIONS 02861310 28 Nassau 01/19/2008 HICKSVILLE NY 11801 Exclusion - 18NYCRR515 MEDICAL TRANSP AMB CORP 00366761 000IC902 60 New York 04/29/1991 NEW YORK NY 10003 Exclusion - 18NYCRR515 MEDICON DIAGNOSTIC LAB INC 00943962 50001840 60 New York 07/01/1989 NEW YORK NY 10002 Exclusion - 18NYCRR515 MEDINA WALTER ANDREW SR MD 046-Physician 01744632 00206169 61 Queens 08/19/2009 RIDGEWOOD NY 11385 Exclusion - 18NYCRR515 MEDWILL ENTERPRISES LTD 01251541 61 Queens 09/19/1993 REGO PARK NY 11374 Exclusion - 18NYCRR515 MEDWIN PHARMACY Pharmacy 01805169 00023496 28 Nassau 01/20/2010 MASPETH NY 11378 Exclusion - 18NYCRR515 MEHRIZI NASSER Z Physician NM004918 00180874 04/30/2009 Paramount CA 90723 Exclusion - 18NYCRR515 PHYSICIANS MEHTA DHANRAJ OFFICE MANAGER NM000882 07/19/2007 FLUSHING NY 11367 Exclusion - 18NYCRR515 MEHTA HARSHA DHANRAT DDS PC 00766550 00036917 61 Queens 07/19/2007 JACKSON HEIGHTS NY 11368 Exclusion - 18NYCRR515 MEHTA PRAVINCHANDRA V MD Physician 00675934 00129523 29 Niagara 04/19/2011 NIAGARA FALLS NY 14301-1522 Exclusion - 18NYCRR515 MEISHER VLAD AARON MD Physician 01454186 00186086 06/18/2009 FAIR LAWN NJ 07410 Exclusion - 18NYCRR515 PHYSICIANS MELAMED YEFIM CLINIC EMPLOYEE NM001002 01/16/2007 Elmhurst NY 11373 Exclusion - 18NYCRR515 MELENDEZ ANGELINA DPM Podiatrist 01194792 00004651 61 Queens 02/06/2009 ELMHURST NY 11370 Exclusion - 18NYCRR515 PODIATRIST MELGAR IRMA Personal Care Aid NM004486 05/20/2009 Roosevelt NY 11575 Exclusion - 18NYCRR515 SYSTEM GENERATED FROM CLAIM MELKER NEIL L DDS Dentist 01147704 00042234 60 New York 12/20/2009 NEW YORK NY 10025 Exclusion - 18NYCRR515 MELLO THERESA M DDS 02289701 00045982 60 New York 07/29/2007 BROOKLYN NY 11214 Exclusion - 18NYCRR515 MELTZER MARTIN OD 00331071 00002475 99 Out Of State 11/12/1989 TEANECK NJ 07666 Exclusion - 18NYCRR515 MENACHE MOISES BENOZIO MD 00800133 00093999 55 Westchester 04/06/1994 BUCHANAN NY 10511 Exclusion - 18NYCRR515 MENDELL PHYLLIS 02033374 00009574 01/03/2003 HUNTINGTON NY 11743 Exclusion - 18NYCRR515 MENDELSOHN SALLY CNM 01179015 00363352 55 Westchester 11/15/1995 OSSINING NY 10562 Exclusion - 18NYCRR515 MENDELSOHN SANFORD L DDS PC 00525291 00027648 08/20/2007 BARDONIA NY 10954 Exclusion - 18NYCRR515 MENDEZ EDELFONSO R DO 01512165 00192634 60 New York 02/29/2008 NEW YORK NY 10003 Exclusion - 18NYCRR515 MENDIOLA ANTONIO CNA NM003222 340873931196E 05/20/2008 Staten Island NY 10306 Exclusion - 18NYCRR515 MENEJYAN HARUTYUN Transportation Driver NM007468 59 Kings 10/03/2011 Brooklyn NY 11235-2704 Exclusion - 18NYCRR515 MENORIA GALVEN R.N. NM001416 00445896 12/20/2006 NEW YORK NY 10022 Exclusion - 18NYCRR515 MENSAH-NARH STEVEN PHARMACY NM001653 00050940 02/20/2007 NORTH BRUNSWICK NJ 08902 Exclusion - 18NYCRR515 MENSAH-NARH STEVEN PHARMACY NM001405 00050940 12/11/2006 NORTH BRUNSWICK NJ 08902 Exclusion - 18NYCRR515 MER EVGENYA 00340758 00034045 58 Bronx 12/18/1997 BRONX NY 10462 Exclusion - 18NYCRR515 MERCADO ARLENE LPN NM007091 00279170 01 Albany 12/20/2011 Albany NY 12206 Exclusion - 18NYCRR515 MERCADO ARTHUR MAGSINO 01861623 00210640 30 Oneida 11/09/2007 UTICA NY 13492 Exclusion - 18NYCRR515 MEREGILDO HAYDEE 3890 Broadway Pharmacy Owner NM005282 11/04/2009 West Orange NJ 07052 Exclusion - 18NYCRR515 MERIDIAN CONSTRUCTION DEVELOPMENT LLC Unknown NM005551 62 Richmond 09/07/2011 Staten Island NY 10305 Exclusion - 18NYCRR515 MERK DANIEL W DPM 00859687 00002755 29 Niagara 11/20/2008 NIAGARA FALLS NY 14301 Exclusion - 18NYCRR515 MERMELSTEIN JOSEPH R MD 00942750 00162191 62 Richmond 02/01/2005 STATEN ISLAND NY 10314 Exclusion - 18NYCRR515 PHYSICIANS MERNICK MITCHEL HARVEY MD 01018368 00157744 60 New York 02/20/2001 NEW YORK NY 10016 Exclusion - 18NYCRR515 MERONE ANNETTE H Nurse NM005323 00277161 11/03/2009 Rego Park NY 11374 Exclusion - 18NYCRR515 MESSINGER JEFFREY NM002202 00531973 06/20/2007 Stratford CT 06614 Exclusion - 18NYCRR515 SYSTEM GENERATED FROM CLAIM METELLUS FRITZ-GERARD MD 00867354 00154819 61 Queens 02/13/1996 FAR ROCKAWAY NY 11691 Exclusion - 18NYCRR515 METRO HEALTH CARE SERVICES IN 00998554 47 Suffolk 09/20/1998 STONYBROOK NY 11790 Exclusion - 18NYCRR515 METRO-MED AMBULETTE INC 00776738 00000P5N 28 Nassau 10/06/1997 EAST ROCKAWAY NY 11518 Exclusion - 18NYCRR515 METROPOLITAN MED SUPP CO INC 01204246 59 Kings 06/22/1994 BROOKLYN NY 11234 Exclusion - 18NYCRR515 METZLER WARREN F MD 00582412 00137028 99 Out Of State 08/15/1993 NORTH BERGEN NJ 07047 Exclusion - 18NYCRR515 MEZIL-THOMAS YOLANDE Unknown NM006576 03/22/2006 CENTRAL ISLIP NY 11722 Exclusion - 18NYCRR515 MIAN MOHAMMAD AFZAL MANAGING AGENT PERFUME COMPANY NM003048 02/06/2008 Brooklyn NY 11235 Exclusion - 18NYCRR515 MICELI THOMAS F Chiropractor NM006069 00002908 05/12/2010 Farmingville NY 11738 Exclusion - 18NYCRR515 MICHAEL D MIRAN PH.D. TBI Home Care 01657487 26 Monroe 09/20/2011 ROCHESTER NY 14618-1342 Exclusion - 18NYCRR515 MICHAEL D MIRAN PSYCH PC Psychologist 01979657 26 Monroe 09/20/2011 ROCHESTER NY 14618-1342 Exclusion - 18NYCRR515 MICHAELS PHARMACY INC 01451427 00021926 07/05/2001 BROOKLYN NY 11214 Exclusion - 18NYCRR515 MICHALSKI PAMELA A. NM002504 00011642 08/05/2007 Rochester NY 14609 Exclusion - 18NYCRR515 MICHEL HELENE OWNER OF MEDICAL EQUIPMENT COMPANY NM002922 01/19/2008 Brooklyn NY 11232 Exclusion - 18NYCRR515 MICHIENZI ROBERT NM004830 00051104 10/20/2008 Pittsburgh PA 15206 Exclusion - 18NYCRR515 MIDWOOD FAMILY DOCTOR PLLC 02226497 NONE 59 Kings 04/05/2006 BROOKLYN NY 11230 Exclusion - 18NYCRR515 MIGLIORELLI FRANK MD 00118709 58 Bronx 05/09/1998 BRONX NY 10461 Exclusion - 18NYCRR515 MIKELADZE RUSUDAN B. NM001501 05/20/2008 MASSAPEQUA NY 11758 Exclusion - 18NYCRR515 MIKHAIL NOVAK NM001319 04/19/2007 WANTAGH NY 11793 Exclusion - 18NYCRR515 MIKK HELMUT ALEKSANDER MD 00453127 00074058 57 Yates 12/10/1989 PENN YAN NY 14527 Exclusion - 18NYCRR515 MILAN MEDICAL PC Medical Clinic NM006536 09/20/2010 Brooklyn NY 11209 Exclusion - 18NYCRR515 MILBAUER HOWARD 01366738 00022841 61 Queens 04/07/2004 SUNNYSIDE NY 11104 Exclusion - 18NYCRR515 PHARMACISTS MILES ALEXANDER CHRISTIAN MD Physician 02647592 00220757 32 Ontario 09/02/2010 GENEVA NY 14456-1651 Exclusion - 18NYCRR515 MILES DONALD NM006608 99 Out Of State 03/20/2009 Waymart PA 18472 Exclusion - 18NYCRR515 SYSTEM GENERATED FROM CLAIM MILES L TRACEY MD 01749462 00172838 09/18/2001 BROOKLYN NY 11201 Exclusion - 18NYCRR515 MILL MEDICAL 01224253 14 Erie 11/20/2006 WILLIAMSVILLE NY 14221 Exclusion - 18NYCRR515 MILLER KATHLEEN DYMES RN RN 01906472 00467602 55 Westchester 08/16/2011 CROTON ON HUDSON NY 10520-2337 Exclusion - 18NYCRR515 MILLER KENNETH C MD 01287847 00147634 01/18/2007 EAST AMHERST NY 14051 Exclusion - 18NYCRR515 MILLER KIMBERLY ANN RN NM007314 00492421 26 Monroe 07/20/2011 Penfield NY 14526 Exclusion - 18NYCRR515 MILLER MARC L PHD 00426962 00005705 28 Nassau 08/05/2007 SOUTH HEMPSTEAD NY 11550 Exclusion - 18NYCRR515 MILLER MARLON NM001341 06/24/2007 BRONX NY 10452 Exclusion - 18NYCRR515 MILLER ROBERT 01296217 00022779 55 Westchester 05/10/1994 MOUNT VERNON NY 10550 Exclusion - 18NYCRR515 MILLER ROBERT BARRY MD 01341955 WV013274 99 Out Of State 11/19/2002 BLUEFIELD WV 24701 Exclusion - 18NYCRR515 MILLER SANDRENE MD 00917060 00164404 59 Kings 06/17/1999 BROOKLYN NY 11206 Exclusion - 18NYCRR515 MILLER TONI LPN NM004686 00269804 06/20/2011 Middle Island NY 11953 Exclusion - 18NYCRR515 MILLER VICTOR TRANSPORTATION CO. OWNER NM003402 05/08/2008 Bronx NY 10466 Exclusion - 18NYCRR515 MILLIEN JEAN MOISE 01271681 00003566 10/15/2002 BROKLYN NY 11236 Exclusion - 18NYCRR515 MILLIGAN BROOKE HARVEY RESPIRATORY THERAPIST NM001553 00003926 01/15/2007 EAST CENTEREACH NY 11720 Exclusion - 18NYCRR515 MILLMAN ROBERT Physician 03088171 00097415 60 New York 01/10/2012 New York NY 10016 Exclusion - 18NYCRR515 MILLS RODNEY Drug Counselor NM005368 61 Queens 01/20/2010 St. Albans NY 11412 Exclusion - 18NYCRR515 MILNE AMANDA R RN NM007124 00568352 05/02/2011 Rochester NY 14620 Exclusion - 18NYCRR515 MILTON KAREN L LPN 02106361 00257972 10/18/2007 ROCHESTER NY 14619 Exclusion - 18NYCRR515 MIMLESS LORIN HOWARD MD 00789102 00148576 59 Kings 06/01/1998 BROOKLYN NY 11203 Exclusion - 18NYCRR515 MING BERNELL 02476924 00064132 99 Out Of State 01/18/2007 NEW YORK NY 10031 Exclusion - 18NYCRR515 CLINICAL SOCIAL WORKER MINKOFF ARTHUR MICHAEL DPM Podiatrist 00491589 00003104 58 Bronx 10/04/2010 BRONX NY 10452 Exclusion - 18NYCRR515 MIRALLES ROYLE R MD Physician 00806208 00126594 26 Monroe 03/10/2010 ROCHESTER NY 14605-2131 Exclusion - 18NYCRR515 MIRAN ESTA Unknown NM005174 26 Monroe 09/20/2011 Rochester NY 14618 Exclusion - 18NYCRR515 MIRAN MICHAEL D PHD Clinical Psychologist 00901148 00005412 26 Monroe 09/20/2011 ROCHESTER NY 14618-1342 Exclusion - 18NYCRR515 MIRANDA C J R MD Physician 00410706 NC019516 99 Out Of State 10/20/2009 BURGAW NC 28425-0803 Exclusion - 18NYCRR515 MIRANDA FREDERICK RALPH MD Physician NM004933 00183924 04/22/2009 Salinas CA 93901 Exclusion - 18NYCRR515 PHYSICIANS MIRZA HAMEED ANWAR 01322816 00039019 61 Queens 05/03/1997 NEW YORK NY 11368 Exclusion - 18NYCRR515 MIRZA IQBAL Employee NM005615 01/20/2010 New York NY 10027 Exclusion - 18NYCRR515 MISKOVITZ JUDITH M NURSE NM004445 00309972 03/20/2009 Hopewell Junction NY 12533 Exclusion - 18NYCRR515 REGISTERED NURSE MIST DRUGS INC 01144403 00020313 59 Kings 10/10/1993 BROOKLYN NY 11207 Exclusion - 18NYCRR515 MITCHELL KATHLEEN A 01914290 00138143 47 Suffolk 01/20/2008 MILLER PLACE NY 11764 Exclusion - 18NYCRR515 MITCHELL KENNETH DPM 00758094 00003524 61 Queens 11/21/1991 QUEENS NEW YORK NY 11413 Exclusion - 18NYCRR515 MITCHELL LISA M NM000402 00237436 02/20/2006 TUPPER LAKE NY 12986 Exclusion - 18NYCRR515 MITROFF JORDAN J MD 00114934 00080497 61 Queens 03/14/1996 LONG ISLAND CITY NY 11106 Exclusion - 18NYCRR515 MITSUI MASAO 00213901 00115663 60 New York 12/20/2000 NEW YORK NY 10038 Exclusion - 18NYCRR515 MITTAL BRIJ KUMAR MD PC 00672082 00135464 07/09/2002 BROOKLYN NY 11209 Exclusion - 18NYCRR515 MKM NURSING HOME SPECIALTIES 01397882 99 Out Of State 01/31/2000 HUNTINGDON VALLEY PA 19006 Exclusion - 18NYCRR515 MLK PHARMACY INC Pharmacy 01203070 00020626 60 New York 06/08/2010 NEW YORK NY 10027 Exclusion - 18NYCRR515 MLL DIAGNOSTIC LAB INC 01109622 33D0654980 04 Cattaraugus 02/08/1995 OLEAN NY 14760 Exclusion - 18NYCRR515 MM MANAGEMENT SERVICES INC 01089638 59 Kings 03/15/1991 BROOKLYN NY 11226 Exclusion - 18NYCRR515 MNM MEDICAL CARE P.C. MEDICAL CLINIC NM002604 00187870 10/24/2007 Brooklyn NY 11217 Exclusion - 18NYCRR515 MODERN DIAGNOSTICS MEDICAL IMAGING PHYSICIAN GROUP NM002473 08/15/2007 Gillette NJ 07933 Exclusion - 18NYCRR515 MODERN MEDICAL LABORATORY INC 00740258 50001571 59 Kings 07/10/1991 BROOKLYN NY 11226 Exclusion - 18NYCRR515 MODNY CYNTHIA J NM002463 00116126 08/07/2007 Phoenix AZ 85016 Exclusion - 18NYCRR515 MODZELEWSKI DONALD HOSPITAL BILLING VP NM001052 06/20/2006 DEER PARK NY 11729 Exclusion - 18NYCRR515 MOFFETT MARYANN R Nurse NM005926 264142 03/31/2010 Elmira NY 14905 Exclusion - 18NYCRR515 MOHAMED MAWAHIB O. Employee/Runner NM006089 04/20/2010 Brooklyn NY 11217 Exclusion - 18NYCRR515 MOHAMEDOLWAN TAMGID TAWFIK 01298622 00037188 59 Kings 06/20/2000 BROOKLYN NY 11217 Exclusion - 18NYCRR515 MOHAN BRIJ MD 00196401 00110116 59 Kings 10/10/1995 BROOKLYN NY 11211 Exclusion - 18NYCRR515 MOHAN PLAMPARAMPIL JOHN Respiratory Therapist NM006986 00002223 11/22/2010 New Hyde Park NY 11040 Exclusion - 18NYCRR515 MOHEBBAN FARHAD M 01345922 00175734 61 Queens 10/20/1999 LONG ISLAND CITY NY 11102 Exclusion - 18NYCRR515 MOHIT MORTEZA MD 01027834 00171551 55 Westchester 09/06/1994 YONKERS NY 10701 Exclusion - 18NYCRR515 MOLDAVAN TETYANA Home Health Adie NM003684 06/17/2010 Rockaway Beach NY 11693 Exclusion - 18NYCRR515 MOMAH CHARLES M Physician 01055018 00171684 61 Queens 07/19/2011 FOREST HILLS NY 11374 Exclusion - 18NYCRR515 MOMS TRANSPORTATION CORP 00741424 00031384 55 Westchester 05/07/1995 PEEKSKILL NY 10566 Exclusion - 18NYCRR515 MONEMVASITIS GEORGE N MD 01286222 00180517 59 Kings 12/18/1997 BROOKLYN NY 11215 Exclusion - 18NYCRR515 MONROE DANIEL J NM004444 00523586 09/22/2008 Buffalo NY 14220 Exclusion - 18NYCRR515 MONROE PEDIATRIC DENT GRP I 00491290 26 Monroe 07/02/1995 ROCHESTER NY 14607 Exclusion - 18NYCRR515 MONROE TODD R DPM Podiatrist 01764465 SD000121 99 Out Of State 05/19/2011 ABERDEEN SD 57401-4187 Exclusion - 18NYCRR515 MONSHAW ROBERT MD 01077265 00148349 14 Erie 01/20/1998 WILLIAMSVILLE NY 14221 Exclusion - 18NYCRR515 MONTALVO ANTONIO CNA NM000543 3414655005 13 Dutchess 12/20/2006 POUGHKEEPSIE NY 12601 Exclusion - 18NYCRR515 MONTERO MILEDY SERVICE COORDINATOR NM001086 05/20/2007 MACEDON NY 14502 Exclusion - 18NYCRR515 SYSTEM GENERATED FROM CLAIM MOORE LORNOLD WILLIAM DDS 00942769 00036676 61 Queens 12/11/1993 JAMAICA NY 11432 Exclusion - 18NYCRR515 MOORE THOMAS WILLIAM MD JR 00834331 00098703 60 New York 10/20/1999 NEW YORK NY 10028 Exclusion - 18NYCRR515 MORALES OSVALDO Clinic Owner NM006263 58 Bronx 08/18/2011 Bronx NY 10453 Exclusion - 18NYCRR515 MOREA WILLIAM F NM005144 024973 12/18/2008 Bakersfield CA 93311 Exclusion - 18NYCRR515 PHARMACISTS MORELLI RALPH E. Chiropractor NM001495 00001800 11/24/2008 MONTICELLO NY 12701 Exclusion - 18NYCRR515 CHIROPRACTOR/PORT-XRAY-SVC (QMB) MORGAN RICHARD Physician NM004064 00221585 08/19/2010 Massapequa NY 11758 Exclusion - 18NYCRR515 MORGANSTERN IRA R Physician NM006876 00104252 11/03/2010 Asbury NJ 08802 Exclusion - 18NYCRR515 MORPHET CINDY AKA MOSHER Nurse NM006175 00149155/00345582 05/31/2010 North Myrtle Beach SC 29582 Exclusion - 18NYCRR515 MORRIS ANGELA E RN NM005985 00412692 04/03/2011 Uniondale NY 11553 Exclusion - 18NYCRR515 MORRIS KAREN E LPN LPN 01951293 00253983 61 Queens 09/06/2011 SAINT ALBANS NY 11412-4023 Exclusion - 18NYCRR515 PRACTICAL NURSE MORRIS SHERRY DO Physician 02131560 00203118 61 Queens 09/27/2011 FAR ROCKAWAY NY 11691-1074 Exclusion - 18NYCRR515 PHYSICIANS MORRIS THERESA M. NM001305 00260768 10/19/2006 ROCHESTER NY 14606 Exclusion - 18NYCRR515 MORRISON MARK BRYANT MD 00954738 00146869 55 Westchester 09/04/1997 PURDYS NY 10578 Exclusion - 18NYCRR515 MORRISON WILLIAM C CNA NM001184 3420909302 08/20/2007 UTICA NY 13501 Exclusion - 18NYCRR515 MORROW THOMAS OJ 01475910 00008436 61 Queens 07/20/2000 REGO PARK NY 11374 Exclusion - 18NYCRR515 MORTIMER BERNICE F 01304205 00001539 60 New York 05/22/1992 NEW YORK NY 10002 Exclusion - 18NYCRR515 MORTIMER MARY LOUISE Physician NM005328 00195501 08/14/2009 Knoxville TN 37933 Exclusion - 18NYCRR515 MOSCATO ANTHONY F Physician NM005497 00123357 11/17/2009 Bethlehem PA 18020 Exclusion - 18NYCRR515 MOSES JENNIFER ANN LPN NM004917 00226947 04/30/2009 North Tonawanda NY 14120 Exclusion - 18NYCRR515 PRACTICAL NURSE MOSKOWITZ REED C MD Physician 00203594 00112448 60 New York 07/20/2009 NEW YORK NY 10032-3720 Exclusion - 18NYCRR515 MOSTOVOY ALEKSANDR Chiropractor NM007483 00010194 59 Kings 10/24/2011 Brooklyn NY 11224 Exclusion - 18NYCRR515 MOTZ ROBIN O MD MD Physician 00592452 00127338 60 New York 08/24/2009 NEW YORK NY 10032-3720 Exclusion - 18NYCRR515 MP PHARM INC 01943379 00024145 28 Nassau 04/18/2002 WILLISTON PARK NY 11596 Exclusion - 18NYCRR515 MSAR GROUP INC Physician's Group 01986149 59 Kings 06/13/2011 BROOKLYN NY 11211-4904 Exclusion - 18NYCRR515 MSK PHARMACY 01537360 00022374 59 Kings 12/01/1997 BROOKLYN NY 11237 Exclusion - 18NYCRR515 MSM PHARMACY INC 01585831 00022641 58 Bronx 10/28/1997 BRONX NY 10457 Exclusion - 18NYCRR515 MUDVARY BEULAH T. NM002887 00199460 10/23/2007 Corning NY 14830 Exclusion - 18NYCRR515 MUECK J. TRISTAN NM002467 00229617 08/22/2007 Babylon NY 11701 Exclusion - 18NYCRR515 MUENCH DAVID MICHAEL DDS Dentist 01520314 00041451 26 Monroe 06/17/2009 ROCHESTER NY 14620-2913 Exclusion - 18NYCRR515 SYSTEM GENERATED FROM CLAIM MUGERMAN ILIYA Unknown NM007770 62 Richmond 02/09/2012 Staten Island NY 10305-3318 Exclusion - 18NYCRR515 SYSTEM GENERATED FROM CLAIM MUHAMMAD TAALIB-DIN IQBAL 01323959 00002291 61 Queens 02/16/1995 ST ALBANS NY 11412 Exclusion - 18NYCRR515 MUIGAI JOSEPH G 01360461 00001016 60 New York 03/19/1998 NEW YORK NY 10037 Exclusion - 18NYCRR515 MUKENDI MELCHIAS NJINGULULA MD 02744970 00187870 61 Queens 02/20/2008 LONG ISLAND CITY NY 11101 Exclusion - 18NYCRR515 MULHOLLAND NOREEN C Nurse NM005413 00527738 09/24/2009 Forkhill, Newry BT35 95P UK 00000 Exclusion - 18NYCRR515 MULKEY JESSICA NURSING HOME EMPLOYEE NM000647 NONE 01/04/2006 ELMONT NY 11003 Exclusion - 18NYCRR515 MULLINGS CLAUDETTE CNA NM000567 3401056312 03/20/2006 BRONX NY 10466 Exclusion - 18NYCRR515 MULTI-MEDICAL SERVICES MEDICAL FACILITY NM003947 00204777 06/25/2008 Jackson Heights NY 11372 Exclusion - 18NYCRR515 MULTIPLE BILLING SVC INC Transportation Provider 02115951 P0034885 61 Queens 11/23/2010 JAMAICA NY 11433-3443 Exclusion - 18NYCRR515 MUMBI MUMANGA C 01439032 00001549 59 Kings 12/09/1993 BROOKLYN NY 11205 Exclusion - 18NYCRR515 MUNCAN PETAR MD 01761311 00193243 02/07/2002 BROOKLYN NY 11229 Exclusion - 18NYCRR515 MUNOZ JESSE BLANE MD 00785084 00154430 09/10/2003 MUNSEY PARK NY 11030 Exclusion - 18NYCRR515 MUNOZ RAFAEL ANGEL DPM 01058093 00004345 61 Queens 07/08/1997 JACKSON HEIGHTS NY 11372 Exclusion - 18NYCRR515 MUNOZ RENE Unknown NM005658 01/24/2011 Shirley NY 11967 Exclusion - 18NYCRR515 MUNROE JAMES R MD 00691272 00137607 60 New York 08/05/1989 NEW YORK NY 10027 Exclusion - 18NYCRR515 MURAD JOSEPH DANIEL 00266422 00008094 60 New York 09/03/1992 NEW YORK NY 10034 Exclusion - 18NYCRR515 MURAGALI CHANDRASHEKHAR GURLI 01195202 00113642 58 Bronx 01/07/1997 BRONX NY 10457 Exclusion - 18NYCRR515 MURPHY DEBRA LEE LPN/RN NM007702 0000125812/00415563 99 Out Of State 07/29/1997 Danbury CT 06810 Exclusion - 18NYCRR515 MURPHY DENISE DINO MD 01541900 00197423 07/05/2001 FAIRPORT NY 14450 Exclusion - 18NYCRR515 MURPHY JAMES E DMD 00760072 00027952 08/13/2003 NIVERVILLE NY 12130 Exclusion - 18NYCRR515 MURPHY MARIA NURSE NM001983 05/20/2007 Rochester NY 14624 Exclusion - 18NYCRR515 MURPHY NICOLE R NURSE NM003069 00268411 12/20/2007 Buffalo NY 14215 Exclusion - 18NYCRR515 MURRAY SUSAN ANN RPA NM006211 00005166 02/20/2011 Raliegh NC 27607 Exclusion - 18NYCRR515 MURRAY VANESSA HHA NM005189 59 Kings 09/20/2011 Brooklyn NY 11208 Exclusion - 18NYCRR515 MURTUZA SARWAR MD 00830722 00151055 61 Queens 03/20/2006 JAMAICA NY 11434 Exclusion - 18NYCRR515 PHYSICIANS MUSTAFA GHULAM MD Physician 02049961 00247638 34 Orleans 04/17/2011 ALBION NY 14411-1646 Exclusion - 18NYCRR515 MUSTAFA NORMA CNA NM001144 340704481295R 08/09/2006 HEMPSTEAD NY 11550 Exclusion - 18NYCRR515 MYERS ANNE M CNA NM007063 341785770402E 01/19/2012 Buffalo NY 14207 Exclusion - 18NYCRR515 SYSTEM GENERATED FROM CLAIM MYERS JENNIFER MAE RN NM000646 00021123 03/07/2005 ATTICA NY 14011 Exclusion - 18NYCRR515 CLINICAL SOCIAL WORKER MYERS NEONCY CNA NM003394 341775860302E 09/18/2008 Rochester NY 14611 Exclusion - 18NYCRR515 N AND R DRUG AND SURGICAL COR 00927477 00018555 28 Nassau 12/24/1991 MERRICK NY 11566 Exclusion - 18NYCRR515 NA CONTINENTAL GROUP LLC Corporation NM006712 11/11/2010 Brooklyn NY 11201 Exclusion - 18NYCRR515 NABIE IVY A/K/A IYE NABIE NM003333 09/18/2008 Staten Island NY 10310 Exclusion - 18NYCRR515 NAD MARIANA ISSUED ILLEGITIMATE HOME HEALTH AIDE CERTIFICATES NM002624 08/20/2008 Brooklyn NY 11235 Exclusion - 18NYCRR515 NADEAU STEVE J NM001065 341667510701E 11/20/2007 CORTLAND NY 13045 Exclusion - 18NYCRR515 NADELL RAYMOND MD 00043325 00032586 59 Kings 08/29/1995 BROOKLYN NY 11226 Exclusion - 18NYCRR515 NADI DAWER A DDS Dentist 01437549 00044967 59 Kings 02/05/2012 FLUSHING NY 11354 Exclusion - 18NYCRR515 DENTAL SCHOOL/DENTIST NAEEM DONNA CNA NM006743 341391801199E 11/30/2010 Jamesport NY 11947 Exclusion - 18NYCRR515 NAIR S RAMACHANDRAN MD PC 00392636 00131614 09/10/2003 STATEN ISLAND NY Exclusion - 18NYCRR515 NAJAR ADEL P DDS 00284771 00032734 61 Queens 06/02/2004 WOODSIDE NY 11377 Exclusion - 18NYCRR515 DENTAL SCHOOL/DENTIST NANGENDO FLORENCE Therapist-Unlicensed NM005741 02/23/2010 Lincolndale NY 10540 Exclusion - 18NYCRR515 NAPOLI TRACEY L. NM002411 00545066 08/05/2007 Stanfordville NY 12581 Exclusion - 18NYCRR515 REGISTERED NURSE NAPPI ANTHONY 01625612 00115906 30 Oneida 06/09/2008 NEW HARTFORD NY 13413 Exclusion - 18NYCRR515 NARCISSE FRANCIS 01304223 00003555 59 Kings 05/22/1992 BROOKLYN NY 11236 Exclusion - 18NYCRR515 NARINE SOOKRAINE Fraudulent LPN NM005204 10/20/2010 Bronx NY 10451 Exclusion - 18NYCRR515 NAROVLYANSKIY MARK Driver/Recruiter NM007467 59 Kings 09/27/2011 Brooklyn NY 11214 Exclusion - 18NYCRR515 SYSTEM GENERATED FROM CLAIM NASEERUDDIN KHAJA MD 00815389 00153654 33 Orange 12/20/2000 MIDDLETOWN NY 10940 Exclusion - 18NYCRR515 NASHED ADEL ABDELMAISK PHYSICIAN NM003123 00130460 02/22/2008 Huntington Beach CA 92648 Exclusion - 18NYCRR515 NASHED CHRISTINE Guardian in CDPAP NM006152 09/05/2010 Jersey City NJ 07307 Exclusion - 18NYCRR515 NASHED DARLENE Personal Assistant NM006148 01/19/2011 Port Washington NY 11050 Exclusion - 18NYCRR515 NASHED GEORGETTE Guardian in CDPAP NM006153 09/05/2010 Port Washington NY 11050 Exclusion - 18NYCRR515 NASSAR ALBERT Owner / Operator NM007703 10/20/2011 New York NY 10017 Exclusion - 18NYCRR515 NASSAU ROAD CHEMISTS INC 00334047 00012765 28 Nassau 11/24/1991 ROOSEVELT NY 11575 Exclusion - 18NYCRR515 NASTASI ANTHONY NM001526 01/19/2005 BROOKLYN NY 11234 Exclusion - 18NYCRR515 NATASI ANTHONY NM003480 01/01/1998 Unknown ZZ 00000 Exclusion - 18NYCRR515 NATHAN PAUL E MD Physician 01201481 00182659 59 Kings 06/28/2010 KENNER LA 70065 Exclusion - 18NYCRR515 NATURAL MOLD SHOE CORP 00328607 55 Westchester 05/19/1987 NEW ROCHELLE NY 10801 Exclusion - 18NYCRR515 NAVEED SYED M. H. PHYSICIAN NM002082 06/07/2007 Lombard IL 60148 Exclusion - 18NYCRR515 PHYSICIANS NCLEX INC Health Aide Training School NM005117 05/24/2010 Bronx NY 10452 Exclusion - 18NYCRR515 NDOROMO AKUBE WUROMONI Transportation Company Owner NM005488 06/18/2009 Brooklyn NY 11232 Exclusion - 18NYCRR515 NECULA VIRGILIU G MD 01021310 00133365 58 Bronx 12/30/1993 BRONX NY 10473 Exclusion - 18NYCRR515 NEHORAYOFF ANDRE MD 00743504 00115290 60 New York 11/18/1992 NEW YORK NY 10010 Exclusion - 18NYCRR515 NEKRITIN VADIM DPM Podiatrist 02569611 00006017 59 Kings 04/28/2011 BROOKLYN NY 11229-4917 Exclusion - 18NYCRR515 NELSON CHRISTOPHER GUSTAF Chiropractor NM007572 00010995 47 Suffolk 10/11/2011 Riverhead NY 11901 Exclusion - 18NYCRR515 NELSON MARK JEFFREY DPM 00903122 00003961 55 Westchester 07/11/1993 YONKERS NY 10701 Exclusion - 18NYCRR515 NELSON WILLIAM MD 01513982 00189070 60 New York 09/09/2005 BALA CYNWYD PA 19004 Exclusion - 18NYCRR515 PHYSICIANS NEPOKROEFF MARK J MD 01375942 00189216 29 Niagara 10/16/2003 N TONAWANDA NY 14120 Exclusion - 18NYCRR515 PHYSICIANS NERCESSIAN MARK A MD 01654659 00202684 14 Erie 10/06/2004 AMHERST NY 14228 Exclusion - 18NYCRR515 PHYSICIANS NESSELSON MARK 01010246 00165950 60 New York 11/21/2007 NEW YORK NY 10029 Exclusion - 18NYCRR515 NESSES JEFFREY 00661069 00004571 58 Bronx 11/09/1992 BRONX NY 10473 Exclusion - 18NYCRR515 NETTER JEFFREY G MD 00756712 00140067 59 Kings 08/20/2000 BROOKLYN NY 11234 Exclusion - 18NYCRR515 NEUMAN JACOB MD 00748352 00150244 61 Queens 02/19/1998 FLUSHING NY 11367 Exclusion - 18NYCRR515 NEVAREZ TAPIA MARIANO JR MD 01312647 00172451 05/02/2003 NORTH BERGEN NY 07047 Exclusion - 18NYCRR515 NEW HOPE GUILD CNTR 00244000 P6671100 03/01/2002 BROOKLYN NY 11229 Exclusion - 18NYCRR515 NEW HOPE MEDICAL MEDICAL CLINIC NM002605 00187870 10/24/2007 Ridgewood NY 11385 Exclusion - 18NYCRR515 NEW POST PHARMACY INC 01476402 00022137 55 Westchester 09/21/1998 WHITE PLAINS NY 10601 Exclusion - 18NYCRR515 NEW SHOES OF BROOKLYN 00864273 59 Kings 06/28/1990 BROOKLYN NY 11201 Exclusion - 18NYCRR515 NEW YORK AID SOCIETY INC TBI 02085550 TBI00247 07/27/2006 JERICHO NY 11753 Exclusion - 18NYCRR515 NEW YORK ANTI-AGING & WELLNESS Medical Practice NM006203 62 Richmond 05/13/2010 Staten Island NY 19395 Exclusion - 18NYCRR515 NEW YORK PLACEMENT RESOURCES INC Health Aide Training School NM005115 05/24/2010 Bronx NY 10452 Exclusion - 18NYCRR515 NEWCOMB MARILYN ANN NURSES AIDE NM000661 00435974 05/03/2005 Rochester NY 14062 Exclusion - 18NYCRR515 NEWMAN JONATHAN Home and Community Support Service Worker NM007039 09 Clinton 04/14/2011 West Chazy NY 12992 Exclusion - 18NYCRR515 SYSTEM GENERATED FROM CLAIM NEWMAN SCOTT NELSON MD 00924396 00164688 59 Kings 10/25/1990 BROOKLYN NY 11235 Exclusion - 18NYCRR515 NEWSOME DORITA Dentist NM005495 00039326 12/20/2009 Orange NJ 07050 Exclusion - 18NYCRR515 NEWTON ROY CNA NM006274 06/17/2010 Freeport NY 11520 Exclusion - 18NYCRR515 NGOWE TOM O Executive Director NM007364 51 Ulster 08/08/2011 Kingston NY 12401 Exclusion - 18NYCRR515 NGUYEN NHI THI MD 00792952 00151474 59 Kings 11/08/1989 BROOKLYN NY 11228 Exclusion - 18NYCRR515 NIANN FOOTWEAR INC 00726852 61 Queens 12/31/1991 FOREST HILLS NY 11375 Exclusion - 18NYCRR515 NICHOLS BARBARA LOUISE MD 00869645 00143069 59 Kings 10/11/2007 BROOKLYN NY 11206 Exclusion - 18NYCRR515 NICHOLS KATHERINE NM001982 05/20/2007 Warren Center PA 18851 Exclusion - 18NYCRR515 NICOL PATRICK ALAN 02688140 00049856 01/15/2007 ROCHESTER NY 14609 Exclusion - 18NYCRR515 NICOLAS FELIX F MD 00189446 00107513 59 Kings 05/31/1991 BROOKLYN NY 11203 Exclusion - 18NYCRR515 NICOLAS J. GWENDOLYN LPN NM007144 00180293 05/03/2011 Queens Village NY 11427 Exclusion - 18NYCRR515 NICOLETTI ALFRED D.O. NM001435 00142778 12/06/2006 MIAMI FL 33157 Exclusion - 18NYCRR515 NIEDZIELSKI LUELLA LPN 01096726 00186365 47 Suffolk 12/18/1997 CORAM NY 11727 Exclusion - 18NYCRR515 NIEVES SANDRA Home Attendant NM007752 02/09/2012 Cheektowaga NY 14225 Exclusion - 18NYCRR515 SYSTEM GENERATED FROM CLAIM NIKHMAN MILANA Issued Illegitimate Home Health Aide Certs. NM002623 04/26/2010 Brooklyn NY 11235 Exclusion - 18NYCRR515 NIMMONS RUFUS K MD 01153093 SC003554 99 Out Of State 03/31/1996 SENECA SC 29678 Exclusion - 18NYCRR515 NINO VICTOR Unlicensed Dentist NM007215 05/31/2011 Uniondale NY 11553 Exclusion - 18NYCRR515 NISANOVA TAISIYA Home Health Aide NM002765 01/20/2010 Brooklyn NY 11235 Exclusion - 18NYCRR515 NISENSON ROY A Psychologist 02095283 00004494 99 Out Of State 03/15/2010 STAMFORD CT 06902-6136 Exclusion - 18NYCRR515 NISIVOCCIA CHARLES CHIROPRACTOR NM001164 00008151 08/20/2006 LITTLE FALLS NJ 07424 Exclusion - 18NYCRR515 NJAPA ANTHONY K 01765360 00194481 55 Westchester 10/24/2007 NEW ROCHELLE NY 10801 Exclusion - 18NYCRR515 NKONGHO ANDREW L 00549624 00129655 60 New York 09/24/2007 NEW YORK NY 10014 Exclusion - 18NYCRR515 NMC HOMECARE INC 01781988 28 Nassau 03/31/2000 LAKE SUCCESS NY 11042 Exclusion - 18NYCRR515 NMC HOMECARE INC 00545946 00020683 30 Oneida 03/31/2000 NEW YORK MILLS NY 13417 Exclusion - 18NYCRR515 NMC HOMECARE INC 00639441 40 St. Lawrence 03/31/2000 OGDENSBURG NY 13669 Exclusion - 18NYCRR515 NMC HOMECARE INC 01228151 28 Nassau 03/31/2000 LAKE SUCCESS NY 11020 Exclusion - 18NYCRR515 NMC HOMECARE INC 00669223 09 Clinton 03/31/2000 PLATTSBURGH NY 12205 Exclusion - 18NYCRR515 NMC HOMECARE INC 01209030 01 Albany 03/31/2000 ALBANY NY 12205 Exclusion - 18NYCRR515 NMC HOMECARE PHARMACY 01727788 NJ005050 99 Out Of State 03/31/2000 PINE BROOK NJ 07058 Exclusion - 18NYCRR515 NODAL RAUL FROILAN MD 01215154 FL037867 99 Out Of State 11/20/1997 TAMPA FL 33607 Exclusion - 18NYCRR515 NOLAN RICHARD L NURSE NM003645 00293948 03/20/2008 Phoenix AZ 85050 Exclusion - 18NYCRR515 NOLASCO DAHLIA R MD 00901157 00161642 59 Kings 06/09/1994 BROOKLYN NY 11207 Exclusion - 18NYCRR515 NOLIA MEDICAL PC Medical Group NM007490 00064696 09/27/2011 Bronx NY 10460 Exclusion - 18NYCRR515 SYSTEM GENERATED FROM CLAIM NOOR FARID A M.D NM000638 MA049694 08/04/2005 LUMBERTON NJ 08048 Exclusion - 18NYCRR515 NOOR-KHAN NAVEED MD 01624024 00204137 02 Allegany 11/20/2000 CUBA NY 14727 Exclusion - 18NYCRR515 NORMANN PETER J MD 01909466 99 Out Of State 08/20/2008 HERSHEY PA 17033 Exclusion - 18NYCRR515 NORSEN SHELLY A LPN LPN 02842042 00259043 54 Wayne 09/20/2011 LYONS NY 14489-9028 Exclusion - 18NYCRR515 NORSTAD SURGICAL SUPPLIES LTD 00400000 59 Kings 09/08/1992 BROOKLYN NY 11210 Exclusion - 18NYCRR515 NORTHERN MEDICAL SVC NM001926 00094241 05/15/2007 Corona NY 11368 Exclusion - 18NYCRR515 NORTON JANE ESPEJO NM001506 00213382 01/18/2007 RANCHO MIRAGE CA 92270 Exclusion - 18NYCRR515 NORTON JOHN D RESPIRATORY THERAPIST NM003322 00002706 02/25/2008 Westfield NY 14787 Exclusion - 18NYCRR515 NORWOOD NEIL E 01301055 00030954 55 Westchester 11/20/2007 TARRYTOWN NY 10591 Exclusion - 18NYCRR515 PHARMACISTS NOSACH VLADIMIT NM003481 01/01/1998 Unknown ZZ 00000 Exclusion - 18NYCRR515 NOTARISTEFANO LUIGIA 02222755 203453 37 Putnam 03/23/2009 BREWSTER NY 10509-4026 Exclusion - 18NYCRR515 NOVICK PHILIP B MD 00765522 00141742 13 Dutchess 10/19/2000 FISHKILL NY 12524 Exclusion - 18NYCRR515 NOWELL KEVIN Nurse 01704407 00233768 55 Westchester 05/26/2010 OSSINING NY 10562-3713 Exclusion - 18NYCRR515 NU LIFE SHOE REPAIR 00722463 59 Kings 06/15/1992 BROOKLYN NY 11204 Exclusion - 18NYCRR515 NUGENT KENNETH J. NM003010 00000175 12/20/2007 Wynantskill NY 12198 Exclusion - 18NYCRR515 NUNEZ ELIDA NM001293 341973310503E 02/20/2008 FLUSHING NY 11354 Exclusion - 18NYCRR515 NUNNS STEVEN NURSE NM001061 00261707 05/18/2006 NORTH FORT MEYERS FL 33903 Exclusion - 18NYCRR515 NURSE ANDERSON G Nurse NM005702 00473235 02/16/2010 Teaneck NJ 07666 Exclusion - 18NYCRR515 NURSES NOW AGENCY INC 00714829 47 Suffolk 09/05/1996 EAST PATCHOGUE NY 11772 Exclusion - 18NYCRR515 NURSES NOW AGENCY INC 00714829 47 Suffolk 06/27/1995 EAST PATCHOGUE NY 11772 Exclusion - 18NYCRR515 NURTURE HOME CARE SERV AGENCY 00952272 28 Nassau 03/16/1995 ROOSEVELT NY 11575 Exclusion - 18NYCRR515 NUZZI DEBORAH S RN Nurse 02006297 00493571 47 Suffolk 05/20/2009 CORAM NY 11727 Exclusion - 18NYCRR515 REGISTERED NURSE NUZZI DINO FRANCES LPN LPN 02004722 00261025 47 Suffolk 04/20/2009 CORAM NY 11727 Exclusion - 18NYCRR515 PRACTICAL NURSE NWAOGU JULIANNA RN Nurse 02291858 00457765 60 New York 04/29/2010 BROOKLYN NY 11236-3839 Exclusion - 18NYCRR515 NY MEDICAL & DIAGNOSTICS NM001929 00094241 05/15/2007 Brooklyn NY 11224 Exclusion - 18NYCRR515 NYAMEKYE ABSYLOM KWABENA MD 01975135 00208330 60 New York 01/20/2008 NEW YORK NY 10029 Exclusion - 18NYCRR515 NYKO PHARMACY INC 01046060 00019576 60 New York 03/04/1993 NEW YORK NY 10032 Exclusion - 18NYCRR515 NYSHADHAM SWAROOP N MD NM006612 00163763 99 Out Of State 04/14/2009 Lagange GA 30240 Exclusion - 18NYCRR515 PHYSICIANS O HARA BERNARD WILLIAM PC DDS 00625521 00022463 09 Clinton 04/10/1995 PLATTSBURGH NY 12901 Exclusion - 18NYCRR515 O' REILLY MARY E NM002213 00322326 05/28/2007 Walden NY 12586 Exclusion - 18NYCRR515 REGISTERED NURSE O'BRIEN FRANCINE NURSE NM003246 00253182 01/24/2008 New Windsor NY 12553 Exclusion - 18NYCRR515 O'ROURKE TERRENCE P RPA 01285529 00002614 30 Oneida 09/20/2000 ROME NY 13440 Exclusion - 18NYCRR515 OARE CHRISTINE K 01904892 00028403 17 Fulton 08/20/2007 GLOVERSVILLE NY 12078 Exclusion - 18NYCRR515 OBAS PIERRE CNA NM005034 340308031293R 05/20/2010 Danbury CT 06811 Exclusion - 18NYCRR515 OBERLE MARY C Nurse NM005272 00260965 10/14/2009 New Windsor NY 12553 Exclusion - 18NYCRR515 OBEROI TEJBIR Dentist NM006704 00034560 02/20/2005 Whitedeer PA 17887 Exclusion - 18NYCRR515 OBRIEN BARBARA A Nurse NM006721 00263561/00518059 11/16/2010 Seaford NY 11783 Exclusion - 18NYCRR515 OBRYAN TEISHA RN NM007933 00537419 12/20/2011 Lanesboro MA 01237 Exclusion - 18NYCRR515 REGISTERED NURSE OCALLAGHAN STEPHANIE PHD 00636168 00005722 55 Westchester 05/06/1990 CROTON ON HUDSON NY 10520 Exclusion - 18NYCRR515 OCEANSIDE COMMUNITY PHARM INC 00844702 00018248 59 Kings 09/30/1990 BROOKLYN NY 11224 Exclusion - 18NYCRR515 OCEANVIEW DENTAL PC 01617821 59 Kings 03/03/2008 BROOKLYN NY 11235 Exclusion - 18NYCRR515 OCONNOR ELIZABETH NM004443 159132 03/20/2009 Bay Shore NY 11706 Exclusion - 18NYCRR515 REGISTERED NURSE OCONNOR MICHAEL JOHN Pharmacist NM005836 00046991 11/25/2009 Tonawanda NY 14150 Exclusion - 18NYCRR515 PHARMACISTS ODELL ROBERT CNA NM003652 342493561006E 11/02/2008 Canandaigua NY 14424 Exclusion - 18NYCRR515 ODUYE ADEDOYIN ADETOLA DPM Podiatrist 00755115 00003491 59 Kings 12/11/1989 BROOKLYN NY 11230 Exclusion - 18NYCRR515 OESTREICH RICHARD A 01883389 PA024674 99 Out Of State 12/29/2000 PITTSBURGH PA 15205 Exclusion - 18NYCRR515 OGUNLEYE JANET LPN NM006617 00290380 99 Out Of State 08/18/2011 Saint Paul MN 55075 Exclusion - 18NYCRR515 OGWO DANIEL E DPM Podiatrist 02566998 00005958 58 Bronx 11/29/2011 BRONX NY 10466 Exclusion - 18NYCRR515 OH HEI YOUNG MD 00810655 00151015 30 Oneida 02/19/1998 UTICA NY 13500 Exclusion - 18NYCRR515 OJEWOYE PAUL NM002204 00046731 06/20/2007 Ramdallstown MD 21133 Exclusion - 18NYCRR515 SYSTEM GENERATED FROM CLAIM OKAY BEDII S MD 00677596 00109249 61 Queens 10/04/1991 FAR ROCKAWAY NY 11691 Exclusion - 18NYCRR515 OKEREKE TATI I MD 00617092 00111470 14 Erie 06/06/1991 BUFFALO NY 14203 Exclusion - 18NYCRR515 OKON JOHN JUSTUS NM001043 06/20/2006 OTISVILLE NY 10963 Exclusion - 18NYCRR515 OKON SAMUEL JUSTUS NM001234 09/20/2006 LAGRANGEVILLE NY 12540 Exclusion - 18NYCRR515 OKSA MEDICAL PC Physician Group 03283070 00049958 61 Queens 02/15/2012 REGO PARK NY 11374-2229 Exclusion - 18NYCRR515 PHYSICIANS OKUJI BLESSING RN NM005194 00600624 59 Kings 10/20/2010 Brooklyn NY 11203 Exclusion - 18NYCRR515 OLA OLAYIWOLA MD 00844028 00111733 61 Queens 12/07/1993 JAMAICA NY 11432 Exclusion - 18NYCRR515 OLADELE-AJOSE OLUFEMI MD NM002850 00207718 10/09/2007 Sperry IA 52650 Exclusion - 18NYCRR515 OLCOTT JENNIFER J Pharmacist 02130014 00046147 15 Essex 04/04/2011 WILLSBORO NY 12996-4507 Exclusion - 18NYCRR515 OLD RED HOOK PHARMACY INC 01857258 00023666 09/12/2005 BROOKLYN NY 11231 Exclusion - 18NYCRR515 OLENICHEVA ALEXANDRA HOME HEALTH AIDE - IMPOSTER NM003695 09/18/2008 Brooklyn NY 11235 Exclusion - 18NYCRR515 OLIVER ALEXANDER MD 00933711 00164828 60 New York 08/20/2000 NEW YORK NY 10002 Exclusion - 18NYCRR515 OLIVERA JUAN A MD 00215623 00116450 59 Kings 02/01/1997 BROOKLYN NY 11235 Exclusion - 18NYCRR515 OLIVEROS EDMUND NM001771 03/26/2007 White Plains NY 10605 Exclusion - 18NYCRR515 OLIVO ANGEL HOSPITAL POLICE OFFICER NM001169 08/17/2006 BRONX NY 10462 Exclusion - 18NYCRR515 OLMSTED LUKE R MD 01165342 00181601 60 New York 09/30/1997 NEW YORK NY 10016 Exclusion - 18NYCRR515 OLOUMI MOHAMMAD MD 00349404 00128705 03/20/2002 BROOKLYN NY Exclusion - 18NYCRR515 OLSON PHYLLIS R ACCUPUNCTURE NM002733 00001291 04/20/2008 Long Island City NY 11101 Exclusion - 18NYCRR515 OMNI CENTER INC 00780281 47 Suffolk 12/14/1989 N LINDENHURST NY 11757 Exclusion - 18NYCRR515 OMNI MEDICAL CARE NM001883 05/02/2007 Brooklyn NY 11230 Exclusion - 18NYCRR515 ON TIME HOME CARE 01667165 61 Queens 05/13/2008 JAMAICA NY 11432 Exclusion - 18NYCRR515 ONANUGA, JACOB ADE NM004311 540994 03/20/2009 Hempstead NY 11550 Exclusion - 18NYCRR515 REGISTERED NURSE ONE RING AMBULETTE SERVICE Transportation Provider NM006753 11/23/2010 Peekskill NY 10566 Exclusion - 18NYCRR515 ONEILL MARY M Physician NM005815 00170821 03/10/2010 Campbell CA 95008 Exclusion - 18NYCRR515 ONTARIO HEARING INSTRUM CORP 00456051 00205003 26 Monroe 11/09/1992 ROCHESTER NY 14604 Exclusion - 18NYCRR515 ONYEUKWU CHIBIKO G MD 00277436 00133964 58 Bronx 12/07/1994 BRONX NY 10462 Exclusion - 18NYCRR515 OPEN MEDICAL DIAGNOSTICS OF ISLIP P.C. NM004506 00098458 10/13/2008 Franklin Square NY 11010 Exclusion - 18NYCRR515 ORACHANTARA SOMSRI Nurse NM005248 00237802 55 Westchester 08/03/2009 Yonkers NY 10710 Exclusion - 18NYCRR515 ORAFIDIYA ABAYOMI MD 01007327 00160583 39 Rockland 10/20/1999 NYACK NY 10960 Exclusion - 18NYCRR515 ORCINOLO SAMUEL L 01369662 59 Kings 02/19/1998 BROOKLYN NY 11236 Exclusion - 18NYCRR515 ORIANI DONNA NURSE NM004129 00375431 08/20/2008 Hawley PA 18428 Exclusion - 18NYCRR515 ORINGER GARY DAVID DPM 00735268 00003425 59 Kings 05/02/1991 BROOKLYN NY 11217 Exclusion - 18NYCRR515 ORJI JUANITA LPN 01758034 00237433 55 Westchester 06/20/2011 MOUNT KISCO NY 10549 Exclusion - 18NYCRR515 ORLOVSKY FASHION & ORTHO SHOE 01025089 59 Kings 05/28/1992 BROOKLYN NY 11223 Exclusion - 18NYCRR515 ORMANDY DAVID Social Work Assistant NM004943 26 Monroe 05/20/2009 Rochester NY 14610 Exclusion - 18NYCRR515 SYSTEM GENERATED FROM CLAIM ORPHAN MEDICAL INC NM004836 12/18/2008 Palo Alto CA 94301 Exclusion - 18NYCRR515 ORTA-ROSARIO PORFIRIO MD Physician 01249623 00185599 43 Schoharie 02/20/2011 COBLESKILL NY 12043 Exclusion - 18NYCRR515 PHYSICIANS ORTHO MOLD SHOE LABS INC 00320094 28 Nassau 07/20/1992 EAST MEADOW NY 11554 Exclusion - 18NYCRR515 ORTHOTIC AND PROSTHETIC IMAGE 01282475 28 Nassau 04/16/1997 HEMPSTEAD NY 11550 Exclusion - 18NYCRR515 ORTHOTIC FITTERS & SERVICES 01124056 61 Queens 06/02/1994 JACKSON HEIGHTS NY 11372 Exclusion - 18NYCRR515 ORTIZ CARLOS MD Physician 00160765 00096198 61 Queens 02/09/2011 FLUSHING NY 11354-5520 Exclusion - 18NYCRR515 PHYSICIANS ORTIZ JOSE Unknown NM007489 58 Bronx 09/27/2011 Bronx NY 10472 Exclusion - 18NYCRR515 SYSTEM GENERATED FROM CLAIM ORTIZ MARIA NM001058 07/04/2006 MT. VERNON NY 10552 Exclusion - 18NYCRR515 ORTLOFF EUGENE LPN NM007071 00225506 01/19/2012 Binghamton NY 13905 Exclusion - 18NYCRR515 PRACTICAL NURSE ORVIETO LAWRENCE D DDS 00501120 00024599 55 Westchester 05/22/1997 WHITE PLAINS NY 10605 Exclusion - 18NYCRR515 OSBORNE ROBELTO ANTONIO NM000682 00171923 99 Out Of State 05/19/2005 BROOKLYN NY 11213 Exclusion - 18NYCRR515 OSEI PASCAL F Pharmacist NM005992 00041273 04/26/2010 Somerset NJ 08873 Exclusion - 18NYCRR515 OSEI-TUTU ERNEST PAUL MD 01015609 00168405 58 Bronx 11/23/1990 BRONX NY 10468 Exclusion - 18NYCRR515 OSGOOD KATHLEEN Nurse NM006189 00268297 06/02/2010 Troy NY 12180 Exclusion - 18NYCRR515 OSORIO AMY Nurse NM006124 00504126 11/20/2007 Morrisville NC 27560 Exclusion - 18NYCRR515 OSTAD DAVID HAIM NM000626 28 Nassau 12/20/2005 OLD WESTBURY NY 11568 Exclusion - 18NYCRR515 OSTROWSKI CHERYL L.P.N. NM001561 00205477 01/15/2007 BEMUS POINT NY 14712 Exclusion - 18NYCRR515 OSTWALD ALICE M LPN NM001239 00218733 09/20/2006 WHITEHOUSE STATION NJ 08889 Exclusion - 18NYCRR515 OTERO RUBEN L MD 00971095 00167561 58 Bronx 06/18/1998 BRONX NY 10472 Exclusion - 18NYCRR515 OWEN JEFFREY Owner / Operator NM006988 11/12/2010 Tucson AZ 85718 Exclusion - 18NYCRR515 OWENS ALVIN EMPLOYEE OF MEDICAL BILLING CO. NM003690 06/19/2008 Brooklyn NY 11216 Exclusion - 18NYCRR515 OWUSU BAAH PAUL MD 00801189 00139757 59 Kings 10/20/1998 BROOKLYN NY 11226 Exclusion - 18NYCRR515 OXY-MED SREVICES INC 01106716 00000000 09/11/2001 DEERPARK NY 11729 Exclusion - 18NYCRR515 PAAS RAYMOND Physicial Therapist NM006125 00024068 61 Queens 10/20/2005 Forest Hills NY 11375 Exclusion - 18NYCRR515 PACIENZA VINCENT Physician 01835029 00156218 99 Out Of State 04/25/2011 MANHASSET NY 11030-2301 Exclusion - 18NYCRR515 PACK A STEPHEN MD 01800004 00183669 58 Bronx 09/20/2000 BRONX NY 10467 Exclusion - 18NYCRR515 PADULA ADOLPH RALPH DDS Dentist 02551637 00051116 31 Onondaga 11/18/2009 SYRACUSE NY 13204-2809 Exclusion - 18NYCRR515 PAE ANNE MICHELLE Nurse NM006468 00427900 10/05/2010 New York NY 10021 Exclusion - 18NYCRR515 PAGAN EDWIN A JR NM006603 232896 47 Suffolk 04/01/2009 North Great River NY 11722 Exclusion - 18NYCRR515 PRACTICAL NURSE PAGANO DWIGHT MD NM001053 05/19/2005 NEW YORK NY 10009 Exclusion - 18NYCRR515 PAGUERGAN ARTURO D. NM002211 00208934 10/18/2007 Brooklyn NY 11236 Exclusion - 18NYCRR515 PAHILAN ABE NACORDA MD 00745217 00137618 08/20/2006 BROOKLYN NY 11419 Exclusion - 18NYCRR515 PAIK YOUNG K MD Physician 00625296 00130075 14 Erie 05/20/2011 BUFFALO NY 14213-1904 Exclusion - 18NYCRR515 PAIVA ROY NM001767 00010870 03/26/2007 Farmingdale NY 11735 Exclusion - 18NYCRR515 PAL MOHAMMAD RAZZAQUE NM001533 N/A 03/20/2005 ASTORIA NY 11102 Exclusion - 18NYCRR515 PALMAROZZO PAUL MICHAEL DPM 01008382 00004123 39 Rockland 02/27/1992 NANUET NY 10954 Exclusion - 18NYCRR515 PALMER DOREEN P MD 01709484 00134113 55 Westchester 09/20/1999 VALHALLA NY 10595 Exclusion - 18NYCRR515 PAMPALONE THOMAS NM001291 99 Out Of State 10/11/2006 MATAMORAS PA 18336 Exclusion - 18NYCRR515 PAMPHILE SERGE MD 00789533 00144479 60 New York 04/13/1990 NEW YORK NY 10027 Exclusion - 18NYCRR515 PAN JIE YING Owner of Loving Pharmacy NM006764 11/24/2010 Brooklyn NY 11220-3800 Exclusion - 18NYCRR515 PANCHOU DAVID ALLEN Pharmacist 01902863 00042325 35 Oswego 06/05/2011 HANNIBAL NY 13074-0000 Exclusion - 18NYCRR515 PANDHI HEMANT MANILAL MD 01288224 00183095 08/06/2001 TICONDEROGA NY 12883 Exclusion - 18NYCRR515 PANG NELSON 02754667 00044595 59 Kings 02/25/2008 BROOKLYN NY 11215 Exclusion - 18NYCRR515 PANICCIA WENDY LYNN Nurse NM004920 00548990/00256916 12/20/2009 Rochester NY 14624 Exclusion - 18NYCRR515 PANICCIOLI ANTHONY C 01303442 00031887 59 Kings 06/02/1994 BROOKLYN NY 11223 Exclusion - 18NYCRR515 PANITZ DANIEL OWNER OF COUNSELING CENTER NM000563 03/20/2006 ELMHURST NY 11373 Exclusion - 18NYCRR515 PAOLINI SHEILA DME PROVIDER NM000582 11/20/2006 WILLIAMSVILLE NY 14221 Exclusion - 18NYCRR515 PAPADATOS GERASIMOS MD Physician 00881512 00142263 60 New York 09/27/2011 NEW YORK NY 10003-2620 Exclusion - 18NYCRR515 PHYSICIANS PAPADOPOULOS NIKOLAOS Chiropractor NM006126 00010247 03/19/2009 Norwalk CT 06851 Exclusion - 18NYCRR515 PAPIASVILI AVTANDIL MD 00791988 00154318 60 New York 09/20/1999 NEW YORK NY 10022 Exclusion - 18NYCRR515 PAPPAGALLO CHEMISTS LTD 00260137 00014508 59 Kings 07/04/1998 NEW YORK NY 11209 Exclusion - 18NYCRR515 PAPPALARDO JOSEPH FRANK 01334523 00027114 60 New York 11/20/1997 NEW YORK NY 11209 Exclusion - 18NYCRR515 PAPPALARDO KATHERINE ANN RN NM005222 00475656 19 Greene 09/26/2011 Catskill NY 12414 Exclusion - 18NYCRR515 REGISTERED NURSE PAPPALARDO PETER S PC MD 00383651 00104984 99 Out Of State 11/13/1989 RIDGEWOOD NJ 07450 Exclusion - 18NYCRR515 PARACHE FELIX Physician NM006757 00006202 10/28/2010 East Elmhurst NY 11369 Exclusion - 18NYCRR515 PARALLEL MANAGEMENT GROUP INC. NM003692 06/25/2008 Brooklyn NY 11230 Exclusion - 18NYCRR515 PARATRANSIT ASSOCIATES LTD 01104663 00030888 28 Nassau 01/20/1998 HICKSVILLE NY 11801 Exclusion - 18NYCRR515 PAREDES MIGUEL NM004847 03/20/2009 Ayer MA 01432 Exclusion - 18NYCRR515 SYSTEM GENERATED FROM CLAIM PARES NELIA RPN NM002419 00366380 08/05/2007 Teaneck NJ 07666 Exclusion - 18NYCRR515 REGISTERED NURSE PARIDA SAROJ K MD Physician 01800866 PA-15213 3205 99 Out Of State 11/10/2010 PITTSBURGH PA 15213-3108 Exclusion - 18NYCRR515 PARIKH BIPIN J MD Physician 01199559 NJ039431 99 Out Of State 10/20/2010 JERSEY CITY NJ 07302-3100 Exclusion - 18NYCRR515 PARISI PATRICIA A Patient Care Technician NM005866 05/19/2011 Port Jefferson NY 11777 Exclusion - 18NYCRR515 PARK CHANG BAI MD 00915908 00145857 60 New York 09/02/1989 NEW YORK NY 10029 Exclusion - 18NYCRR515 PARK CHONG HEE Physician NM005104 00143071 06/29/2009 Montclair NJ 07042 Exclusion - 18NYCRR515 PARK EAST SURGICAL EQUIP LTD 00836782 58 Bronx 01/03/1994 BRONX NY 10451 Exclusion - 18NYCRR515 PARK HYECHUNG 01652771 00042566 60 New York 12/20/2007 NEW YORK CITY NY 10031 Exclusion - 18NYCRR515 PARK JOHN H PC MD 00675778 00110946 08/07/2002 FLUSHING NY 11354 Exclusion - 18NYCRR515 PARK SANG KYIU MD 00981911 00150190 58 Bronx 01/04/1990 BRONX NY 10453 Exclusion - 18NYCRR515 PARK TAE KYU MD Physician 00775604 00152709 59 Kings 01/16/2012 BROOKLYN NY 11215-4204 Exclusion - 18NYCRR515 PHYSICIANS PARKER ANDREA L. A/K/A ANDREA SHEAR NM001315 00464445 10/19/2006 NEWARK NY 14513 Exclusion - 18NYCRR515 PARKER BRAD LMSW 02403776 00062598 99 Out Of State 04/06/2011 JAMAICA NY 11432-5072 Exclusion - 18NYCRR515 PARKER LULAR Unknown NM007377 26 Monroe 02/08/2012 Geneva NY 14456 Exclusion - 18NYCRR515 SYSTEM GENERATED FROM CLAIM PARKS WILLIAM CNA NM001082 3419939806 09/20/2006 ENDICOTT NY 13760 Exclusion - 18NYCRR515 PARSONS TINA CNA NM000982 3412189510 09/20/2006 BROOKLYN NY 11225 Exclusion - 18NYCRR515 PASQUARELLI GABRIELLE LPN LPN 01548741 28 Nassau 05/20/2009 JERICHO NY 11753 Exclusion - 18NYCRR515 PRACTICAL NURSE PASQUARIELLO ALEX 01137104 00163442 10 Columbia 01/02/2008 HUDSON NY 12534 Exclusion - 18NYCRR515 PAT NIC AMBULETTE INC 01109755 00030851 59 Kings 02/27/1995 BROOKLYN NY 11203 Exclusion - 18NYCRR515 PATASHNY SUSAN J Massage Therapist NM004881 05/20/2009 Long Beach NY 11561 Exclusion - 18NYCRR515 SYSTEM GENERATED FROM CLAIM PATEL BHUPENDRA MD 00808448 00156519 58 Bronx 12/30/1991 BRONX NY 10472 Exclusion - 18NYCRR515 PATEL CHIMAN ISHWERBHAI MD Physician 02317811 00173676 39 Rockland 01/02/2012 CARMEL NY 10512-3997 Exclusion - 18NYCRR515 PATEL HARSHADRAY M 01335217 58 Bronx 04/20/2000 BRONX NY 10460 Exclusion - 18NYCRR515 PATEL HARSHADRAY M 00377353 00029955 61 Queens 09/15/1984 CORONA NY 11368 Exclusion - 18NYCRR515 PATEL KETANKUMAR Unknown NM006591 99 Out Of State 06/05/2011 Edison NJ 08817 Exclusion - 18NYCRR515 PATEL MEHMOOD M. Physician NM006085 00118944 02/11/2010 Lafayette LA 70506 Exclusion - 18NYCRR515 PATEL NARENDRAKUMAR V 01311233 00031318 61 Queens 07/19/2005 JAMAICA NY 11434 Exclusion - 18NYCRR515 PHARMACISTS PATEL NIRANJAN Unknown NM007584 55 Westchester 09/20/2011 Mount Vernon NY 10550 Exclusion - 18NYCRR515 PATEL PRAVIN 02304227 00219787 12/10/2002 SYRACUSE NY 13210 Exclusion - 18NYCRR515 PATEL RAKESH Pharmacist NM002882 00038793 04/20/2008 New Hartford NY 13413 Exclusion - 18NYCRR515 PATEL SUKETU G. NM002852 60 New York 08/02/2007 New York NY 10011 Exclusion - 18NYCRR515 PATHAK RAMESHWAR MD 00888248 00153924 28 Nassau 11/20/1997 MANHASSET NY 11030 Exclusion - 18NYCRR515 PATI JOHN F DDS Dentist 00600500 00034343 59 Kings 02/18/2010 BROOKLYN NY 11208-3805 Exclusion - 18NYCRR515 PATIL SHYAM TUKARAM MD Physician 00830731 00153502 33 Orange 05/19/2010 VAILS GATE NY 12584 Exclusion - 18NYCRR515 PATIN YURY MD Physician 01733559 00204599 59 Kings 04/18/2011 BROOKLYN NY 11204-3930 Exclusion - 18NYCRR515 PATITUCE JENNIFER ANN Massage Therapist NM007123 00017255 05/02/2011 Chemeng NY 12122 Exclusion - 18NYCRR515 PATRICK F DALY HLTH CTR AI 01422820 59 Kings 03/15/1996 BROOKLYN NY 11231 Exclusion - 18NYCRR515 PATTERSON DANIELLE NM001094 340153030393E 07/17/2006 NEW YORK NY 10030 Exclusion - 18NYCRR515 PATTERSON TAMEKA HHA NM006592 61 Queens 07/20/2011 Jamaica NY 11433 Exclusion - 18NYCRR515 SYSTEM GENERATED FROM CLAIM PATXOT OMAR F MD 01590069 00159361 08/06/2001 NEWARK NJ 07193 Exclusion - 18NYCRR515 PAUL FITZPATRICK DPM 00950812 00004047 59 Kings 02/18/1997 BROOKLYN NY 11206 Exclusion - 18NYCRR515 PAUL JEREMY J DPM 00401125 00002290 42 Schenectady 12/30/2000 SCHENECTADY NY 12308 Exclusion - 18NYCRR515 PAUL LYONEL F MD 01949146 00213913 09/05/2002 UNIONDALE NY 11553 Exclusion - 18NYCRR515 PAULWELL DAPHNE CNA NM005253 341236971298E 01/20/2010 Springfield Gardens NY 11413 Exclusion - 18NYCRR515 PAVEL KULIK PHYSICIAN PC Physician Group 03083323 00048522 59 Kings 02/15/2012 BROOKLYN NY 11235-6461 Exclusion - 18NYCRR515 PHYSICIANS PAWLOWSKI JADWIGA HELENA MD Physician 00797035 00119256 61 Queens 09/27/2011 ELMHURST NY 11373-1846 Exclusion - 18NYCRR515 PHYSICIANS PC 563 GRAND MEDICAL Medical Practice NM006562 PSC #034327 09/29/2010 Brooklyn NY 11211 Exclusion - 18NYCRR515 SYSTEM GENERATED FROM CLAIM PEACOCK RUSSELL B MD 00555986 00090751 41 Saratoga 10/09/2007 BALLSTON SPA NY 12020 Exclusion - 18NYCRR515 PEARCE MITCHELL DPM 00999211 00004178 58 Bronx 12/29/2004 BROOKLYN NY 11234 Exclusion - 18NYCRR515 OPTHALMIC DISPENSER PEARL JIMMY Driver NM007485 09/26/2011 North Baldwin NY 11510 Exclusion - 18NYCRR515 SYSTEM GENERATED FROM CLAIM PECK & CHASE SHOES INC 00870984 60 New York 02/27/1992 NEW YORK NY 10002 Exclusion - 18NYCRR515 PEDERSEN BRIAN CHARLES MD 01081869 00160726 55 Westchester 12/18/1997 RYE NY 10580 Exclusion - 18NYCRR515 PEIRCE CAROL P Dietician NM005691 00001531 12/20/2009 Coleman FL 33521 Exclusion - 18NYCRR515 PEKARSKY ANATOLY MD 01161095 00170451 62 Richmond 04/10/1996 BRONX NY 10308 Exclusion - 18NYCRR515 PEKERMAN KONSTANTYN NM001531 N/A 02/20/2005 BROOKLYN NY 11234 Exclusion - 18NYCRR515 PELZER CANDICE CNA NM005864 342276540505E 05/20/2010 Amityville NY 11701 Exclusion - 18NYCRR515 PENINSULA BRACE AND LIMB 01363804 99 Out Of State 02/21/1995 TAMPA FL 33614 Exclusion - 18NYCRR515 PENMAN PATRICIA Nurse NM004936 342545540407E 06/18/2009 Cheektowaga NY 14227 Exclusion - 18NYCRR515 PENMAR SERVICES INC 01128761 00020258 58 Bronx 08/04/1992 BRONX NY 10457 Exclusion - 18NYCRR515 PEOPLES CHOICE SURGICAL Medical Appliance Dealer 01618886 28 Nassau 05/20/2010 HEMPSTEAD NY 11550 Exclusion - 18NYCRR515 PEPPER COLLEEN Nurse NM006748 00604657 11/23/2010 Rochester NY 14616 Exclusion - 18NYCRR515 PERALTA YOLAINE Pharmacy Employee NM005025 60 New York 06/18/2009 New York NY 10031 Exclusion - 18NYCRR515 SYSTEM GENERATED FROM CLAIM PERCONTE SALVATORE GERARD MD 00944936 00152936 55 Westchester 05/20/1998 NEW WINDSOR NY 12550 Exclusion - 18NYCRR515 PERELLA ROBERT F NM002275 02/20/2008 Floral Park NY 11004 Exclusion - 18NYCRR515 PERERA SANTUSHT A MD Physician 01562927 00197640/PA62462L 99 Out Of State 10/06/2009 SAYRE PA 18840 Exclusion - 18NYCRR515 PERESS JAMILE A MD 00192374 00108693 07/05/2001 GREAT NECK NY 11021 Exclusion - 18NYCRR515 PEREYRA PERSIO BIENVENIDO RN Nurse 02559259 00550894 61 Queens 04/20/2010 FRESH MEADOWS NY 11365 Exclusion - 18NYCRR515 PEREZ ALBERT EMPLOYEE OF ST. ANTHONY'S PHARMACY NM006584 99 Out Of State 03/27/2006 WEST NEW YORK NJ 07093 Exclusion - 18NYCRR515 PEREZ EDDIE HOUSEKEEPER AT NORTH GENERAL HOSPITAL NM001511 02/05/2007 NEW YORK NY 10035 Exclusion - 18NYCRR515 PEREZ HECTOR PHARMACIST NM001502 00026695 01/14/2007 NEW YORK NY 10032 Exclusion - 18NYCRR515 PEREZ IRIS Social Worker NM007484 09/26/2011 Mount Vernon NY 10552 Exclusion - 18NYCRR515 SYSTEM GENERATED FROM CLAIM PEREZ JESUS PHARMACY EMPLOYEE NM001335 09/18/2008 BRONX NY 10451 Exclusion - 18NYCRR515 PEREZ JORGE 01681805 00184454 03/04/2004 PALISADES PARK NJ 07650 Exclusion - 18NYCRR515 PEREZ NELSON DDS 01038137 00040389 62 Richmond 07/03/1996 STATEN ISLAND NY 10305 Exclusion - 18NYCRR515 PEREZ YURI DME Compnay Owner NM006062 01/20/2010 Brooklyn NY 11232 Exclusion - 18NYCRR515 PEREZ-MALLORY WILMA E Nurse NM005748 00226007 11/02/2009 Poughkeepsie NY 12601 Exclusion - 18NYCRR515 PEREZ-TUBENS JOSEPH MD 01234711 00183817 47 Suffolk 11/30/1992 LAKE RONKONKOMA NY 11779 Exclusion - 18NYCRR515 PERILLO DAVID J DPM 01372930 00004986 10/09/2002 NEWARK NY 14513 Exclusion - 18NYCRR515 PERLSTEIN LARRY 01996405 00024031 14 Erie 10/21/2003 SCOTTSDALE AZ 85259 Exclusion - 18NYCRR515 PHARMACISTS PERRIER MARIE A CNA NM006538 340929370397E 03/20/2011 Queens Village NY 11428 Exclusion - 18NYCRR515 SYSTEM GENERATED FROM CLAIM PERRY BRANDIE CNA NM000623 3415456511 09/20/2007 DUNDEE NY 14850 Exclusion - 18NYCRR515 PERRY JEFFERY M CNA NM005173 342099040304E 02/18/2010 Forestville NY 14062 Exclusion - 18NYCRR515 PERVEZ MUJAHID Pharmacist NM006927 00029295 02/01/2011 Melville NY 11747 Exclusion - 18NYCRR515 PETERS LAURA A NURSE NM003647 00249038 06/10/2008 Manorville NY 11980 Exclusion - 18NYCRR515 PETERS LYLE H DPM PC 00403296 00002506 59 Kings 12/02/1983 BROOKLYN NY 11225 Exclusion - 18NYCRR515 PETERSON BRANDY CNA NM006994 342679870508R 05 Cayuga 09/20/2011 Auburn NY 13021 Exclusion - 18NYCRR515 PETOELLO ANNE V. RN/ NM000611 00321238 09/12/2005 NEW YORK NY 10025 Exclusion - 18NYCRR515 PETRASHCHUK GANNA Bogus HHA NM004905 02/24/2011 Brooklyn NY 11223 Exclusion - 18NYCRR515 PETROSYAN LILI Home Health Aide NM003682 09/20/2009 Sunnyside NY 11104 Exclusion - 18NYCRR515 PETROSYAN RIMA HHA NM001507 05/20/2009 FLUSHING NY 11358 Exclusion - 18NYCRR515 SYSTEM GENERATED FROM CLAIM PETRUCELLI SALVATORE MD 00956634 NJ040575 99 Out Of State 03/06/2000 NEWARK NJ 07112 Exclusion - 18NYCRR515 PETTERSEN OLE Owner of Center for Addiction Recovery NM002802 12/20/2009 Sauquoit NY 13456 Exclusion - 18NYCRR515 PEYKAR EZZAT O MD 00902832 00163353 59 Kings 11/20/1997 BROOKLYN NY 11212 Exclusion - 18NYCRR515 PHARMACIA & UPJOHN COMPANY, INC. NM004422 09/18/2008 New York NY 10017 Exclusion - 18NYCRR515 PHILIPPE DAMBREVILLE J J MD 00930841 00164630 47 Suffolk 12/07/1994 DIX HILLS NY 11747 Exclusion - 18NYCRR515 PHILLIP SHARRON K Nurse Unlicensed NM005588 06/08/2010 Staten Island NY 10303 Exclusion - 18NYCRR515 PHILLIPS ALISA MARIE RN / Nurse Practitioner- Acute Care NM007204 00521295 / 00430250 05/26/2011 Canandaigua NY 14424 Exclusion - 18NYCRR515 PHILLIPS CARLA CNA NM004806 342386310106E 09/20/2009 Rochester NY 14609 Exclusion - 18NYCRR515 PHILLIPS COSMOS B MD 00180483 00103900 59 Kings 03/14/1996 BROOKLYN NY 11201 Exclusion - 18NYCRR515 PHIPPS TRISHA SEARLE NM004832 11/20/2008 Swannanoa NC 28778 Exclusion - 18NYCRR515 PIACENTILE JOSEPH M MD 00750665 00150653 61 Queens 01/04/1995 WHITESTONE NY 11357 Exclusion - 18NYCRR515 PIASECKI ALICE M MD 00167262 00098309 60 New York 04/20/1998 NEW YORK NY 10026 Exclusion - 18NYCRR515 PICAZA JORGE A MD 00895785 FL020903 99 Out Of State 02/17/1989 MIAMI FL 33133 Exclusion - 18NYCRR515 PICKER PHARMACY INC 00271614 00009507 28 Nassau 10/05/1992 LYNBROOK NY 11563 Exclusion - 18NYCRR515 PIERRE MARIE CNA NM004862 341007610797E 01/17/2012 Elmont NY 11003 Exclusion - 18NYCRR515 SYSTEM GENERATED FROM CLAIM PIERRE NEDJIE MARIE DPM Podiatrist 01944903 00005538 59 Kings 02/05/2012 BROOKLYN NY 11201-5425 Exclusion - 18NYCRR515 PODIATRIST PIERSON ARTHUR M NM004783 000566 04/01/2009 Poughkeepsie NY 12603 Exclusion - 18NYCRR515 CLINICAL SOCIAL WORKER PIGNATARO ANTHONY S MD 01031841 00167795 14 Erie 12/20/1998 WEST SENECA NY 14224 Exclusion - 18NYCRR515 PIKORIS BERNADETTE 01386378 00007078 59 Kings 04/25/1996 BROOKLYN NY 11228 Exclusion - 18NYCRR515 PIKORIS BERNADETTE 01431227 59 Kings 04/25/1996 BROOKLYN NY 11228 Exclusion - 18NYCRR515 PINE DRUGS INC Pharmacy 03016635 59 Kings 04/13/2009 BROOKLYN NY 11208-3100 Exclusion - 18NYCRR515 SYSTEM GENERATED FROM PROVIDER PINKERTON LINDA A. NM000657 00112866 03/07/2005 ONEIDA NY 13421 Exclusion - 18NYCRR515 PINSKY ABE MD 00045987 59 Kings 11/20/2000 BROOKLYN NY 11243 Exclusion - 18NYCRR515 PINZON MANUEL K MD 01599224 00111505 59 Kings 06/20/2000 BROOKLYN NY 11208 Exclusion - 18NYCRR515 PIRACHA NISAR AHMED MD Physician 01115062 00173856 47 Suffolk 03/25/2010 RIVERHEAD NY 11901 Exclusion - 18NYCRR515 PISANI LOUIS ANTHONY 01708185 00029639 59 Kings 02/20/2001 BROOKLYN NY 11232 Exclusion - 18NYCRR515 PISAREVSKY YEVGENY DDS 01590358 00046086 05/07/2002 BROOKLYN NY 11213 Exclusion - 18NYCRR515 PISMENNI ALEXANDER NM003483 01/01/1998 Unknown ZZ 00000 Exclusion - 18NYCRR515 PISSANOS DIMITRI NM001636 03/04/2007 DEER PARK NY 11729 Exclusion - 18NYCRR515 PITTEL HOWARD DDS 01001174 00021183 58 Bronx 02/20/2006 BRONX NY 10462 Exclusion - 18NYCRR515 DENTAL SCHOOL/DENTIST PITTER PATRICK A MD 01005421 00160712 59 Kings 09/10/2003 NEW YORK NY 10032 Exclusion - 18NYCRR515 PHYSICIANS PITTORF RITA LPN NM002878 00152703 11/24/2008 Buffalo NY 14216 Exclusion - 18NYCRR515 PRACTICAL NURSE PIUCK CHARLOTTE L MD 00083918 00048446 58 Bronx 09/01/1998 BRONX NY 10451 Exclusion - 18NYCRR515 PLA-ALARID ANNA FELISA 01012293 00081685 60 New York 11/24/1991 NEW YORK NY 10029 Exclusion - 18NYCRR515 PLACHE DAVID C 02666719 00231885 29 Niagara 06/19/2008 NIAGARA FALLS NY 14302 Exclusion - 18NYCRR515 PLACHY ROBERT THOMAS JR MD 01258960 00185894 05/07/2002 AMAGANSETT NY 11930 Exclusion - 18NYCRR515 PLAINVIEW PROFESSIONAL MEDICAL P.C. NM004505 00098458 10/13/2008 Plainview NY 11803 Exclusion - 18NYCRR515 PLLC BRICK & Eliav Medical Group Medical Group NM004947 00143817 04/10/2009 Brooklyn NY 11209 Exclusion - 18NYCRR515 SYSTEM GENERATED FROM CLAIM PLOTKIN JAY M Chiropractor NM007664 00005561 99 Out Of State 11/27/2011 Peper Pike OH 33124 Exclusion - 18NYCRR515 CHIROPRACTOR/PORT-XRAY-SVC (QMB) PLYPIV SVETLANA AKA PYLYPIV HHA NM006402 59 Kings 05/19/2011 Brooklyn NY 11204 Exclusion - 18NYCRR515 POET ALBERT Physician NM006127 MA30400-NJ 05/20/2008 New York NY 10007 Exclusion - 18NYCRR515 POGIATZIS ANDREW D PC MD 00503420 00139326 28 Nassau 04/19/1987 FREEPORT NY 11520 Exclusion - 18NYCRR515 POGLINCO JOHN 00537173 00087439 55 Westchester 07/11/1993 NEW ROCHELLE NY 10801 Exclusion - 18NYCRR515 POKRASOV IGOR Unknown NM007370 59 Kings 08/21/2011 Brooklyn NY 11230 Exclusion - 18NYCRR515 POLANCO MACHADO JACQUES 00192310 00108674 59 Kings 04/24/1991 BROOKLYN NY 11203 Exclusion - 18NYCRR515 POLENZ LALI Home Health Aide NM004969 05/19/2011 Whiting NJ 08759 Exclusion - 18NYCRR515 POLYNICE MARLENE NURSE NM001442 00130005 04/20/2008 ST. ALBANS NY 11412 Exclusion - 18NYCRR515 POLYNICE NADEGE LPN LPN 02691981 00267723 59 Kings 08/18/2011 BROOKLYN NY 11234-5867 Exclusion - 18NYCRR515 POMERANTZ ALLEN C MD 01100114 00159301 99 Out Of State 06/03/1993 MANALAPAN NJ 07726 Exclusion - 18NYCRR515 POMEROY INC CO 00321760 59 Kings 12/26/1993 BROOKLYN NY 11243 Exclusion - 18NYCRR515 POMPEY SELMA NM000686 341268400299E 10/06/2005 ARVERNE NY 11692 Exclusion - 18NYCRR515 SYSTEM GENERATED FROM CLAIM PONIO CONRADO GADDI MD 01553442 00196969 07/10/2003 FLUSHING NY 11355 Exclusion - 18NYCRR515 POOYA MANOOCHEHR Physician NM004110 00111928 12/20/2010 WASHINGTON DC 20024 Exclusion - 18NYCRR515 POPIEL ANDREA Nurse NM006352 00248857 08/15/2010 Little Falls NY 13365 Exclusion - 18NYCRR515 POPOVIC DEYAN N MD 01052822 00116338 60 New York 02/13/1996 NEW YORK NY 10027 Exclusion - 18NYCRR515 POPULAR IMAGING PHYSICIAN GROUP NM002474 08/15/2007 Gillette NJ 07933 Exclusion - 18NYCRR515 POQUETTE MATTHEW Clinical Social Worker NM007701 00080444 43 Schoharie 11/27/2011 Schoharie NY 12157-2703 Exclusion - 18NYCRR515 SYSTEM GENERATED FROM CLAIM POROGER EMMA Physician 02691349 00228891 59 Kings 12/19/2011 BROOKLYN NY 11229-2931 Exclusion - 18NYCRR515 PORTER JACQUELINE R DPM 00791039 00003600 59 Kings 03/04/1992 BROOKLYN NY 11216 Exclusion - 18NYCRR515 POSILLICO NICHOLAS F Physical Therapist 01902510 00015110 59 Kings 10/03/2011 BROOKLYN NY 11220 Exclusion - 18NYCRR515 POSITIVE CARE PHARMACY INC Pharmacy 02913748 58 Bronx 04/20/2009 BRONX NY 10457 Exclusion - 18NYCRR515 SYSTEM GENERATED FROM PROVIDER POSNER ROBERT DDS 00805683 00037864 59 Kings 05/18/2000 BROOKLYN NY 11229 Exclusion - 18NYCRR515 POSPIECH EDWARD F RPA Physician 02160745 00000316 31 Onondaga 03/10/2010 SYRACUSE NY 13210-1687 Exclusion - 18NYCRR515 POST CHRISTOPHER CNA NM006541 342650310208E 13 Dutchess 08/15/2011 Rhinebeck NY 12572 Exclusion - 18NYCRR515 POSTIGLIONE JOHN 01307102 00034890 55 Westchester 07/20/2006 Exclusion - 18NYCRR515 POSTIGLIONE PHARMACY INC 00980112 00019201 55 Westchester 07/20/2006 Exclusion - 18NYCRR515 SYSTEM GENERATED FROM PROVIDER POULARD DIEUDONNE CNA NM007019 339403250890D 47 Suffolk 01/19/2012 Deer Park NY 11729 Exclusion - 18NYCRR515 SYSTEM GENERATED FROM CLAIM POUND EDWIN C III Physician NM005842 00178515 05/31/2010 Atlanta GA 30342 Exclusion - 18NYCRR515 POVERIN BORIS Personal Care Aid NM003385 05/20/2009 Brooklyn NY 11230 Exclusion - 18NYCRR515 SYSTEM GENERATED FROM CLAIM POVEROMO KEITH Optician 00985057 00005194 14 Erie 02/22/2011 BUFFALO NY 14207-2122 Exclusion - 18NYCRR515 POWERS ANNAMARIE Nurse NM006703 00446478 09/20/2010 Morehead City NC 28557 Exclusion - 18NYCRR515 POZNOSKI ERIN MARIE NM004833 00527787 11/20/2008 Sanford NC 27332 Exclusion - 18NYCRR515 PRADOUCHCK VOLODYMYR HHA NM003650 59 Kings 05/20/2009 Brooklyn NY 11235 Exclusion - 18NYCRR515 SYSTEM GENERATED FROM CLAIM PRAISE THE LORD DENTAL 002-Dental Groups 02390247 60 New York 07/01/2009 NEW YORK NY 10027 Exclusion - 18NYCRR515 PRAKASH PRABHA MD 00778309 00135525 55 Westchester 12/06/1992 YONKERS NY 10704 Exclusion - 18NYCRR515 PRECISE MEDICAL & DIAGNOSTICS NM001927 00094241 05/15/2007 Brooklyn NY 11232 Exclusion - 18NYCRR515 PREMIER MEDICAL CARE NM001882 05/02/2007 New York NY 10003 Exclusion - 18NYCRR515 PRESCRIPTION CENTRE OF FARMIN 00669801 00017324 47 Suffolk 10/05/1992 FARMINGVILLE NY 11738 Exclusion - 18NYCRR515 PRESCRIPTION CTR OF CORAM INC 00802364 00017982 47 Suffolk 10/05/1992 CORAM NY 11727 Exclusion - 18NYCRR515 PRESS STUART Physician NM001424 00144098 06/18/2009 OLD GREENWICH CT 06870 Exclusion - 18NYCRR515 PHYSICIANS PRESSLEY JACQUELINE CNA NM001223 3413112906 10/18/2007 ROCHESTER NY 14613 Exclusion - 18NYCRR515 PREZIOSO JOHN R 02035005 00019790 60 New York 12/20/2007 NEW YORK NY 10019 Exclusion - 18NYCRR515 PRICE JESSE E MD 00037816 00030148 60 New York 02/25/1989 NEW YORK CITY NY 10039 Exclusion - 18NYCRR515 PRINCE PHARMACY INC 01229487 00020868 60 New York 03/13/1992 NEW YORK NY 10012 Exclusion - 18NYCRR515 PRINCE SAMANTHA LPN NM007757 00276996 99 Out Of State 11/20/2011 Coral Gables FL 33067 Exclusion - 18NYCRR515 PRINS BRENDA LEE RN RN 01459521 00456239 07 Chemung 03/06/2011 PINE CITY NY 14871-9545 Exclusion - 18NYCRR515 PRIORITY PHARMACY INC 01697543 CA036826 99 Out Of State 12/03/2000 SAN DIEGO CA 92103 Exclusion - 18NYCRR515 PRITCHARD LAWRENCE EDSON MD 01088224 00173270 03 Broome 12/20/2006 BINGHAMTON NY 13903 Exclusion - 18NYCRR515 PHYSICIANS PRITCHARD STEPHANIE CNA NM006537 342352061005E 31 Onondaga 08/18/2011 Solvay NY 13209 Exclusion - 18NYCRR515 PRO AMBULANCE SVC OF NORWICH 00651198 CT0104A2 99 Out Of State 01/06/2006 NORWICH CT 06360 Exclusion - 18NYCRR515 PROCITA PHARMACY INC 00622248 00012842 47 Suffolk 10/04/1999 WEST BABYLON NY 11704 Exclusion - 18NYCRR515 PROCITA VINCENT J JR 01300687 00023183 47 Suffolk 10/20/1998 WEST ISLIP NY 11795 Exclusion - 18NYCRR515 PROF AMB SVC OF NORWICH INC 01795793 CTL104P1 99 Out Of State 01/06/2006 NORWICH CT 06360 Exclusion - 18NYCRR515 PROFESSIONAL AMB SVC NORW INC 00548325 CTL104A2 99 Out Of State 01/06/2006 NORWICH CT 06360 Exclusion - 18NYCRR515 PROFESSIONAL CARE INC 00476095 52 Warren 11/30/1989 GLENS FALLS NY 12801 Exclusion - 18NYCRR515 PROFESSIONAL CARE INC 00546694 55 Westchester 11/30/1989 WHITE PLAINS NY 10601 Exclusion - 18NYCRR515 PROFESSIONAL CARE INC 00555862 01 Albany 11/30/1989 ALBANY NY 12206 Exclusion - 18NYCRR515 PROFESSIONAL CARE INC 00354834 28 Nassau 11/30/1989 JERICHO NY 11753 Exclusion - 18NYCRR515 PROFESSIONAL CARE INC 00927371 30 Oneida 11/30/1989 UTICA NY 13505 Exclusion - 18NYCRR515 PROFESSIONAL CARE OF ERIE INC 00807516 14 Erie 11/30/1989 BUFFALO NY 14203 Exclusion - 18NYCRR515 PROFESSIONAL CARE ROCHESTER 00476077 26 Monroe 11/30/1989 ROCHESTER NY 14604 Exclusion - 18NYCRR515 PROFESSIONAL PHARMACY INC 00928294 00018916 59 Kings 10/12/1990 BROOKLYN NY 11205 Exclusion - 18NYCRR515 PROGRESSIVE MEDICAL AND DIAGNOSTICE SVC NM004065 00204777 06/25/2008 Brooklyn NY 11234 Exclusion - 18NYCRR515 PROJANSKY ARNOLD PHD 00735300 00003574 51 Ulster 04/10/1995 NEW PALTZ NY 12561 Exclusion - 18NYCRR515 PROKOPIW WOLODYMYR MD 00554985 00074071 05 Cayuga 10/18/1989 WEEDSPORT NY 13166 Exclusion - 18NYCRR515 PRONTO DAVID P 02347877 00002032 99 Out Of State 03/22/2005 GLENS FALLS NY 12801 Exclusion - 18NYCRR515 CHIROPRACTOR/PORT-XRAY-SVC (QMB) PROPST WENDY RN NM007475 00547644 99 Out Of State 07/20/2011 Asheville NC 28801 Exclusion - 18NYCRR515 PROSPER JEANNE Business Owner NM003262 60 New York 02/09/2012 New York NY 10023 Exclusion - 18NYCRR515 SYSTEM GENERATED FROM CLAIM PROVIDIAN MEDICAL P.C. NM001963 00094241 05/15/2007 Richmond Hill NY 11418 Exclusion - 18NYCRR515 PROVOST TAMMY NUR NM000694 00274783 10/20/2005 WATERBURY VT 05670 Exclusion - 18NYCRR515 PRYJMA PHILIP J MD Physician 02445114 00118513 99 Out Of State 04/22/2011 PITTSFIELD MA 01201-4124 Exclusion - 18NYCRR515 PHYSICIANS PSAILA JUSTIN S MD 00501735 00083832 39 Rockland 10/06/2005 NANUET NY 10954 Exclusion - 18NYCRR515 PHYSICIANS PSYCHOLOGICAL STRESS MGMNT PC Clinical Psychologist 02356036 59 Kings 05/13/2009 BROOKLYN NY 11215-5003 Exclusion - 18NYCRR515 PSYCHOLOGIST PUDLOWSKI MARY J NM002220 00545134 05/28/2007 Red Creek NY 13143 Exclusion - 18NYCRR515 REGISTERED NURSE PUENTES LORENZO 00480575 00029187 60 New York 10/18/2007 NEW YORK NY 10033 Exclusion - 18NYCRR515 PUGEDA-CHAN RUBENA CAPARAZ 00249234 00115346 58 Bronx 02/01/1991 BRONX NY 10458 Exclusion - 18NYCRR515 PUGH WENDI L LPN NM005845 00254192 12/23/2009 Loch Sheldrake NY 12759 Exclusion - 18NYCRR515 PRACTICAL NURSE PUNN RAKESH KUMAR MD Physician 01616417 00189680 28 Nassau 10/03/2010 BETHPAGE NY 11714-1424 Exclusion - 18NYCRR515 PURDUM KIM Nurse NM004864 00272585 47 Suffolk 09/20/2009 Sound Beach NY 11789 Exclusion - 18NYCRR515 PURVIS KAMI Receptionist NM007221 62 Richmond 06/05/2011 Staten Island NY 10306 Exclusion - 18NYCRR515 PUSHKIN YURI Y DDS 01602051 OH020369 99 Out Of State 11/20/2001 COLUMBUS OH 43213 Exclusion - 18NYCRR515 PUSTILNIK IGOR Recruiter NM003388 59 Kings 09/20/2010 Brooklyn NY 11234 Exclusion - 18NYCRR515 PUSTILNIK INNA Psychologist NM005246 00015189 08/03/2009 New York NY 10023 Exclusion - 18NYCRR515 QDS DRUG & VARIETY INC 01389477 00021402 61 Queens 09/10/2004 WOODHAVEN NY 11421 Exclusion - 18NYCRR515 QUALITY DRUG WORLD INC 00383317 00015954 47 Suffolk 01/04/1993 AMITYVILLE NY 11701 Exclusion - 18NYCRR515 QUALITY ORTHOPEDICS 01251463 60 New York 01/20/1998 NEW YORK NY 10023 Exclusion - 18NYCRR515 QUARMBY ROBERT MD 01140629 08 Chenango 11/18/1999 NORWICH NY 13815 Exclusion - 18NYCRR515 QUASHA ANDREW RPT Physical Therapist 00541048 00006648 28 Nassau 11/01/2011 GLEN COVE NY 11542 Exclusion - 18NYCRR515 QUAYUM A B M NAZIRUL DDS 00947282 00039697 59 Kings 04/10/1995 BROOKLYN NY 11206 Exclusion - 18NYCRR515 QUEENS MEDICAL LABORATORY 00915095 50001434 61 Queens 04/11/1989 REGO PARK NY 11374 Exclusion - 18NYCRR515 QUEENS SURGICAL PHARMACY INC 01405063 00021435 61 Queens 02/19/1998 FOREST HILLS NY 11375 Exclusion - 18NYCRR515 QUERCIA MARIA LPN NM002278 00278263 07/02/2007 Bayside NY 11361 Exclusion - 18NYCRR515 PRACTICAL NURSE QUILAO ELEANOR FROGOSA A/K/A PERRI Nurse NM005729 00566726 02/22/2010 Brooklyn NY 11237 Exclusion - 18NYCRR515 QUINCENA ROEM BRUEGAS RN NM007937 00651433 01/19/2012 Temecula CA 92589-1954 Exclusion - 18NYCRR515 REGISTERED NURSE QUINN JOHN C NURSE NM004507 00345822 05/20/2006 Elmwood Park NJ 07407 Exclusion - 18NYCRR515 QUINN MARK PAUL DDS 01392694 00044419 58 Bronx 05/23/2006 BRONX NY 10458 Exclusion - 18NYCRR515 QUINN MAURA RN NM006551 00478689 04/05/2011 Fabius NY 13063 Exclusion - 18NYCRR515 QUINONES ANTONIO Internet Pharmacy NM005932 03/31/2010 Miami FL 33175 Exclusion - 18NYCRR515 QUINONES HERMAN Internt Pharmacy NM005931 03/31/2010 Miami FL 33185 Exclusion - 18NYCRR515 QUINTYNE CORAL LPN NM006154 00293012 09/20/2011 Brooklyn NY 11236 Exclusion - 18NYCRR515 QURESHI MASUD M Pharmacist NM005384 00040393 11/29/2009 Bensalem PA 19020 Exclusion - 18NYCRR515 QURESHI MOHAMMAD UZAIR MD Physician NM007417 00235916 09/06/2011 Norcross GA 30093 Exclusion - 18NYCRR515 PHYSICIANS QURESHI SHAMSHA UNKNOWN NM001394 12/19/2006 BRONX NY 10453 Exclusion - 18NYCRR515 Quirk Edward J MD Physician NM007393 00157938 99 Out Of State 10/03/2011 Delran NJ 08075-1898 Exclusion - 18NYCRR515 R & P DRUG & SURG SUPP CORP 01069245 00019441 28 Nassau 12/24/1991 MASSAPEQUA NY 11758 Exclusion - 18NYCRR515 R K PATEL CORPORATION 01189046 00020609 30 Oneida 06/06/2008 YORKVILLE NY 13495 Exclusion - 18NYCRR515 R-D BUTLER AND COMPANY INC 01247194 N/A 99 Out Of State 03/20/2006 RAYNHAM MA 02767 Exclusion - 18NYCRR515 RA FRAGRANCES & PERFUMES, INC. NM003049 02/06/2008 New York NY 10001 Exclusion - 18NYCRR515 RABADI RAID M Respiratory Therapist NM005928 004530 03/31/2010 Massapequa NY 11758 Exclusion - 18NYCRR515 RABERT BERNICE NM001074 00463875 08/20/2007 NEWARK NY 14513 Exclusion - 18NYCRR515 REGISTERED NURSE RABIN SANDER MD 01420153 00163496 13 Dutchess 02/19/1998 POUGHKEEPSIE NY 12601 Exclusion - 18NYCRR515 RABINOWITZ DAVID E NM001165 00503243 08/20/2006 FAYETTEVILLE NY 13066 Exclusion - 18NYCRR515 RABINOWITZ MARK CHIROPRACTOR NM003392 00008529 02/25/2008 Kingston NY 12401 Exclusion - 18NYCRR515 RABUKHIN ALEKSANDER 01990490 00207266 10/18/2007 BRONX NY 10461 Exclusion - 18NYCRR515 RADFORD JODIE NM000573 00475268 03/20/2006 BAILEYVILLE ME 04694 Exclusion - 18NYCRR515 RAGIN CORINE ADMINISTRATIVE CLERK NM000622 NONE 59 Kings 01/04/2006 BROOKLYN NY 11225 Exclusion - 18NYCRR515 RAHIM KHADIJA EMPLOYEE NM000762 28 Nassau 12/20/2006 BELLEROSE NY 11426 Exclusion - 18NYCRR515 RAHMAN RONALD MD 00879167 00161420 60 New York 03/01/1990 NEW YORK NY 10032 Exclusion - 18NYCRR515 RAINBOW MEDICAL P.C. Medical Company NM005549 12/29/2009 Brooklyn NY 11209 Exclusion - 18NYCRR515 RAINKA RICHARD A DDS 00416995 00027109 01 Albany 02/14/1990 DELMAR NY 12054 Exclusion - 18NYCRR515 RAINKA RICHARD A PC DDS 00413185 01 Albany 12/29/1991 DELMAR NY 12054 Exclusion - 18NYCRR515 RAJAGOPAL SUBRAMANYAM MD 00965224 00165630 07 Chemung 03/05/1999 HORSEHEADS NY 14845 Exclusion - 18NYCRR515 RAKHIT ASHIS KUMAR MD 01128138 00171539 39 Rockland 06/25/1992 VALLEY COTTAGE NY 10989 Exclusion - 18NYCRR515 RAKOFF AMY M 02441821 0F400479 99 Out Of State 09/12/2005 POUGHKEEPSIE NY 12603 Exclusion - 18NYCRR515 NURSE PRACTITIONER/PSYCHIATRY RAM GOPAL 01846271 00198144 99 Out Of State 11/20/2000 BROOKLYN NY 11206 Exclusion - 18NYCRR515 RAM MOORTHY S MD 00846680 00140347 61 Queens 06/05/1995 FAR ROCKAWAY NY 11691 Exclusion - 18NYCRR515 RAMACHANDAR KAMBHATLA MD 00853558 00114444 58 Bronx 08/29/1991 BRONX NY 10452 Exclusion - 18NYCRR515 RAMAIAH MATHAIAH MD 00236228 00126647 61 Queens 04/20/2003 ELMHURST NY 11373 Exclusion - 18NYCRR515 RAMALEY BEN D Physician NM005365 00120672 11/15/2009 South Port CT 06890 Exclusion - 18NYCRR515 RAMANADHAM ARUNA RAO MD 01016013 00170130 58 Bronx 01/29/1999 BRONX NY 10468 Exclusion - 18NYCRR515 RAMASUBRAMANIAM ARUMUGAM MD 00891621 00140424 59 Kings 05/29/1992 BROOKLYN NY 11206 Exclusion - 18NYCRR515 RAMASWAMY TRIVANDRUM Physician NM006129 00129333 04/20/2005 Plainfield IN 46168 Exclusion - 18NYCRR515 RAMHARRACK MONA OFFICE COORDINATOR NM000423 11/21/2005 MARGATE FL 33063 Exclusion - 18NYCRR515 RAMNARINE DILIAH HOME HEALTH CARE COORDINATOR NM000424 42 Schenectady 07/20/2006 SCHENECTADY NY 12304 Exclusion - 18NYCRR515 RAMOS FIDEL R JR MD 00638115 06 Chautauqua 07/28/1997 WESTFIELD NY 14787 Exclusion - 18NYCRR515 RAMOS FIDEL R JR MD 00638115 00115640 06 Chautauqua 03/26/1995 WESTFIELD NY 14787 Exclusion - 18NYCRR515 RAMOS ROBERT FORMER OWNER, HOME AID MEDICAL NM001525 NONE 01/10/2006 BRONX NY 10461 Exclusion - 18NYCRR515 RAMSEY CALVIN Physician NM005840 00229246 02/18/2010 Lexington MS 39095 Exclusion - 18NYCRR515 RAMUDO-TOWNSEND ILEANA DMD 01948214 00047565 58 Bronx 09/20/2007 BRONX NY 10456 Exclusion - 18NYCRR515 RANDHAWA ARJUMAND TAPIQ MD 00538734 00140752 13 Dutchess 09/26/1990 FISHKILL NY 12524 Exclusion - 18NYCRR515 RANG ISHWAR ATALRAI MD 00236535 00126827 60 New York 06/19/1991 NEW YORK NY 10027 Exclusion - 18NYCRR515 RANGINI NISAN R Transportation Owner NM007464 59 Kings 10/03/2011 Brooklyn NY 11229-4804 Exclusion - 18NYCRR515 RANIOLO GEORGE MD 00192383 00108694 47 Suffolk 04/20/1998 ST JAMES NY 11780 Exclusion - 18NYCRR515 RANSIER KHELA MD 046-Physician 00968052 00151335 58 Bronx 05/20/2009 BRONX NY 10466 Exclusion - 18NYCRR515 RAPORT ROSE PC MD 00815325 00135526 60 New York 04/20/2007 NEW YORK NY 10011 Exclusion - 18NYCRR515 RAPPA RICHARD J. NM000679 00006343 03/23/2005 NORTH HAVEN CT 06473 Exclusion - 18NYCRR515 PHYSICIANS ASSISTANT RASOULINEJAD ZOHREH TAFRESHI 01040564 00041061 10/17/2003 ALPINE NJ 07620 Exclusion - 18NYCRR515 RASULOVA BINOBAR Other NM005021 61 Queens 05/19/2011 Queens NY 11374 Exclusion - 18NYCRR515 RATHBUN RAINEY LPN Nurse NM004935 00289318 07/20/2009 Verona NY 13478 Exclusion - 18NYCRR515 RATNARATHORN TASKIN 00573299 00111533 59 Kings 03/18/2008 BROOKLYN NY 11220 Exclusion - 18NYCRR515 RATNER NEIL MD 01084326 00148415 10/08/2002 NEW YORK N NY 10001 Exclusion - 18NYCRR515 RAUCH HOWARD DPM 00418460 00001995 59 Kings 07/04/1991 BROOKLYN NY 11213 Exclusion - 18NYCRR515 RAUCH JEFFREY S. NM003012 00008315 12/20/2007 Syosset NY 11791 Exclusion - 18NYCRR515 RAUER ADAM RN NM007222 00569639 47 Suffolk 10/02/2011 Mount Sinai NY 11766 Exclusion - 18NYCRR515 RAUER MARY ELAINE Nurse NM005249 00157403/00351411 02/18/2010 South Jamesport NY 11970 Exclusion - 18NYCRR515 RAUFOV YAKOV MD 02164987 00221186 61 Queens 08/11/2007 REGO PARK NY 11374 Exclusion - 18NYCRR515 RAVELO RAMON E MD Physician 02928572 00238816 60 New York 05/05/2010 NEW YORK NY 10035-2709 Exclusion - 18NYCRR515 RAVETTI SUSAN M RN RN 02135133 00331711 13 Dutchess 04/04/2011 FISHKILL NY 12524-2939 Exclusion - 18NYCRR515 RAY CHERI LPN NM007481 00223230 99 Out Of State 07/20/2011 Wasilla AK 99654 Exclusion - 18NYCRR515 RAY PHARMACY INC 00880144 00018508 60 New York 03/04/1993 NEW YORK NY 10027 Exclusion - 18NYCRR515 RAZIN ANDREW M MD PHD Physician 00350418 00131176 58 Bronx 03/25/2010 BRONX NY 10461-1139 Exclusion - 18NYCRR515 REARDON JAMES JOSEPH 00773193 00096607 60 New York 12/05/2007 NEW YORK NY 10021 Exclusion - 18NYCRR515 REBALA REDDY G K 00482655 00141766 14 Erie 06/02/2004 WILLIAMSVILLE NY 14221 Exclusion - 18NYCRR515 PHYSICIANS RECCHIA CARRIE ANN NURSE NM003245 00281453 01/24/2008 Gardiner NY 12525 Exclusion - 18NYCRR515 RECINO TRACI L LPN NM007719 00296404 26 Monroe 01/10/2012 Webster NY 14580 Exclusion - 18NYCRR515 RECOVERY COUNSELING ASSOC 01357102 P8476000 47 Suffolk 10/25/1997 GREENPORT NY 12534 Exclusion - 18NYCRR515 RECTOR JOEL MASON 01757744 00200510 08/07/2002 NEW YORK NY Exclusion - 18NYCRR515 RED CRESCENT PHARMACY INC 00265632 00015375 60 New York 01/14/1987 NEW YORK NY 10026 Exclusion - 18NYCRR515 REDDY DEEPIKA DDS Dentist 02497616 00049645 31 Onondaga 05/02/2011 EAST SYRACUSE NY 13057-9530 Exclusion - 18NYCRR515 REDDY DEVI S MD Physician 00507204 00126326 28 Nassau 08/21/2011 LONG BEACH NY 11561-2605 Exclusion - 18NYCRR515 REDDY JANARDHAN BOKKA 00773208 42 Schenectady 03/20/2001 SCHENECTADY NY 12309 Exclusion - 18NYCRR515 REDDY RAJASHAKER MD Physician 02159213 00217018 47 Suffolk 09/06/2011 STONY BROOK NY 11794-0001 Exclusion - 18NYCRR515 PHYSICIANS REDHEAD R CHESTER DDS 00545900 00034450 58 Bronx 12/11/1994 BRONX NY 10460 Exclusion - 18NYCRR515 REDI CARE AMBULETTE INC 00770118 00029978 62 Richmond 02/02/1994 STATEN ISLAND NY 10312 Exclusion - 18NYCRR515 REDONDO ILEANA VALDES MD 00390574 00137636 58 Bronx 03/20/2001 BRONX NY 10452 Exclusion - 18NYCRR515 REED HARRY J NM002208 00212733 07/03/2007 New Prague MN 56071 Exclusion - 18NYCRR515 PHYSICIANS REESE CHRISTOPHER ALLEN NM001310 00475519 10/19/2006 CLINTON NY 13323 Exclusion - 18NYCRR515 REGALBUTO ALEXANDER Chiropractor NM006128 00006673 07/20/2005 Congers NY 10920 Exclusion - 18NYCRR515 REGANTI REDDY S NM001862 00140944 04/27/2007 Burlington IA 52601 Exclusion - 18NYCRR515 REHM TODD NM001316 00008353 10/19/2006 LAKE GEORGE NY 12845 Exclusion - 18NYCRR515 REHMATULLAH TAHIR M MD 01901615 CT035947 03/01/2002 NEW HAVEN CT 06511 Exclusion - 18NYCRR515 REID ANNA 01922370 309859 31 Onondaga 01/20/2009 SYRACUSE NY 13207 Exclusion - 18NYCRR515 REGISTERED NURSE REID CAROL LPN 01052726 00163572 61 Queens 12/27/1995 JAMAICA NY 11432 Exclusion - 18NYCRR515 REID JENNETTE LPN 01200128 00192825 59 Kings 10/06/1997 BROOKLYN NY 11238 Exclusion - 18NYCRR515 REID MARY L LPN NM006045 00142415 04/18/2011 Freeport NY 11520-2320 Exclusion - 18NYCRR515 REID-HARRIS PAMELA 01370103 00222299 59 Kings 05/07/1997 BROOKLYN NY 11238 Exclusion - 18NYCRR515 REILLY JANE Physicial Therapist Assistatnt NM006130 07/20/2005 Massapequa NY 11758 Exclusion - 18NYCRR515 REITER RAYMOND D MD 01720130 00156245 03/07/2002 NEW YORK NY 10087 Exclusion - 18NYCRR515 REMY MAGALIE RN NM001389 00365930 59 Kings 09/20/2007 BROOKLYN NY 11234 Exclusion - 18NYCRR515 REGISTERED NURSE RENDON JAIRO DDS 01496524 00045410 08/13/2003 MALONE NY 12953 Exclusion - 18NYCRR515 RESCH STUART L MD 00982834 00118987 33 Orange 11/08/2008 NEWBURGH NY 12550 Exclusion - 18NYCRR515 RESNIK BRIAN MARC 02347895 00005152 38 Rensselaer 09/18/2008 TROY NY 12180 Exclusion - 18NYCRR515 RESPIRATORY CARE GROUP INC DME 00404944 28 Nassau 11/30/2010 GARDEN CITY NY 11530-3341 Exclusion - 18NYCRR515 RESUELLO ADELAIDA MD NM002542 00194856 10/03/2007 Henderson NV 89074 Exclusion - 18NYCRR515 RETTA ABRAHAM MD 00777308 00154423 58 Bronx 09/12/1990 BRONX NY 10451 Exclusion - 18NYCRR515 REUBEN SCOTT SMITH MD Physician 01133540 00167311 60 New York 02/15/2012 NEW YORK NY 10029-6500 Exclusion - 18NYCRR515 PHYSICIANS REYES DRUGS LTD 00264508 00011244 58 Bronx 07/11/1993 BRONX NY 10455 Exclusion - 18NYCRR515 REYES ELLEN Unknown NM006279 28 Nassau 08/18/2011 Roosevelt NY 11575 Exclusion - 18NYCRR515 REYES ESTHER HHA NM005404 07/13/2011 Freeport NY 11520 Exclusion - 18NYCRR515 SYSTEM GENERATED FROM CLAIM REYES GREGORIA Employee NM005176 07/20/2009 Yonkers NY 10705 Exclusion - 18NYCRR515 REYNOLDS DAREJAN HHA NM004089 05/20/2009 Brooklyn NY 11235 Exclusion - 18NYCRR515 SYSTEM GENERATED FROM CLAIM REYORE DEBORAH Nurse NM006168 00263383 04/20/2010 Saranac NY 12981 Exclusion - 18NYCRR515 REZNICK SAMUEL M 00610119 00002725 14 Erie 05/02/1991 BUFFALO NY 14202 Exclusion - 18NYCRR515 RHO PAUL KUNGNE MD 00890331 00146238 60 New York 02/02/1992 NEW YORK NY 10029 Exclusion - 18NYCRR515 RHODES NANCY RN NM007618 00368963 99 Out Of State 09/20/2011 Asheville NC 28806 Exclusion - 18NYCRR515 RIBACK PHILLIP S MD Physician 01512298 00164183 01 Albany 06/05/2011 ALBANY NY 12208 Exclusion - 18NYCRR515 RICCI PHARMACY INC 00262271 00015298 59 Kings 05/20/1998 BROOKLYN NY 11223 Exclusion - 18NYCRR515 RICE ROSELYN JOANN MD Physician 02117004 00209244 47 Suffolk 07/14/2009 RIVERHEAD NY 11901 Exclusion - 18NYCRR515 RICH JAMES L 01323899 00002311 58 Bronx 12/07/1994 BRONX NY 10469 Exclusion - 18NYCRR515 RICHARD THRON 01060062 01 Albany 05/04/1997 ALBANY NY 12208 Exclusion - 18NYCRR515 RICHARDS JEFFREY NM004828 00197477 11/27/2008 Portland OR 97212 Exclusion - 18NYCRR515 RICHARDS MICHELLE NURSE NM003125 00582495 01/20/2008 Miami Beach FL 33141 Exclusion - 18NYCRR515 RICHARDSON MARY ELLEN Nurse NM005255 00069913/00315409 10/12/2009 Brooklyn NY 11206 Exclusion - 18NYCRR515 RICHSTONE GEOFFREY MD 00156827 00094954 06/10/2002 NEW YORK NY 10028 Exclusion - 18NYCRR515 RICKARD MAUREEN G Nurse NM005276 00260761/00510614 10/14/2009 Otisville NY 10963 Exclusion - 18NYCRR515 RIDGEWOOD PHARMACY INC 01021627 00019250 58 Bronx 02/08/1992 BRONX NY 10457 Exclusion - 18NYCRR515 RIGLE DAVID ANTHONY Physician NM001665 00183181 02/13/2007 SYRACUSE NY 13206 Exclusion - 18NYCRR515 RIMERMAN VALERY EFIMOVICH MD 01056486 00172352 12/20/2006 CLOSTER NJ 07624 Exclusion - 18NYCRR515 RIMLER CINDI LPN 01892057 00248546 47 Suffolk 08/20/2007 WADING RIVER NY 11792 Exclusion - 18NYCRR515 PRACTICAL NURSE RIO AMBULANCE SERVICE CORP 01915824 00000501 59 Kings 05/17/2000 BROOKLYN NY 11232 Exclusion - 18NYCRR515 RIORDAN-MAGARA LAURIEANNE LPN NM007217 00294926 06/05/2011 Allegany NY 14706 Exclusion - 18NYCRR515 RIOS NESTOR MD 00622477 00141109 59 Kings 01/23/1990 BROOKLYN NY 11212 Exclusion - 18NYCRR515 RIPPLINGER JOSEPH Acupuncturist NM007601 00002340 99 Out Of State 09/20/2011 Portland OR 97202-4724 Exclusion - 18NYCRR515 RISH BENITO B MD 00086939 00049671 09/04/2002 YONKERS NY 10705 Exclusion - 18NYCRR515 RITE QUALITY PHARMACY INC Pharmacy 01706069 00023135 59 Kings 12/21/2009 BROOKLYN NY 11225-4901 Exclusion - 18NYCRR515 RITE SURGICAL CO 00840840 59 Kings 10/20/1998 BROOKLYN NY 11223 Exclusion - 18NYCRR515 RITEWAY DRUGS INC 00895914 00018682 58 Bronx 05/06/1992 BRONX NY 10456 Exclusion - 18NYCRR515 RITIENI GENNARO Office Manager NM006572 07/20/2010 Farmingdale NY 11735 Exclusion - 18NYCRR515 RIVAS CHRISTINA Nurse NM003453 04/20/2005 Coram NY 11727 Exclusion - 18NYCRR515 RIVAS LUIS F MD 00751473 60 New York 09/09/1996 NEW YORK NY 10023 Exclusion - 18NYCRR515 RIVENBURGH SCOTT Owner of Clinequip Services NM003370 08/19/2010 Baldwinsville NY 13027 Exclusion - 18NYCRR515 RIVERA DEANNA BUSINESS MANAGER NM001648 03/19/2007 BRONX NY 10456 Exclusion - 18NYCRR515 RIVERA DEBORA LYNN LPN LPN 02055021 00240236 47 Suffolk 05/02/2011 BAY SHORE NY 11706-3054 Exclusion - 18NYCRR515 RIVERA FRANK Social Work Assistant NM005590 01/18/2010 New Rochelle NY 10805 Exclusion - 18NYCRR515 RIVERA FRANK RPN NM002416 00399062 08/05/2007 Islip NY 11751 Exclusion - 18NYCRR515 REGISTERED NURSE RIVERA IVETTE MARIA LPN 01702116 00238104 47 Suffolk 10/06/2005 SHIRLEY NY 11967 Exclusion - 18NYCRR515 PRACTICAL NURSE RIVERA MARIA CNA NM000602 3411570306 05/18/2006 ROCHESTER NY 14621 Exclusion - 18NYCRR515 RIVERA MARIAM Home Health Aide NM004934 05/19/2011 Brooklyn NY 11218 Exclusion - 18NYCRR515 RIVERO JORGE A MD Physician 00177220 00102460 59 Kings 10/03/2010 BROOKLYN NY 11212-6707 Exclusion - 18NYCRR515 RIZVI IFFAT Pharmacist 01389037 00036209 61 Queens 05/31/2010 LONG ISLAND CITY NY 11101-6107 Exclusion - 18NYCRR515 RIZVI SYED TAUSIF-UL-HASAN 01528601 00043094 61 Queens 09/20/2006 FAR ROCKAWAY NY 11691 Exclusion - 18NYCRR515 PHARMACISTS RIZZO ANTHONY T 00594183 00027137 06 Chautauqua 12/20/2000 JAMESTOWN NY 14701 Exclusion - 18NYCRR515 RIZZO ANTHONY T 01289110 06 Chautauqua 08/24/1997 JAMESTOWN NY 14701 Exclusion - 18NYCRR515 RIZZO KENNETH JOHN 01414286 00041261 33 Orange 11/29/2004 MIDDLETOWN NY 10940 Exclusion - 18NYCRR515 PHARMACISTS RIZZUTI RICHARD J MD Physician 00648242 00103871 55 Westchester 04/04/2011 MOUNT KISCO NY 10549-3460 Exclusion - 18NYCRR515 RIZZUTO JOSEPH II DME Owner NM007634 47 Suffolk 10/25/2011 Bayport NY 11705 Exclusion - 18NYCRR515 ROARK DAVID Nurse NM006169 00536965 04/20/2010 Ballwin MO 63011 Exclusion - 18NYCRR515 ROBBINS FITZGERALD LYNNE LPN 01167055 00197431 01/12/2004 BRONX NY 10459 Exclusion - 18NYCRR515 ROBBINS JEFF EVERETT DPM 01040115 00004271 59 Kings 02/19/1998 BROOKLYN NY 11215 Exclusion - 18NYCRR515 ROBERTS KEVIN PATRICK Nurse NM006008 00246982 03/15/2010 Glens Falls NY 12801 Exclusion - 18NYCRR515 ROBERTSON LINDA CNA NM006710 339223120792E 12 Delaware 05/19/2011 ARKVILLE NY 12406 Exclusion - 18NYCRR515 ROBINSON ANTHONY D CNA NM000407 3405781905 02/20/2006 SYRACUSE NY 13207 Exclusion - 18NYCRR515 ROBINSON COLE W PHYSICIAN NM004450 11/08/2008 Redlands CA 92373 Exclusion - 18NYCRR515 ROBINSON DELTA Fraudulent LPN NM005196 61 Queens 07/20/2011 Ozone Park NY 11417 Exclusion - 18NYCRR515 ROBINSON JENNIFER Medical Facility Official NM007408 61 Queens 09/20/2011 Cambria Heights NY 11411-1706 Exclusion - 18NYCRR515 ROCCO DONALD P T DDS 00948449 CA017852 99 Out Of State 05/03/1990 SALINAS CA 93906 Exclusion - 18NYCRR515 ROCHFORD ROBERT A Pharmacist NM005701 00031945 28 Nassau 08/02/2011 Long Beach NY 11561 Exclusion - 18NYCRR515 ROCK ELTON M MD PC 00593788 14 Erie 06/08/1997 BUFFALO NY 14214 Exclusion - 18NYCRR515 ROCKLAND MEDILABS INC 00332870 09521477 39 Rockland 05/24/1989 VALLEY COTTAGE NY 10989 Exclusion - 18NYCRR515 RODMAN STEVEN BERNARD 01306087 00026361 47 Suffolk 06/02/1994 PORT JEFFERSON STATIO NY 11776 Exclusion - 18NYCRR515 RODRIGUEZ CECILIA OWN NM001534 N/A 07/20/2005 COPIAGUE NY 11726 Exclusion - 18NYCRR515 RODRIGUEZ FELIX A MD Physician 01786456 00207751 60 New York 01/16/2012 NEW YORK NY 10032-3720 Exclusion - 18NYCRR515 PHYSICIANS RODRIGUEZ LAURA C. NM003016 00191607 12/20/2007 Bay Shore NY 11706 Exclusion - 18NYCRR515 RODRIGUEZ OMAR CESAR MD 01027518 00154467 59 Kings 02/08/1993 BROOKLYN NY 11221 Exclusion - 18NYCRR515 RODRIGUEZ PATRICIA OWNER OF PRNY ENTERPRISES NM001233 04/05/2010 VALLEY STREAM NY 11581 Exclusion - 18NYCRR515 ROGALSKI FRANK S DPM 01113340 00004463 55 Westchester 09/23/1993 YONKERS NY 10701 Exclusion - 18NYCRR515 ROGAN EDWARD FRANCIS DPM JR 00754081 00003522 58 Bronx 01/04/1995 BRONX NY 10473 Exclusion - 18NYCRR515 ROGERS WILLIAM EDWARD MD 01288100 00071954 59 Kings 10/07/1992 BROOKLYN NY 11212 Exclusion - 18NYCRR515 ROGGEMANN DENNIS J MD 00275250 00131180 99 Out Of State 02/12/1991 WEST ORANGE NJ 07052 Exclusion - 18NYCRR515 ROGOVE JAY H DPM 00576783 00003115 28 Nassau 11/20/1997 FRANKLIN SQUARE NY 11010 Exclusion - 18NYCRR515 ROGOWSKI JERZY M MD 01978490 00212712 40 St. Lawrence 12/20/2000 GOUVERNEUR NY 13642 Exclusion - 18NYCRR515 ROHE PAUL DPM 01100563 00004483 11/20/2006 GREEN BROOK NJ 08812 Exclusion - 18NYCRR515 ROJAS EDGAR G 00761500 00152165 58 Bronx 03/15/1991 BRONX NY 10452 Exclusion - 18NYCRR515 ROKEACH MICHAEL STUDENT NM001643 03/04/2007 BROOKLYN NY 11229 Exclusion - 18NYCRR515 ROKHSAR BENJAMIN DPM 01273014 00004954 58 Bronx 10/20/1999 BRONX NY 10455 Exclusion - 18NYCRR515 ROLFE VICTORIA ANNE RN 01252813 00355378 47 Suffolk 09/30/1999 NORTH BABYLON NY 11703 Exclusion - 18NYCRR515 ROMAN DEBORAH P L.M.S.W. LMSW NM004972 00044682 06/17/2009 Rochester NY 14610 Exclusion - 18NYCRR515 SYSTEM GENERATED FROM CLAIM ROMANO DAVID LEE Physician NM006687 00152167 09/22/2010 Avenel NJ 07001 Exclusion - 18NYCRR515 ROMANUCCI DEMOSTENE MD 00532458 00083835 01 Albany 07/16/1997 LATHAM NY 12110 Exclusion - 18NYCRR515 ROMERO ANGEL M MD Physician 01438953 00136478 58 Bronx 04/20/2010 BRONX NY 10451-5589 Exclusion - 18NYCRR515 ROMERO IVAN J Pharmacist 02492813 00049055 55 Westchester 06/20/2011 ELMSFORD NY 10523-1326 Exclusion - 18NYCRR515 ROMULUS JEAN ROBERT MD PC 00735346 00152640 59 Kings 02/06/1995 BROOKLYN NY 11252 Exclusion - 18NYCRR515 RONALD FRASER HEALTH CENTER 00567964 7000234R 58 Bronx 10/04/2005 BRONX NY 10466 Exclusion - 18NYCRR515 ROOME CATHERINE RN NM007045 00353587 32 Ontario 04/03/2011 Victor NY 14564 Exclusion - 18NYCRR515 ROOSEVELT RESEAR CLIN LAB INC 01040486 00003783 61 Queens 05/01/1989 FLUSHING NY 11355 Exclusion - 18NYCRR515 ROSA BERNARDO VIVA PHARMACY OWNER NM004043 08/13/2008 New York NY 10034 Exclusion - 18NYCRR515 ROSA GUSTAVO ROSA PHARMACY OWNER NM004044 08/13/2008 Yonkers NY 10704 Exclusion - 18NYCRR515 ROSA PHARMACY INC 02173417 00025087 60 New York 08/13/2008 NEW YORK NY 10040 Exclusion - 18NYCRR515 ROSATI SAMUEL MD Physician 01152441 00178799 26 Monroe 09/22/1999 ROCHESTER NY 14605-2131 Exclusion - 18NYCRR515 ROSE DEBORAH JEAN Nurse NM005745 00253072 03/31/2010 Schenectady NY 12305 Exclusion - 18NYCRR515 ROSEN ABNER MD 00042026 62 Richmond 05/24/1994 STATEN ISLAND NY 10306 Exclusion - 18NYCRR515 ROSEN DAVID P Business Owner NM007061 01/17/2012 Harrison NY 10528-1712 Exclusion - 18NYCRR515 SYSTEM GENERATED FROM CLAIM ROSEN DOLLY Dentist 01642906 00045867 59 Kings 01/13/2010 BROOKLYN NY 11201 Exclusion - 18NYCRR515 ROSENBAUM HEARING AID CTR 00323097 63AL2130 47 Suffolk 10/07/1992 BAY SHORE NY 11706 Exclusion - 18NYCRR515 ROSENBLATT ADAM MD 01046042 00097990 60 New York 10/01/1989 NEW YORK NY 10025 Exclusion - 18NYCRR515 ROSENBLATT SIDNEY MARVIN PHD 00911064 00003319 60 New York 09/20/2000 NEW YORK NY 10025 Exclusion - 18NYCRR515 ROSENBLITT ROBERT B DDS 00285245 00028611 59 Kings 02/08/1993 NEW YORK NY 11221 Exclusion - 18NYCRR515 ROSENBLUM DAVID H MD 00885209 00120081 58 Bronx 08/01/1990 BRONX NY 10451 Exclusion - 18NYCRR515 ROSENFARB ANDREW Acupuncturist NM006131 00000942 03/20/2005 Westfield NJ 07090 Exclusion - 18NYCRR515 ROSENSTEIN NEIL PHYSICIAN NM004448 00122502 09/30/2008 Elizabeth NJ 07208 Exclusion - 18NYCRR515 ROSENSWEET MARTIN I DPM 01135400 00004272 02/13/2006 ENGLEWOOD NJ 07631 Exclusion - 18NYCRR515 ROSKE JULIA H RPA Physician 02347313 00005196 38 Rensselaer 06/02/2010 TROY NY 12180-3340 Exclusion - 18NYCRR515 ROSS GILBERT LEE MD 00782903 00116347 28 Nassau 06/30/1994 MANHASSET NY 11030 Exclusion - 18NYCRR515 ROSS ROBERT 01444215 00016857 58 Bronx 11/19/1998 BRONX NY 10457 Exclusion - 18NYCRR515 ROSSIE JULIANA S Physicians Assistant NM007276 00013182 28 Nassau 07/01/2011 Long Beach NY 11561 18NYCRR504.1(d)(19) ROTHENBERG CHESTER N NM002414 00099288 61 Queens 08/05/2007 Flushing NY 11354 Exclusion - 18NYCRR515 PRACTICAL NURSE ROTHMAN ADAM M. DO NM002540 09/27/2007 Scottsdale AZ 85254 Exclusion - 18NYCRR515 ROTHSCHILD EDMUND O Physician NM007281 00081147 55 Westchester 07/01/2011 City Island NY 10464 18NYCRR504.1(d)(19) ROTHSTEIN BINYAMIN Physician NM006132 00151763 09/20/2005 Baltimore MD 21215 Exclusion - 18NYCRR515 ROTOLO JOSEPH NM001324 00513441 11/20/2006 PATCHOGUE NY 11772 Exclusion - 18NYCRR515 ROTUNNO JASON ANTHONY Nurse NM001412 00234685 12/11/2006 ROCKY POINT NY 11778 Exclusion - 18NYCRR515 ROTWEIN PAUL S DDS 01406775 60 New York 04/20/1998 NEW YORK NY 10027 Exclusion - 18NYCRR515 ROUMI NESSIM MD Physician 01123500 00173545 59 Kings 12/20/2010 BROOKLYN NY 11229 Exclusion - 18NYCRR515 ROUSE LISA M NM003183 00252296 01/24/2008 New Milford PA 18834 Exclusion - 18NYCRR515 ROWSER BOBBY NM000824 09/20/2006 Queens NY 11429 Exclusion - 18NYCRR515 ROY PATRICK MASSAGE THERAPIST NM004022 07/20/2008 Oswego NY 13126 Exclusion - 18NYCRR515 ROY SAMIR MD 01260493 NM027494 99 Out Of State 05/20/1999 ALBUQUERQUE NM 87109 Exclusion - 18NYCRR515 ROYAL EASTON A Psychiatric Technician NM007692 59 Kings 12/25/2011 Brooklyn NY 11212-2941 Exclusion - 18NYCRR515 SYSTEM GENERATED FROM CLAIM ROZENBERG ALEXANDER MD Physician 01873445 00207165 59 Kings 09/05/2011 BROOKLYN NY 11234 Exclusion - 18NYCRR515 ROZENBERG RONALD LAWRENCE Chiropractor NM006782 00006797 10/20/2010 Petaluma CA 94952 Exclusion - 18NYCRR515 ROZENTSVIT INNA MD Physician 02150769 00209254 60 New York 05/12/2010 BROOKLYN NY 11215 Exclusion - 18NYCRR515 ROZHKOVA KLAVDIA NM001089 00546329 08/20/2007 STATEN ISLAND NY 10314 Exclusion - 18NYCRR515 REGISTERED NURSE ROZVAGA NADEZHDA Home Health Aide NM003689 08/20/2009 Brooklyn NY 11224 Exclusion - 18NYCRR515 RUBENSTEIN GEORGE MD 00810999 00041483 60 New York 12/25/1991 NEW YORK NY 10029 Exclusion - 18NYCRR515 RUBIN MICHAEL A MD 00986856 00138198 60 New York 08/27/1991 NEW YORK NY 10021 Exclusion - 18NYCRR515 RUBINO VINCENT S Pharmacist NM005245 00024468 08/03/2009 Islip NY 11751 Exclusion - 18NYCRR515 RUBINSTEIN ERVIN NM001592 09/18/2008 BROOKLYN NY 11219 Exclusion - 18NYCRR515 RUBONIS ANTHONY VYTAUTA NM002276 00012163 07/02/2007 Niskayuna NY 12309 Exclusion - 18NYCRR515 PSYCHOLOGIST RUD BELA unknown NM007793 59 Kings 02/09/2012 Brooklyn NY 11229-1465 Exclusion - 18NYCRR515 SYSTEM GENERATED FROM CLAIM RUFAI OLALEKAN Medical Appliance Dealer NM007444 59 Kings 10/24/2011 Brooklyn NY 11225-1202 Exclusion - 18NYCRR515 RUP CORP 01589046 00022256 61 Queens 01/09/1999 FRESH MEADOWS NY 11365 Exclusion - 18NYCRR515 RURAK JOHN ANTHONY PC MD 00358365 00136856 07 Chemung 09/03/1997 ELMIRA NY 14905 Exclusion - 18NYCRR515 RUSSELL & LAWRIE MED CTR PHAR 01521659 00022270 55 Westchester 08/10/2005 N TARRYTOWN NY 10591 Exclusion - 18NYCRR515 DENTAL SCHOOL/DENTIST RUSSELL ANTHONY OTIS PHYSICIAN NM001674 00175765 02/27/2007 HIGH POINT NC 27262 Exclusion - 18NYCRR515 RUSSELL CHRISTY LEE Nurse NM005434 00265358 08/11/2009 Malone NY 12953 Exclusion - 18NYCRR515 RUSSO CYNTHIA RN 03093592 00559771 47 Suffolk 04/25/2011 SOUTH SETAUKET NY 11720-1016 Exclusion - 18NYCRR515 RUSSO TRANSPORTATION CORP 00907286 0000P58K 59 Kings 02/27/1992 BROOKLYN NY 11229 Exclusion - 18NYCRR515 RUST WANDA JEAN Practical Nurse 03069798 00288352 26 Monroe 10/11/2011 ROCHESTER NY 14615-1514 Exclusion - 18NYCRR515 RUTHERFORD ALVIN Nurse NM005190 00581100 10/20/2010 Brooklyn NY 11236 Exclusion - 18NYCRR515 RX CONSULTANTS INC CONSULTING NM001242 09/19/2006 NEW HYDE PARK NY 11040 Exclusion - 18NYCRR515 RX NOW INC Pharmacy 03037827 60 New York 06/01/2011 NEW YORK NY 10031-4604 Exclusion - 18NYCRR515 SYSTEM GENERATED FROM PROVIDER RYALL ANN MARIE LPN LPN 01917913 00225697 61 Queens 09/26/2011 FLUSHING NY 11354-2427 Exclusion - 18NYCRR515 PRACTICAL NURSE RYAN BRENDA JO NURSE NM004808 00538252 11/20/2008 Westland MI 48186 Exclusion - 18NYCRR515 RYAN DRUG CO INC 00536021 00015308 31 Onondaga 11/17/1998 SYRACUSE NY 13210 Exclusion - 18NYCRR515 RYAN LORI JEAN RN Nurse 03054684 00489494 47 Suffolk 06/08/2010 MILLER PLACE NY 11764-2617 Exclusion - 18NYCRR515 RZAN MEDICAL TRANSPORTATION 02526103 00035740 31 Onondaga 02/20/2008 SYRACUSE NY 13208 Exclusion - 18NYCRR515 S C & G D DRUGS INC 00685272 00018898 47 Suffolk 10/05/1992 SETAUKET NY 11733 Exclusion - 18NYCRR515 SABAL CELESTE MD 00200940 00111554 58 Bronx 07/15/1987 BRONX NY 10454 Exclusion - 18NYCRR515 SABATO, ULISES C. NM002803 00163737 12/05/2007 Boca Raton FL 33432 Exclusion - 18NYCRR515 SABIR RAFIQ ABDUS 00818259 00154190 60 New York 02/24/2008 NEW YORK NY 10027 Exclusion - 18NYCRR515 SABO MILDRED R NM004067 00186232 09/01/2008 Brick NJ 08724 Exclusion - 18NYCRR515 SABUGO EVELYN F P Physician NM005811 00125265 01/20/2010 Philadelphia PA 19115 Exclusion - 18NYCRR515 SACHAKOV BORIS MD Physician 02685349 00228161 59 Kings 07/11/2011 BROOKLYN NY 11214-3359 Exclusion - 18NYCRR515 PHYSICIANS SACHDEV DESH DEEPAK MD Physician 02624362 00200885 06/10/2008 BRONX NY 10451 Exclusion - 18NYCRR515 SACHS EDWARD R 00503122 00000344 04/03/2003 ALBANY NY 12207 Exclusion - 18NYCRR515 SACHS MICHAEL EVAN 00542383 00131958 60 New York 08/20/2008 NEW YORK NY 10019 Exclusion - 18NYCRR515 SACKET MARIANNE RN NM007812 00331719 12/20/2011 Schoharie NY 12157 Exclusion - 18NYCRR515 REGISTERED NURSE SADAPHAL AUDREY CECILE MD 01032273 00166066 28 Nassau 06/30/1994 NO VALLEY STREAM NY 11580 Exclusion - 18NYCRR515 SADARANGANI BHAGWAN J MD Physician 00319324 00131620 60 New York 07/19/2011 NEW YORK NY 10003-1831 Exclusion - 18NYCRR515 SADIQ SYED A 01322747 00028986 47 Suffolk 04/06/1994 EAST SETAUKET NY 11733 Exclusion - 18NYCRR515 SAEED MUHAMMAD MD 00765302 00116493 59 Kings 09/20/2007 BROOKLYN NY 11218 Exclusion - 18NYCRR515 SAFE T AMBULETTE COMPANY INC 00766147 00029977 55 Westchester 05/18/2000 MOUNT VERNON NY 10550 Exclusion - 18NYCRR515 SAFETY DRUG INC 00273170 00014012 09/04/2002 STATEN ISLAND NY 10314 Exclusion - 18NYCRR515 SAFETY DRUGS OF STONY BROOK 1 00438931 00624003 47 Suffolk 10/05/1992 STONY BROOK NY 11790 Exclusion - 18NYCRR515 SAFEWAY TRANSPORTATION INC CO 01023207 00B90108 60 New York 06/14/1993 NEW YORK NY 10027 Exclusion - 18NYCRR515 SAGET GLADYS MD 00279410 00129039 28 Nassau 02/28/1992 ELMONT NY 11003 Exclusion - 18NYCRR515 SAGGIO GREG P Physician NM007055 00232379 04/06/2011 Island Park NY 11518 Exclusion - 18NYCRR515 SAIF MUNAM M NM006614 00009327 04/23/2009 Centereach NY 11720 Exclusion - 18NYCRR515 CHIROPRACTOR/PORT-XRAY-SVC (QMB) SAINT-PHARD GUERCY 01527297 00005033 07/02/2002 MASSAPEQUA NY 11758 Exclusion - 18NYCRR515 SAJI FRANCIS MD PC Physician 01822393 00207476 47 Suffolk 07/20/2011 AMITYVILLE NY 11701-2711 Exclusion - 18NYCRR515 SAKHUJA VIJAY MD Physician 00347457 00126860 61 Queens 02/17/2010 EAST ELMHURST NY 11370-1932 Exclusion - 18NYCRR515 SALAMI MOHAMMAD F MD 01248815 FL018455 06/20/2006 SANFORD FL 32771 Exclusion - 18NYCRR515 PHYSICIANS SALAV MICHAEL GARY Physician 03126698 00199950 35 Oswego 10/02/2011 OSWEGO NY 13126-2507 Exclusion - 18NYCRR515 SALEM CAITLIN A NM004829 00413081 10/20/2008 Essex Junction VT 05452 Exclusion - 18NYCRR515 SALERNO JAMES G MD 01922494 NC025948 07/09/2002 AHOSKIE NC 27910 Exclusion - 18NYCRR515 SALERNO MICHAEL F 01333215 00020581 55 Westchester 05/10/1994 MT VERNON NY 10550 Exclusion - 18NYCRR515 SALERNO RICHARD D MD 00456368 00096356 50 Tompkins 01/07/1997 ITHACA NY 14850 Exclusion - 18NYCRR515 SALINAS JOHN Y MD 01865558 GA038600 99 Out Of State 06/17/2003 DUNWOODY GA 30338 Exclusion - 18NYCRR515 PHYSICIANS SALKO GREGORY J MD PC Physician 00869521 00187236/PA013922/PA13922E 99 Out Of State 06/20/2011 CARBONDALE PA 18407-1431 Exclusion - 18NYCRR515 SALOMON-FLORES EUFEMIA FE RN NM007066 00228406 60 New York 04/17/2011 New York NY 10019 Exclusion - 18NYCRR515 SALOMON-ROSANES MARIA RN NM007717 00550363 55 Westchester 12/19/2011 New Rochelle NY 10801 Exclusion - 18NYCRR515 SALOUM BENJAMIN NM001590 00009065 01/18/2007 ROME NY 13440 Exclusion - 18NYCRR515 SALVADOR JOSHUA DAVID NM001675 00111922 11/20/2007 ELMWOOD PARK IL 60707 Exclusion - 18NYCRR515 SALVADOR JOSHUA DAVID NM001388 00111922 11/21/2006 ELMWOOD PARK IL 60707 Exclusion - 18NYCRR515 SALVAGNI SANDRA Home Health Aide NM006358 08/16/2010 Lockport NY 14094 Exclusion - 18NYCRR515 SALVANT ANNE NELLIE B LPN Nurse 02315337 00262221 39 Rockland 10/03/2010 SPRING VALLEY NY 10977-3032 Exclusion - 18NYCRR515 SAM SUNG PHARMACY CORPORATION 01145028 00020349 58 Bronx 01/29/1994 BRONX NY 10453 Exclusion - 18NYCRR515 SAMAN AIAD LABYB Pharmacy 02850448 00040789 59 Kings 07/20/2009 BROOKLYN NY 11210 Exclusion - 18NYCRR515 SAMPATH MASEFIELD 01304250 00000926 61 Queens 05/22/1992 REGO PARK NY 11374 Exclusion - 18NYCRR515 SAMPSON DENISE DELPRATT DPM 01122045 00004515 58 Bronx 04/20/1998 BRONX NY 10456 Exclusion - 18NYCRR515 SAMPSON JOHN GEORGE MD 01037961 00172013 58 Bronx 02/07/1990 BRONX NY 10457 Exclusion - 18NYCRR515 SAMUELS NATASHA LPN NM007249 002750009 58 Bronx 09/05/2011 Bronx NY 10469 Exclusion - 18NYCRR515 SANABRIA ISIAS G Livery Driver NM007427 33 Orange 09/12/2011 Chester NY 10918 Exclusion - 18NYCRR515 SANCHEZ BENJAMIN Physician NM007605 00186696 55 Westchester 09/20/2011 Mount Kisco NY 10549 Exclusion - 18NYCRR515 SANCHEZ MARIA MAGDALENA PHD Psychologist 02858304 00016263 59 Kings 09/27/2011 BROOKLYN NY 11219-3424 Exclusion - 18NYCRR515 PSYCHOLOGIST SANCHEZ SARAH Nurse NM002366 00282834 11/19/2009 Hamilton NY 13346 Exclusion - 18NYCRR515 SANCTUARY EAST LTD Diagnostic And Treatment Center 01853901 DSAS1118 47 Suffolk 04/04/2011 EAST ISLIP NY 11730-2330 Exclusion - 18NYCRR515 SANDERS CARRIE LEANNE Nurse NM005814 00259349/00582453 03/10/2010 Williamsville NY 14221 Exclusion - 18NYCRR515 SANDERS GLORIA D Physician NM005017 00237668 10/20/2010 Wichita KS 67201 Exclusion - 18NYCRR515 SANDERS JEAN E LPN 01131020 00183013 09/11/2001 CARTHAGE NY 13619 Exclusion - 18NYCRR515 SANDERS MICHEAL P. NM001308 00010219 10/19/2006 NEWTON NJ 07860 Exclusion - 18NYCRR515 SANDERSON NANCY ELLYN 02223054 00204084 99 Out Of State 04/20/2008 CARTHAGE NY 13619 Exclusion - 18NYCRR515 SANG EVADNE MD 00688748 DC011094 99 Out Of State 12/04/1989 WASHINGTON DC 20032 Exclusion - 18NYCRR515 SANGAVARAM KRISTAPPA 00307635 00133746 60 New York 10/22/2007 NEW YORK NY 10019 Exclusion - 18NYCRR515 SANGAVE CHHAYA ARUN MD 01012308 00039638 26 Monroe 07/20/1998 ROCHESTER NY 14624 Exclusion - 18NYCRR515 SANGEAP CORNELIA P 00851469 00147608 59 Kings 08/20/1998 BROOKLYN NY 11211 Exclusion - 18NYCRR515 SANJUAN RAFAEL MD 00877532 00160780 58 Bronx 05/19/1997 BRONX NY 10453 Exclusion - 18NYCRR515 SANKOVICH RENATA HOME HEALTH AIDE NM003687 09/18/2008 Brooklyn NY 11235 Exclusion - 18NYCRR515 SANNIDHI LAKSHMI Owner of GSSV Pharmacy NM006604 99 Out Of State 01/20/2010 East Brunswick NJ 08816 Exclusion - 18NYCRR515 SANSONE PETER DC Chiropractor NM004942 00007439 02/06/2009 Brooklyn NY 11215 Exclusion - 18NYCRR515 CHIROPRACTOR/PORT-XRAY-SVC (QMB) SANTANA JOSE EMPLOYEE NM001326 10/20/2008 NEW YORK NY 10024 Exclusion - 18NYCRR515 SANTANA PLUTARCO A MD 01043530 00129415 58 Bronx 05/08/1990 BRONX NY 10467 Exclusion - 18NYCRR515 SANTI ANA MARIA MD 00206304 00113491 61 Queens 05/11/2008 ASTORIA NY 11102 Exclusion - 18NYCRR515 SANTIAGO JOHN 01441978 00025054 61 Queens 07/20/2006 JACKSON HEIGHTS NY 11372 Exclusion - 18NYCRR515 PHARMACISTS SANTIAGO PEDRO PRESCRIPTION FRAUD NM001332 10/20/2008 MASTIC BEACH NY 11951 Exclusion - 18NYCRR515 SANTINI ILIA IVONNE Nurse NM005010 00235196 05/04/2009 Rochester NY 14621 Exclusion - 18NYCRR515 SARALIDZE KETEVAN HOME HEALTH AIDE NM001081 07/24/2006 BROOKLYN NY 11235 Exclusion - 18NYCRR515 SARALIDZE VANO HHA NM001073 04/17/2011 BROOKLYN NY 11229 Exclusion - 18NYCRR515 SARANG MEDICAL PC Physician Group 03324843 00066996 61 Queens 12/25/2011 FLUSHING NY 11354-4277 Exclusion - 18NYCRR515 SYSTEM GENERATED FROM CLAIM SARAYBA ALBERTO ALFONSO MD 00867294 VA023695 09/04/2002 HOPEWELL VA 23860 Exclusion - 18NYCRR515 SARFO JOSEPH KWASI MD 00965233 00167353 58 Bronx 08/01/1990 BRONX NY 10452 Exclusion - 18NYCRR515 SARFRAZ MIRZA NM002465 00114712 08/20/2007 Melbourne FL 32940 Exclusion - 18NYCRR515 SARRO ANTHONY J MD Physician 00133757 00086374 59 Kings 06/13/2011 BROOKLYN NY 11236-3818 Exclusion - 18NYCRR515 SARVER JASON T CNA NM000722 342368261105E 36 Otsego 03/20/2007 COOPERSTOWN NY 13326 Exclusion - 18NYCRR515 SASS MICHAEL DAVID DPM 01537948 00005187 59 Kings 08/20/1998 BROOKLYN NY 11209 Exclusion - 18NYCRR515 SASSOON MEIR OWNER/PRESIDENT SASQWITZ CORP NM000942 01/18/2007 CORTLANDT MANOR NY 10567 Exclusion - 18NYCRR515 SASWITZ CORP 01503864 0033374 55 Westchester 12/20/2006 MOHEGAN LAKE NY 10547 Exclusion - 18NYCRR515 SAULLE RICHARD DAVID MD Physician 00629070 00115650 55 Westchester 02/08/2012 YONKERS NY 10701-6828 Exclusion - 18NYCRR515 PHYSICIANS SAVIGNE JOSE B MD 00129066 00084893 59 Kings 11/16/1995 BROOKLYN NY 11212 Exclusion - 18NYCRR515 SAVINO DOMINICK JOSEPH MD 00106905 00077670 59 Kings 08/18/1992 BROOKLYN NY 11228 Exclusion - 18NYCRR515 SAWANGKAO CHAGGRIT MD Physician 00535819 00121796 12/30/2009 RIDGEWOOD NY 11385 Exclusion - 18NYCRR515 SAXE JOY ELLEN LPN Nurse 02165520 00243810 14 Erie 03/31/2010 TONAWANDA NY 14150-7216 Exclusion - 18NYCRR515 SBARRA SAMUEL NM004831 00007440 10/20/2008 Nutley NJ 07110 Exclusion - 18NYCRR515 SCACCIA MARY M. NM003003 00068332 12/20/2007 Selden NY 11784 Exclusion - 18NYCRR515 SCALLY MICHAEL C MD 00902676 00163356 60 New York 11/04/2005 NEW YORK NY 10027 Exclusion - 18NYCRR515 SCAMMELL TERRY J Dentist 02552409 00027734 99 Out Of State 02/08/2010 WESTHAMPTON NY 11977-1305 Exclusion - 18NYCRR515 SCANLON MICHAEL DPM 00414140 00002978 59 Kings 12/30/1993 BROOKLYN NY 11218 Exclusion - 18NYCRR515 SCANO KATHLEEN NM004822 283545 01/13/2009 Staten Island NY 10305 Exclusion - 18NYCRR515 SCHACK RICHARD N DC NM006620 00007725 02/06/2009 New Paltz NY 12561 Exclusion - 18NYCRR515 CHIROPRACTOR/PORT-XRAY-SVC (QMB) SCHAFFER DEAN ANDREW Physician 00551955 00141274 60 New York 07/20/2011 NEW YORK NY 10526 Exclusion - 18NYCRR515 SCHARAGA ELLEN Supervising Pharmacist 01538072 00035222 47 Suffolk 02/08/2012 FARMINGDALE NY 11735-2429 Exclusion - 18NYCRR515 SYSTEM GENERATED FROM PROVIDER SCHECHTMAN DENNIS M DPM 00414984 00002514 59 Kings 05/21/1993 BROOKLYN NY 11230 Exclusion - 18NYCRR515 SCHECTMAN PHARMACY INC 00539111 00016853 55 Westchester 04/20/2000 MT VERNON NY 10552 Exclusion - 18NYCRR515 SCHEER ALEXANDRE MICHEL Physician NM005810 00245097 03/10/2010 New York NY 10069 Exclusion - 18NYCRR515 SCHEFLEN BRIANNA Nursing Student NM004964 05/20/2009 Ossining NY 10562 Exclusion - 18NYCRR515 SYSTEM GENERATED FROM CLAIM SCHENKEL CATHERINE M RN RN NM004966 00410588 05/20/2009 Livingston NJ 07039 Exclusion - 18NYCRR515 REGISTERED NURSE SCHERL ROBERT Pharmacist 02513519 00037078 61 Queens 02/13/2011 OAKLAND GARDENS NY 11364-1321 Exclusion - 18NYCRR515 SCHIEBER BYRON EDWARD DPM 00728749 00003435 28 Nassau 04/30/1990 FLORAL PARK NY 11001 Exclusion - 18NYCRR515 SCHIFFER ROBERT P MD 02075932 FL020402 99 Out Of State 05/20/2007 OCALA FL 34474 Exclusion - 18NYCRR515 SCHIFFMAN MONROE CHARLES 01342465 00021534 58 Bronx 11/20/2007 BRONX NY 10467 Exclusion - 18NYCRR515 SCHISANO DENIS S Physician NM005841 00113766 04/12/2010 Vauxhall NJ 07088 Exclusion - 18NYCRR515 SCHLACHTER ANDREA NM001342 00558135 11/20/2006 CRANFORD NJ 07016 Exclusion - 18NYCRR515 SCHLISSEL MICHAEL DDS Dentist 02376043 00042271 33 Orange 12/20/1998 NEWBURGH NY 12550-2990 Exclusion - 18NYCRR515 SCHMIDT GEORGE C PHYSICAL THERAPIST NM003656 00001780 05/26/2008 Lindenhurst NY 11757 Exclusion - 18NYCRR515 SCHMIDT KATHLEEN P NURSE NM002730 00496072 10/30/2007 Sanborn NY 14132 Exclusion - 18NYCRR515 SCHMOOKLER NAZILYA DDS 01588063 00046137 09/11/2001 BROOKLYN NY 11234 Exclusion - 18NYCRR515 SCHMUCKER-KARPOW CELESTE A 00875865 00146752 60 New York 11/20/1997 NEW YORK NY 10003 Exclusion - 18NYCRR515 SCHNEIDER BRUCE JAY DMD 00863790 00038756 07/20/2006 WOODSIDE NY 11377 Exclusion - 18NYCRR515 SCHNELL WILLIAM C Owner of Home Health Care Co. NM004542 08/20/2009 Huntington Station NY 11746 Exclusion - 18NYCRR515 SCHOCHET HAROLD NM001167 11/22/2006 BELLEROSE NY 11426 Exclusion - 18NYCRR515 SCHOCHET MARCIA NM001166 11/22/2006 BELLEROSE NY 11426 Exclusion - 18NYCRR515 SCHRADER HEARING INST CO INC 00532696 00017001 01 Albany 02/02/1992 COHOES NY 12047 Exclusion - 18NYCRR515 SCHRAGER KENNETH JOEL MD 00709893 00138738 07/05/2001 OTISVILLE NY 10963 Exclusion - 18NYCRR515 SCHUG MICHELE D 052-Nurse 02120890 00244553 31 Onondaga 06/18/2009 CICERO NY 13039 Exclusion - 18NYCRR515 REGISTERED NURSE SCHULHOF JERRY A DMD PC 01359791 PA16831L 07/20/2006 MCKEESPORT PA 15131 Exclusion - 18NYCRR515 SCHULTZ JODI LPN Nurse 02913633 00267328 38 Rensselaer 07/20/2010 JOHNSONVILLE NY 12094-3022 Exclusion - 18NYCRR515 SCHULTZ JOHN R LPN LPN 01790234 00234623 25 Madison 02/20/2011 CAMDEN NY 13316-5423 Exclusion - 18NYCRR515 PRACTICAL NURSE SCHULTZ STEVEN MD 00226348 NJ053107 60 New York 05/20/1998 NEW YORK NY 10128 Exclusion - 18NYCRR515 SCHWARTZ ERIC L DPM 00818373 00003605 61 Queens 12/29/1991 JAMAICA NY 11432 Exclusion - 18NYCRR515 SCHWARTZ GEORGE R. NM001723 00101982 12/20/2007 Coconut Creek FL 33073 Exclusion - 18NYCRR515 SCHWARTZ HERSHL SUPERMARKET OWNER NM001586 06/19/2008 BROOKLYN NY 11211 Exclusion - 18NYCRR515 SCHWARTZ HOWARD N MD PC Physician 00144876 00091055 60 New York 03/15/2010 NEW YORK NY 10021-4247 Exclusion - 18NYCRR515 SCHWARTZ MONTY 01874831 MA014670 99 Out Of State 11/16/2005 SPRINGFIELD MA 01108 Exclusion - 18NYCRR515 PHARMACISTS SCHWARZ HERBERT MD 00145991 00091304 61 Queens 05/20/1998 LONG ISLAND CITY NY 11103 Exclusion - 18NYCRR515 SCHWINDER MIRIAM MEDICAL PROFESSIONAL/HOME HEALTH AIDE NM001589 03/20/2008 BROOKLYN NY 11219 Exclusion - 18NYCRR515 SCINTA MARK C DPM 00804628 00003606 58 Bronx 09/12/1996 BRONX NY 10473 Exclusion - 18NYCRR515 SCOTT BELLA HOME HEALTH AIDE NM001500 06/19/2008 BAYSHORE NY 11706 Exclusion - 18NYCRR515 SCOTT EUGENIE CNA NM003282 334162200392E 04/12/2008 Brooklyn NY 11212 Exclusion - 18NYCRR515 SCOTT RICHARD NATHANIEL Physician NM005120 00104488 08/25/2009 Ellicott City MD 21042 Exclusion - 18NYCRR515 SCOZZARO PHILIP MD 00613901 00091306 14 Erie 10/11/1994 W SENECA NY 14224 Exclusion - 18NYCRR515 SCRODANUS CHRISTINE Optometrist 02302858 00005532 31 Onondaga 08/18/2011 SYRACUSE NY 13224-1430 Exclusion - 18NYCRR515 SCRUGGS RAMON Physician NM004980 00152988 04/06/2009 Tustin CA 92780 Exclusion - 18NYCRR515 SCUTCHFIELD TIMOTHY M Pharmacist NM003657 05/20/2009 Bellmore NY 11710 Exclusion - 18NYCRR515 PHARMACISTS SEA CREST TRANSPORTATION INC 01161375 00031055 61 Queens 11/14/1995 ARVERNE NY 11692 Exclusion - 18NYCRR515 SEAGIRT PHARMACY INC 00266986 00013927 61 Queens 05/31/1983 FAR ROCKAWAY NY 11691 Exclusion - 18NYCRR515 SEALEY CLAUDETTE LPN NM004928 00291721 59 Kings 09/20/2011 Brooklyn NY 11225 Exclusion - 18NYCRR515 SEAMANS CHARLES H Nurse NM005752 00256303 01/27/2010 Auburn NY 13021 Exclusion - 18NYCRR515 SEE VINCENT ENG KHIM MD 00191300 00108260 60 New York 10/06/1997 NEW YORK NY 10013 Exclusion - 18NYCRR515 SEETHAPATHY THUGGINI owner NM004965 05/20/2009 Elmira NY 14903 Exclusion - 18NYCRR515 SYSTEM GENERATED FROM CLAIM SEGUERRA ELIEZER M MD 00868575 00153537 28 Nassau 02/12/1991 VALLEY STREAM NY 11580 Exclusion - 18NYCRR515 SELINGER PAUL DMD 00314810 00029253 47 Suffolk 04/01/2005 DEER PARK NY 11729 Exclusion - 18NYCRR515 DENTAL SCHOOL/DENTIST SELLITTO ROCCO V DPM 01251803 00004596 59 Kings 07/20/2000 BROOKLYN NY 11215 Exclusion - 18NYCRR515 SEMCZUK CATHERINE Facilities Coordinator NM004494 27 Montgomery 03/18/2010 Amsterdam NY 12010 Exclusion - 18NYCRR515 SEMERIK VIKTOR DME Owner NM007635 59 Kings 11/15/2011 Brooklyn NY 11235 Exclusion - 18NYCRR515 SYSTEM GENERATED FROM CLAIM SEN DILIP MD Physician 00731599 00144837 59 Kings 04/29/2010 BROOKLYN NY 11211-3559 Exclusion - 18NYCRR515 SENAPE SAVERIO JOSEPH MD 00408957 00097202 61 Queens 07/08/1997 BROOKLYN NY 11212 Exclusion - 18NYCRR515 SENDER PAUL S MD 00833243 NJ044742 99 Out Of State 11/20/2006 TEANECK NJ 07666 Exclusion - 18NYCRR515 PHYSICIANS SENECA CAZENOVIA OSTOMY SURGICAL INC 00669407 14 Erie 06/19/2008 BUFFALO NY 14210 Exclusion - 18NYCRR515 SENECA MEDICAL GROUP 00595331 14 Erie 10/25/1989 BUFFALO NY 14210 Exclusion - 18NYCRR515 SENGELMANN ROBERT P PHYSICIAN NM004687 00096418 10/31/2008 Santa Barbara CA 93105 Exclusion - 18NYCRR515 SENTILLES JEAN JACQUES MD 01042942 00167420 58 Bronx 02/27/1992 BRONX NY 10452 Exclusion - 18NYCRR515 SEPHASHVILI JULIETA HHA NM001498 06/18/2009 BROOKLYN NY 11235 Exclusion - 18NYCRR515 SYSTEM GENERATED FROM CLAIM SERRANO CARIDAD FLORES MD 00994587 00165464 59 Kings 12/18/1997 BROOKLYN NY 11231 Exclusion - 18NYCRR515 SESHADRI RAJAGOPAL MD 00306161 00115745 28 Nassau 05/07/1997 ROOSEVELT NY 11575 Exclusion - 18NYCRR515 SETAREHSHENAS RAMIN 02001467 61 Queens 08/27/2000 JAMAICA NY 11432 Exclusion - 18NYCRR515 SETHI DEEPAK NM001317 10/19/2006 WESTWOOD NJ 07675 Exclusion - 18NYCRR515 SEVA PHARMACY INC 02709608 28 Nassau 03/27/2007 BETHPAGE NY 11714 Exclusion - 18NYCRR515 SEVEN D CORP Pharmacy 01231492 00020376 10/20/2009 BRONX NY 10457 Exclusion - 18NYCRR515 SEVERE JACQUELINE LPN NM002273 00187201 07/02/2007 Brooklyn NY 11236 Exclusion - 18NYCRR515 REGISTERED NURSE SEVILLE ALBERT Behavioral Specialist NM007568 58 Bronx 02/08/2012 Bronx NY 10467 Exclusion - 18NYCRR515 SYSTEM GENERATED FROM CLAIM SHABIR MOHAMMED Businessman NM003050 04/05/2011 Jericho NY 11753 Exclusion - 18NYCRR515 SHADES OF VISION 00351015 60 New York 07/19/2007 NEW YORK NY 10027 Exclusion - 18NYCRR515 SHAFA DRUGS INC 00910325 00018729 58 Bronx 08/06/1990 BRONX NY 10460 Exclusion - 18NYCRR515 SHAFEEK MOHAMMED OWNER OF AFRO-CARRIBEAN HEALTHCARE SUPPLY NM001241 09/19/2006 VALLEY STREAM NY 11581 Exclusion - 18NYCRR515 SHAH ASHISH Pharmacy Technician NM005110 08/25/2009 Sayerville NJ 08872 Exclusion - 18NYCRR515 SHAH BHUPENDRA MD 00581728 00129773 09/11/2001 BROOKLYN NY 11235 Exclusion - 18NYCRR515 SHAH DARSHAN Navinchandra, MD NM003565 00187396 04/30/2008 Fort Pierce FL 34982 Exclusion - 18NYCRR515 SHAH DINESH B Physician NM005171 00140734 07/29/2009 Newark DE 19702 Exclusion - 18NYCRR515 SHAH DINESH DAYABHAI Pharmacy 01317720 00037723 28 Nassau 01/20/2010 BETHPAGE NY 11714 Exclusion - 18NYCRR515 SHAH JITENDRA C MD 00717280 00138990 59 Kings 05/18/2000 BROOKLYN NY 11209 Exclusion - 18NYCRR515 SHAH NILESH R Employee NM005614 01/20/2010 North Bellmore NY 11710 Exclusion - 18NYCRR515 SHAH NIRAV JITENDRA Pharmacist 01879345 00046105 60 New York 02/22/2010 NEW YORK NY 10025-5170 Exclusion - 18NYCRR515 SHAH PANNA L MD 00558576 59 Kings 05/10/1994 BROOKLYN NY 11213 Exclusion - 18NYCRR515 SHAH SURESH B MD 01840793 00133487 06/10/2002 VALLEY STREAM NY 11580 Exclusion - 18NYCRR515 SHAHBAZ MOHAMMAD MD 01446597 00186033 59 Kings 05/04/1997 BROOKLYN NY 11214 Exclusion - 18NYCRR515 SHAIKH NAZIR A 01308209 59 Kings 02/20/2001 BROOKLYN NY 11217 Exclusion - 18NYCRR515 SHAKIR KHADIJA DPM 00465669 00003058 61 Queens 09/06/1994 QUEENS NY 11432 Exclusion - 18NYCRR515 SHAMEEM SHAMAIL AHMED 01525171 00036294 61 Queens 09/20/2006 INWOOD NY 11696 Exclusion - 18NYCRR515 PHARMACISTS SHAMSIAN SAEID MD 00844748 00152696 59 Kings 12/20/2007 BROOKLYN NY 11215 Exclusion - 18NYCRR515 SHANITA PHARMACY LTD 01143219 00020194 62 Richmond 12/30/1992 STATEN ISLAND NY 10309 Exclusion - 18NYCRR515 SHANKMAN RICHARD M DPM PC 00842686 00003801 61 Queens 02/20/2006 JAMAICA NY 11435 Exclusion - 18NYCRR515 SHANTIRAM INC 00999326 00040483 03/04/2004 SYOSSET NY 11791 Exclusion - 18NYCRR515 SHAPIRO ARKADI Business Owner NM007585 59 Kings 11/29/2011 Brooklyn NY 11235-4131 Exclusion - 18NYCRR515 SHAPIRO STEPHEN M Psychiatrist NM004123 00105678 11/03/2008 Fayetteville NY 13066 Exclusion - 18NYCRR515 SHARMA BHUPINDER KUMAR MANAGING AGENT PERFUME COMPANY NM003047 02/06/2008 Palisades Park NJ 07650 Exclusion - 18NYCRR515 SHARMA SURENDRA M MD PC 00345895 00135468 33 Orange 05/28/1992 NEWBURGH NY 12550 Exclusion - 18NYCRR515 SHARMA SWARAN K MD 01065172 00152642 14 Erie 06/18/1998 BUFFALO NY 14211 Exclusion - 18NYCRR515 SHARPE CALVIN Nurse NM006063 00266215 02/18/2010 Los Angeles CA 90047 Exclusion - 18NYCRR515 SHARPE THOMAS MD 00223923 00119425 40 St. Lawrence 05/20/1998 GOUVERNEUR NY 13642 Exclusion - 18NYCRR515 SHARPLES WENDI J Nurse NM006204 275673/567736 06/08/2010 Lockport NY 14094 Exclusion - 18NYCRR515 SHEA CATHERINE Nurse NM004493 00426008 03/17/2010 East Patchogue NY 11772 Exclusion - 18NYCRR515 SHEAHAN MICHAEL D DPM 00775640 00003528 62 Richmond 02/18/1997 STATEN ISLAND NY 10310 Exclusion - 18NYCRR515 SHEELA RANI GUPTA 00910334 00018770 60 New York 01/29/1991 NEW YORK NY 10026 Exclusion - 18NYCRR515 SHEIKH RIAZ AHMAD MD 00863805 00159451 59 Kings 08/10/2006 BROOKLYN NY 11220-3810 18NYCRR504.1(d)(19) PHYSICIANS SHELABODOVA LARISA Unknown NM007734 61 Queens 01/16/2012 Brooklyn NY 11235-6693 Exclusion - 18NYCRR515 SYSTEM GENERATED FROM CLAIM SHELDON SUZAN 02137644 00220230 31 Onondaga 02/19/2009 SYRACUSE NY 13209 Exclusion - 18NYCRR515 PRACTICAL NURSE SHELIKHOV SERGEY V Unknown NM006542 59 Kings 08/03/2011 Brooklyn NY 11235 Exclusion - 18NYCRR515 SHELLOCK JOHN SCOTT Pharmacist 01309553 00040109 47 Suffolk 04/27/2011 MOUNT SAINI NY 11766 Exclusion - 18NYCRR515 SHENKER DMITRIY Medical Technician NM007312 59 Kings 07/20/2011 Brooklyn NY 11223 Exclusion - 18NYCRR515 SHER KATIE MD 00955651 00160899 60 New York 01/09/1991 NEW YORK NY 10009 Exclusion - 18NYCRR515 SHERESHEVSKAYA ALEXANDRA MD Physician 01668015 00197511 62 Richmond 06/20/2011 STATEN ISLAND NY 10305 Exclusion - 18NYCRR515 SHERMAN ARTHUR Physician NM005761 00106639 03/01/2010 Kingston NY 12401 Exclusion - 18NYCRR515 SHERMAN JOSEF MD 01456959 00171722 59 Kings 08/12/2004 BROOKLYN NY 11223 Exclusion - 18NYCRR515 PHYSICIANS SHERRY MARK S Pharmacist 02094966 00031354 59 Kings 03/15/2010 BROOKLYN NY 11224-1705 Exclusion - 18NYCRR515 SHERWOOD BRIAN M DPM 00413350 00002220 13 Dutchess 11/03/1989 POUGHKEEPSIE NY 12601 Exclusion - 18NYCRR515 SHESHELOVSKAYA RIMMA DDS 01526021 00045635 59 Kings 08/20/2000 BROOKLYN NY 11220 Exclusion - 18NYCRR515 SHETH SURENDRA C MD Physician 00788638 NJ030270 99 Out Of State 11/03/2010 CHERRY HILL NJ 08003-1220 Exclusion - 18NYCRR515 PHYSICIANS SHIRLEY MASTIC PHARMACY INC 01741771 OC013839 10/02/2001 SHIRLEY NY 11967 Exclusion - 18NYCRR515 SHIVAM-SAGER CORPORATION 02187259 00025075 27 Montgomery 07/22/2008 FORT PLAIN NY 13339 Exclusion - 18NYCRR515 SHKLOVER TOBIAS MD 01984138 00208676 59 Kings 09/20/2007 BROOKLYN NY 11229 Exclusion - 18NYCRR515 SHKOLNIK BETYA Home Health Aide - Unlicensed NM002764 04/26/2010 Brooklyn NY 11224 Exclusion - 18NYCRR515 SHLIMBAUM CHARLES W PC MD 00618039 00045230 47 Suffolk 08/16/1995 BAY SHORE NY 11706 Exclusion - 18NYCRR515 SHLUGLEYT PAVEL CHIROPRACTOR NM003602 00009518 03/20/2008 Sunny Isles Beach FL 33160 Exclusion - 18NYCRR515 SHMIDT GREGORY NM002844 05/17/2010 Brooklyn NY 11229 Exclusion - 18NYCRR515 SHOP RITE PHARMACY INC Pharmacy 02107477 00024860 10/20/2010 OZONE PARK NY 11417 Exclusion - 18NYCRR515 SHORR MARTIN J MD 00799720 00103206 60 New York 05/09/1990 NEW YORK NY 10031 Exclusion - 18NYCRR515 SHRAYFEL FELIX 00828886 59 Kings 09/02/1989 BROOKLYN NY 11218 Exclusion - 18NYCRR515 SHTEYMAN ALEKSEY Business Owner NM006474 62 Richmond 02/05/2012 Staten Island NY 10309 Exclusion - 18NYCRR515 SYSTEM GENERATED FROM CLAIM SHTEYMAN DMITRY VP of Solstice Wellness Center NM006479 62 Richmond 08/21/2011 Staten Island NY 10309 Exclusion - 18NYCRR515 SHUKHAT BEATA AKA KOZLOVSKY Counselor NM006995 59 Kings 03/08/2011 Brooklyn NY 11224 Exclusion - 18NYCRR515 SHUKLA KISHOREKUMAR R MD 00196158 00110052 59 Kings 04/20/2000 BROOKLYN NY 11206 Exclusion - 18NYCRR515 SHULMAN ALAN I Podiatrist NM007282 00003839 07/11/2011 New York NY 10022 Exclusion - 18NYCRR515 PODIATRIST SHUMEL LAWRENCE JAY MD 01176136 00167787 59 Kings 06/18/1998 BROOKLYN NY 11234 Exclusion - 18NYCRR515 SHURLAN VLADIMIR PHYSICIAN NM001678 00188705 02/20/2007 CAMBRIDGE MA 02138 Exclusion - 18NYCRR515 SHVEDKIN MAXSIM (MAKSIM) Unknown NM006478 61 Queens 08/21/2011 Corona NY 11368 Exclusion - 18NYCRR515 SYSTEM GENERATED FROM CLAIM SI PREMIER ENTERPRISES LLC Corporation NM006713 59 Kings 11/11/2010 Brooklyn NY 11201 Exclusion - 18NYCRR515 SICK MELANIE M RN Nurse NM004968 00549210 12/20/2009 Rochester NY 14609 Exclusion - 18NYCRR515 SIDDIQUI SHAHID M PC MD 00207772 00113794 59 Kings 01/03/1994 BROOKLYN NY 11226 Exclusion - 18NYCRR515 SIDOTI LOUIS ANTHONY MD 01417812 00186890 06/20/2007 TROY NY 12180 Exclusion - 18NYCRR515 PHYSICIANS SIEDLECKI BRUCE PHYSICIAN NM004068 00164078 07/20/2008 North Myrtle Beach SC 29582 Exclusion - 18NYCRR515 SIEGEL MYRA A RN NM007225 00249648 06/06/2011 Monticello NY 12701 Exclusion - 18NYCRR515 REGISTERED NURSE SIEGEL, ALAN ARTHUR 00498297 07/05/2001 RYE NY 10580 Exclusion - 18NYCRR515 SIEGER HELEN Nursing Home Owner/Operator NM005589 01/18/2010 Brooklyn NY 11204 Exclusion - 18NYCRR515 SIKORSKI ALLAN G RPA NM004723 00005966 11/13/2008 Fresh Meadows NY 11365 Exclusion - 18NYCRR515 SILBERMAN CHARLES G MD NM001902 00077305 05/01/2007 Norwalk CT 06854 Exclusion - 18NYCRR515 PHYSICIANS SILBERSPITZ ARTHUR DPM 00876917 00003805 59 Kings 05/09/1993 BROOKLYN NY 11211 Exclusion - 18NYCRR515 SILBERSTEIN LEONARD 01314112 00021547 60 New York 05/17/2000 NEW YORK NY 10014 Exclusion - 18NYCRR515 SILMAN ALEX DDS Dentist 02259272 00049524 59 Kings 07/20/2011 BROOKLYN NY 11201 Exclusion - 18NYCRR515 SILVER GREGORY H Physician NM006945 00232881 02/20/2011 Massapequa NY 11758 Exclusion - 18NYCRR515 SILVER MARK E DPM 00755793 00003441 28 Nassau 01/09/1991 FREEPORT NY 11520 Exclusion - 18NYCRR515 SILVERSTEIN MICHAEL CHI NM000669 00005005 10/20/2005 WESTPORT CT 06880 Exclusion - 18NYCRR515 PODIATRIST SILVESTRE-MEJIA LUIS R 01512683 00045269 03/22/2005 JACKSON HEIGHTS NY Exclusion - 18NYCRR515 SILVIA ROSANN NURSE NM002183 00339203 10/20/2008 Holbrook NY 11741 Exclusion - 18NYCRR515 SIMIZON TAMMY ELIZABETH LPN 01999908 00223143 54 Wayne 06/20/2006 NEWARK NY 14513 Exclusion - 18NYCRR515 PRACTICAL NURSE SIMMONS CHRISTINE A Nurse NM005739 00222408 02/23/2010 Mexico NY 13114 Exclusion - 18NYCRR515 SIMMONS JESSIE CNA NM000648 3301295510 08/20/2006 ROCHESTER NY 00000 Exclusion - 18NYCRR515 SIMMONS TINA NM000697 341549141100E 06/07/2005 BUFFALO NY 14201 Exclusion - 18NYCRR515 SYSTEM GENERATED FROM CLAIM SIMON ASHER BRIAN Physician NM006942 00231877 02/01/2011 New York NY 10029 18NYCRR504.1(d)(19) SIMON FRANKLIN S MD 01621049 00099659 59 Kings 05/20/1998 BROOKLYN NY 11235 Exclusion - 18NYCRR515 SIMON JEFFREY A DPM 00488422 00003129 55 Westchester 08/09/1990 MAMARONECK NY 10543 Exclusion - 18NYCRR515 SIMPSON CYNTHIA LPN 01217490 00152763 04/07/2003 MOUNT VERNON NY 10550 Exclusion - 18NYCRR515 SIMPSON LESLIE NM000656 00250176 07/26/2005 BRONX NY 10469 Exclusion - 18NYCRR515 SIMPSON MICHELLE CNA NM006190 341502380700E 06/02/2010 Albany NY 12208 Exclusion - 18NYCRR515 SIMRING JAMES JORDAN DDS 00858966 00037075 61 Queens 01/20/1998 JACKSON HEIGHTS NY 11372 Exclusion - 18NYCRR515 SINATRA CHARLES RICHARD PC MD 00502341 00084461 06 Chautauqua 10/20/1998 JAMESTOWN NY 14701 Exclusion - 18NYCRR515 SINGER NACHEM OWNER OF IMMEDIATE HOME CARE NM001591 07/20/2008 BROOKLYN NY 11211 Exclusion - 18NYCRR515 SINGH ARVINDER MD 01133100 00163625 01 Albany 06/02/2004 ALBANY NY 12210 Exclusion - 18NYCRR515 PHYSICIANS SINGH BIJAI BAHADUR NM001884 05/03/2007 Indiana PA 15701 Exclusion - 18NYCRR515 SINGH BINOD K Physician NM006341 00227493 47 Suffolk 08/18/2011 Bay Shore NY 11706 Exclusion - 18NYCRR515 SINGH DOLLENE C.N.A. NM001429 3416030403 03/20/2009 QUEENS VILLAGE NY 11429 Exclusion - 18NYCRR515 SYSTEM GENERATED FROM CLAIM SINGH LOKENDRA K MD 00872404 00160408 31 Onondaga 07/07/1997 SYRACUSE NY 13210 Exclusion - 18NYCRR515 SINGH SARUPINDER DDS Dentist 01199513 00041509 43 Schoharie 02/22/2011 COBLESKILL NY 12043 Exclusion - 18NYCRR515 SINGH SURINDER PAUL MD 00934038 00155465 60 New York 06/20/2007 NEW YORK NY 10027 Exclusion - 18NYCRR515 PHYSICIANS SINGHVI KAILASH CHAND 00796938 00147756 01/18/2007 BROOKLYN NY 11204 Exclusion - 18NYCRR515 SINGLA SUDARSHAN K MD 01012399 00133310 58 Bronx 01/03/1994 BRONX NY 10461 Exclusion - 18NYCRR515 SINGLETON CATHLEEN M. NM003015 00033768 12/20/2007 Port Washington NY 11050 Exclusion - 18NYCRR515 SINHA BRIJ NANDAN 00468039 00125291 26 Monroe 05/26/2008 ROCHESTER NY 14621 Exclusion - 18NYCRR515 SIROHI ARUN 01025947 00171421 58 Bronx 04/21/1990 BRONX NY 10455 Exclusion - 18NYCRR515 SISAM RANDALL Physician 02283374 00218061 18 Genesee 03/10/2010 BATAVIA NY 14020-1649 Exclusion - 18NYCRR515 SISCK INC. Physician Group 02616613 60 New York 09/20/2011 NEW YORK NY 10025 Exclusion - 18NYCRR515 SISODIA IONI 00817827 00119395 51 Ulster 04/20/2008 KINGSTON NY 12401 Exclusion - 18NYCRR515 SITOMER CHARLES I. NM002863 00140165 12/11/2007 Katy TX 77450 Exclusion - 18NYCRR515 SKENDER KENNETH Building Contractor NM005331 08/19/2010 Churchville NY 14428 Exclusion - 18NYCRR515 SKERRITT PATRICIA E RN NM001232 00373521 09/20/2006 HUNTER NY 12442 Exclusion - 18NYCRR515 SKLAR HERBERT NM001603 05/02/2002 PLAINVIEW NY 11803 Exclusion - 18NYCRR515 SKLAR JARED NM001292 00048106 10/11/2006 OLD BETHPAGE NY 11804 Exclusion - 18NYCRR515 SKOBELEVA ROSANA aka Rozana Issued Illegitimate Home Health Aide Certs NM002622 59 Kings 05/19/2011 Brooklyn NY 11214 Exclusion - 18NYCRR515 SKOWRON TADEUSZ ADAM MD 01256748 00170129 58 Bronx 03/06/1992 BRONX NY 10452 Exclusion - 18NYCRR515 SKYLAR LEONID aka SKLYAR Manager of Bath/Rainbow Medical NM005548 12/29/2009 Brooklyn NY 11214 Exclusion - 18NYCRR515 SLABIC CARA NM005659 05/17/2010 Shirley NY 11967 Exclusion - 18NYCRR515 SLATER ROBERT NM003485 01/01/1998 Bronx NY 10472 Exclusion - 18NYCRR515 SLAUGHTER DOUGLAS A MD Physician NM004941 00217718 05/18/2009 Santa Fe NM 87505 Exclusion - 18NYCRR515 PHYSICIANS SLAVIN CARL MD 01062606 00161673 12/05/2006 OGDENSBURG NY 13669 Exclusion - 18NYCRR515 SLAWSKY ALAN HOWARD DO NM001286 00143096 11/30/2007 AUDUBON NJ 08106 Exclusion - 18NYCRR515 SLOBODSKY VLADIMIR NM003486 01/01/1998 Unknown ZZ 00000 Exclusion - 18NYCRR515 SLOBODYAN LYUDMILA LPN / RN NM003694 00285188/00576569 59 Kings 10/25/2011 Brooklyn NY 11201 Exclusion - 18NYCRR515 SLOBODYAN LYUDMILA LPN/RN NM007561 00285188/00576569 59 Kings 10/25/2011 Brooklyn NY 10006 Exclusion - 18NYCRR515 SLONIMSKAYA VIKTORIYA Home Health Aide NM002769 08/20/2009 Brooklyn NY 11223 Exclusion - 18NYCRR515 SLUTSKY LEONID MD 01618331 62 Richmond 09/18/2008 STATEN ISLAND NY 10305 Exclusion - 18NYCRR515 SLUTSKY ROBERT A MD Physician 01831350 00162815 47 Suffolk 01/24/2011 BAY SHORE NY 11706-8408 Exclusion - 18NYCRR515 PHYSICIANS SMALL SEIDEL R. Nurse NM006174 00263181 05/31/2010 Brooklyn NY 11236 Exclusion - 18NYCRR515 SMALL SMILES DENTISTRY ALBANY Dentist Group 02633892 01 Albany 04/20/2011 ALBANY NY 12205 Exclusion - 18NYCRR515 SYSTEM GENERATED FROM CLAIM SMALLINE MICHAEL A DDS 00290235 00031233 58 Bronx 07/05/2001 BRONX NY 10455 Exclusion - 18NYCRR515 SMALLS MARY R RN Nurse/Training School Owner 02142703 00237383 61 Queens 06/05/2011 ROSEDALE NY 11422-1306 Exclusion - 18NYCRR515 SMETANA DENNIS G PC MD 00220686 00118269 58 Bronx 01/04/2006 BRONX NY 10468 Exclusion - 18NYCRR515 PHYSICIANS SMITH ALICIA LPN NM006191 00292014 01/17/2012 Schenectady NY 12307 Exclusion - 18NYCRR515 PRACTICAL NURSE SMITH CARL EMPLOYEE NM004122 09/18/2008 Brooklyn NY 11207 Exclusion - 18NYCRR515 SMITH CHRISTINA LPN LPN NM007289 00256736 07/12/2011 Gowanda NY 14070-1401 Exclusion - 18NYCRR515 PRACTICAL NURSE SMITH CHRISTINE FORMER OWNER OF HOME FOR ADULTS NM002364 11/02/2008 Beaver Dams NY 14812 Exclusion - 18NYCRR515 SMITH DEBORAH J Home Health Aide NM007691 44 Schuyler 12/19/2011 Odessa NY 14869 Exclusion - 18NYCRR515 SMITH HARRY FORMER OWNER OF HOME FOR ADULTS NM002365 11/19/2009 Beaver Dams NY 14812 Exclusion - 18NYCRR515 SMITH JOHN WILLIAM 02209754 00220343 60 New York 03/20/2008 NEW YORK NY 10019 Exclusion - 18NYCRR515 SMITH JOSEPH KERRY NM006590 175346 02/19/2009 Champaign IL 61820 Exclusion - 18NYCRR515 PHYSICIANS SMITH JOSEPH M Physician 02900943 00245226 39 Rockland 06/05/2011 SUFFERN NY 10901-4812 Exclusion - 18NYCRR515 SMITH LOUIS Personal Care Assistant NM006534 10/26/2010 Rochester NY 14608 Exclusion - 18NYCRR515 SMITH MICHAEL DAVID CSW Clinical Social Worker 02389706 00055104 47 Suffolk 11/29/2011 SMITHTOWN NY 11787-4715 Exclusion - 18NYCRR515 SMITH NORMAN ALLEN II Nurse NM006343 00273666 08/10/2010 Peekskill NY 10566 Exclusion - 18NYCRR515 SMITH RICHARD Social Worker NM006133 00035608 07/20/2005 Woodstock GA 30189 Exclusion - 18NYCRR515 SMITH TARA CNA NM003655 341663920701E 01/20/2009 Rochester NY 14608 Exclusion - 18NYCRR515 SYSTEM GENERATED FROM CLAIM SMITH TIMOTHY E. Massage Therapist NM005327 00014363 11/26/2009 Syracuse NY 13219 Exclusion - 18NYCRR515 SMITH WILLIAM H LPN NM006581 00268387 27 Montgomery 09/20/2006 FT. PLAIN NY 13339 Exclusion - 18NYCRR515 SMOLARSKY JASON NM001294 00482143 09/20/2006 DEER PARK NY 11729 Exclusion - 18NYCRR515 SMOLKO, MILAN Physician NM004113 00143709 01/20/2010 CLARKS SUMMIT PA 18411 Exclusion - 18NYCRR515 SMOOT BARBARA L.P.N. NM001550 00095640 01/15/2007 ALBANY NY 12206 Exclusion - 18NYCRR515 SMOTKIN YAKOV SHOE REPAIR 00873189 59 Kings 03/02/1993 BROOKLYN NY 11229 Exclusion - 18NYCRR515 SNIDE EDWARD P NURSE NM003068 00250290 12/20/2007 Albany NY 12209 Exclusion - 18NYCRR515 SNYDER ALFRED 00180130 00103761 10/02/2001 BROOKLYN NY 11235 Exclusion - 18NYCRR515 SOBEL DAVID A DDS 00286168 00026749 03/31/2003 BRONX NY 10458 Exclusion - 18NYCRR515 SOBEL HAROLD D DDS 00434822 00033700 28 Nassau 06/30/1994 GREAT NECK NY 11021 Exclusion - 18NYCRR515 SOBIESKI THOMAS J NM001943 00027165 05/20/2007 Deer Park NY 11729 Exclusion - 18NYCRR515 PHYSICIANS SOCHOCKI PETER J 02508565 00001522 99 Out Of State 12/20/2007 LIVERPOOL NY 13088 Exclusion - 18NYCRR515 SOFOS KONSTANTINOS G NM002562 00011312 10/18/2007 San Leandro CA 94578 Exclusion - 18NYCRR515 SOKHA BORIS Medical Management Company Owner NM004937 04/20/2009 Fort Dix NJ 08640 Exclusion - 18NYCRR515 SYSTEM GENERATED FROM CLAIM SOKOL ABRAHAM MD 00707942 00125783 60 New York 07/11/1993 NEW YORK NY 10021 Exclusion - 18NYCRR515 SOLER AHMET ERDOGAN DDS 00452391 00029951 26 Monroe 06/14/1985 SCOTTSVILLE NY 14546 Exclusion - 18NYCRR515 SOLEYE BABATUNDE DPM 00525719 00003172 58 Bronx 08/02/1993 BRONX NY 10451 Exclusion - 18NYCRR515 SOLIS ELVIRA E RN NM007610 00530739 61 Queens 02/08/2012 Elmhurst NY 11373 Exclusion - 18NYCRR515 REGISTERED NURSE SOLOMON ABRAHAM I MD 01922210 00000000 02/07/2002 NEW YORK NY 10087 Exclusion - 18NYCRR515 SOLOMON MICHAEL A MD 00703562 00122161 61 Queens 04/20/1998 RIDGEWOOD NY 11385 Exclusion - 18NYCRR515 SOLONDZ GARY PC DDS 00501762 00028795 19 Greene 04/30/1992 CATSKILL NY 12414 Exclusion - 18NYCRR515 SOLOVEY MICHAEL aka ROBERT STEIN Management Services Company Owner NM005444 11/19/2009 San Mateo CA 94402 Exclusion - 18NYCRR515 SOLOWAY JUDI A NM000408 00216724 10/30/2007 SAYRE PA 18840 Exclusion - 18NYCRR515 SOLURI LAURA DPM 01145211 00004598 28 Nassau 04/20/1999 FARMINGDALE NY 11735 Exclusion - 18NYCRR515 SOMERS EMMANUEL MD 01068822 00103366 61 Queens 07/13/1997 FLUSHING NY 11355 Exclusion - 18NYCRR515 SOMERS HOWARD B Physician NM005366 00134033 11/15/2009 Coronado CA 92178 Exclusion - 18NYCRR515 SOMERVILLE SONYNETTE LPN NM004489 00276572 05/20/2009 Schenectady NY 12308 Exclusion - 18NYCRR515 PRACTICAL NURSE SONI CHANDRAKANTA A MD 00731439 00150952 61 Queens 08/10/1997 RIDGEWOOD NY 11385 Exclusion - 18NYCRR515 SONIC SNEAKER CENTER INC 00870640 58 Bronx 02/27/1992 BRONX NY 10459 Exclusion - 18NYCRR515 SONZA PATRICIO Physician NM006829 00144909 11/17/2010 Flemington NJ 08822 Exclusion - 18NYCRR515 SOORI MOHAMMED KANYORI BOYE Physician 02497001 00229215 60 New York 02/18/2010 NEW YORK NY 10025-2649 Exclusion - 18NYCRR515 SOPKO REBECCA CNA NM002062 3423480809 06/19/2008 Buffalo NY 14220 Exclusion - 18NYCRR515 SORENSEN MARK C Physician 01307042 00144313 14 Erie 03/20/2007 WILLIAMSVILLE NY 14221 Exclusion - 18NYCRR515 SORIN ROMAN MD Physician 01095541 00176237 59 Kings 10/01/2010 BROOKLYN NY 11235-2952 Exclusion - 18NYCRR515 SOROKIN GRIGORY MD 00932870 00165131 59 Kings 09/27/1994 BROOKLYN NY 11235 Exclusion - 18NYCRR515 SOULISKE LORI A. NM002532 02/20/2008 Lockport NY 14094 Exclusion - 18NYCRR515 SOUNDVIEW HEALTH CENTER Diagnostic and Treatment Center 00665274 7000239R 58 Bronx 02/19/2012 BRONX NY 10473-2631 Exclusion - 18NYCRR515 SYSTEM GENERATED FROM CLAIM SOUNDVIEW MEDICAL BUILDING 01003281 58 Bronx 06/14/1992 BRONX NY 10473 Exclusion - 18NYCRR515 SOUSA TATIANA Therapist-Unlicensed NM005742 02/23/2010 Danbury CT 06810 Exclusion - 18NYCRR515 SOUSIE LISA Nurse NM006192 00285821 06/02/2010 Troy NY 12182 Exclusion - 18NYCRR515 SOUTH BRONX MEDICAL & WELLNESS NM003944 00204777 06/25/2008 New York NY 10001 Exclusion - 18NYCRR515 SOUTH SHORE HEARING AID CTR 00378634 63SO2280 47 Suffolk 04/20/1998 BAY SHORE NY 11706 Exclusion - 18NYCRR515 SOUTH SHORE MEDICAL OF NY NM003945 00204777 07/22/2008 Lawrence NY 11559 Exclusion - 18NYCRR515 SOVEREIGN JEANETTE Nurse NM004989 00284623 10/20/2009 Eden NY 14057 Exclusion - 18NYCRR515 SOVEREIGN SURGICAL SUPPLIES DME Owner NM007636 59 Kings 11/15/2011 Brooklyn NY 11229 Exclusion - 18NYCRR515 SYSTEM GENERATED FROM CLAIM SPAID MARK J. NM000662 01/07/2008 GLOVERSVILLE NY 12078 Exclusion - 18NYCRR515 SPANHAKE MARIE NURSE NM003004 00236446 12/20/2007 Holtsville NY 11742 Exclusion - 18NYCRR515 SPARTALIS MENICOS A MD 00797080 00149934 59 Kings 09/05/1996 BROOKLYN NY 11201 Exclusion - 18NYCRR515 SPAULDING BRADLEY BRUCE MD 02514969 00229721 14 Erie 09/12/2005 JOHNSON CITY NY 13790 Exclusion - 18NYCRR515 PHYSICIANS SPECTOR PAUL JOSEPH MD 01265076 00166980 60 New York 05/06/2004 NEW YORK NY 10032 Exclusion - 18NYCRR515 PHYSICIANS SPEISER BRUCE DDS Dentist 00973331 00040096 61 Queens 02/14/2011 JAMAICA NY 11432-4918 Exclusion - 18NYCRR515 SYSTEM GENERATED FROM CLAIM SPEKTOR IOSIF G MD 00982545 00160727 61 Queens 09/20/2000 JAMAICA NY 11418 Exclusion - 18NYCRR515 SPERBER KIRK E MD 01789344 162109 60 New York 09/12/2008 NEW YORK NY 10029-6501 Exclusion - 18NYCRR515 PHYSICIANS SPICER ALBERT LPN 02009465 00226010 13 Dutchess 09/10/2004 POUGHKEEPSIE NY 12603 Exclusion - 18NYCRR515 PRACTICAL NURSE SPIELMAN MICHAEL IRA DPM 00746263 00002315 59 Kings 02/13/1995 BROOKLYN NY 11237 Exclusion - 18NYCRR515 SPITSYNA ESFIR Unknown NM003605 59 Kings 11/02/2008 Brooklyn NY 11223 Exclusion - 18NYCRR515 SPOGEN FREDERICK NM000640 00023637 01/04/2006 HERKIMER NY 13350 Exclusion - 18NYCRR515 SPOONER SHANE CNA NM005337 341724481101E 05/20/2010 Plattsburgh NY 12901 Exclusion - 18NYCRR515 SPORN ALEXANDER 01581295 00163387 05/07/2002 REGO PARK NY 11374 Exclusion - 18NYCRR515 SPRINGER CLYDE HENDERSON MD 01020593 00144271 59 Kings 08/02/1993 BROOKLYN NY 11210 Exclusion - 18NYCRR515 SPRINGER JACKIE MD NM001022 00228110 12/04/2006 OVERLAND PARK KS 66213 Exclusion - 18NYCRR515 SROUR JEFFREY M NM002262 00005414 07/02/2007 Bellmore NY 11710 Exclusion - 18NYCRR515 CHIROPRACTOR/PORT-XRAY-SVC (QMB) SSS PHARMACY CORP 01121264 00020069 59 Kings 09/08/1998 BROOKLYN NY 11230 Exclusion - 18NYCRR515 ST JOHN S DRUGS INC 00565004 30 Oneida 06/03/1987 ROME NY 13440 Exclusion - 18NYCRR515 ST LOUIS PARNELL 01304278 00003563 99 Out Of State 03/16/1995 WEST ORANGE NJ 07052 Exclusion - 18NYCRR515 ST LUCIA STEVEN A MD 01418895 00191715 42 Schenectady 10/19/2000 SCHENECTADY NY 12309 Exclusion - 18NYCRR515 ST. FLEUR ELSIE M NM003691 00412278 06/25/2008 Valley Stream NY 11580 Exclusion - 18NYCRR515 ST. PETER LISA TDI Pharmacy Owner NM006609 04/20/2009 Bruceton Mills WV 26525 Exclusion - 18NYCRR515 STADLER SIDNEY NM003487 01/01/1998 Unknown ZZ 00000 Exclusion - 18NYCRR515 STALLINGS CAROL WRIGHT LPN 00983495 00186880 59 Kings 01/07/1997 BROOKLYN NY 11233 Exclusion - 18NYCRR515 STAMBLER LEONARD I MD Physician 01394774 00182365 59 Kings 01/16/2012 BROOKLYN NY 11235 Exclusion - 18NYCRR515 PHYSICIANS STAMBOUL OMAR MOYO MD 00419856 00090078 59 Kings 09/27/1989 BROOKLYN NY 11236 Exclusion - 18NYCRR515 STAMEISEN ALVIN E PC DDS Dentist 00291910 00022532 58 Bronx 08/19/2010 BRONX NY 10457-8546 Exclusion - 18NYCRR515 STANLEY ERIK Supervising Developmental Aide NM007381 99 Out Of State 09/26/2011 North Middleton NJ 07748-5765 Exclusion - 18NYCRR515 SYSTEM GENERATED FROM CLAIM STANLEY RHONA 00492044 00035318 58 Bronx 09/24/1996 BRONX NY 10458 Exclusion - 18NYCRR515 STARACE LOUIS M MD Physician 01034326 00156861 39 Rockland 10/27/2010 SUFFERN NY 10901-4927 Exclusion - 18NYCRR515 STARMAN SIDNEY DDS Dentist 00435956 00024220 26 Monroe 01/20/2010 ROCHESTER NY 14616-1206 Exclusion - 18NYCRR515 STASIAK ROBERT L NM002210 00004060 05/28/2007 Buffalo NY 14220 Exclusion - 18NYCRR515 CHIROPRACTOR/PORT-XRAY-SVC (QMB) STAT REGISTERED NURS SERV PC 01157419 47 Suffolk 05/19/1996 NORTHPORT NY 11768 Exclusion - 18NYCRR515 STAT REGISTERED NURS SERV PC 01157419 47 Suffolk 12/30/1994 NORTHPORT NY 11768 Exclusion - 18NYCRR515 STATE OPTICIANS INC 00494293 00000000 04/03/2003 ALBANY NY 12207 Exclusion - 18NYCRR515 STATEN ISLAND CAR SERVICE, INC 02086895 00B00007 62 Richmond 10/07/2003 STATEN ISLAND NY 10314 Exclusion - 18NYCRR515 STAW IGAL 00816519 CT020108 99 Out Of State 07/22/2008 NORWALK CT 06851 Exclusion - 18NYCRR515 STAY SLIM PHARMACY INC 02393222 00026017 09/25/2006 BROOKLYN NY 11230 Exclusion - 18NYCRR515 STECKMEYER PAUL J MD 00698619 00119916 14 Erie 07/20/2000 HAMBURG NY 14075 Exclusion - 18NYCRR515 STEDMAN DENISE ROSE RN 03138878 00396376 26 Monroe 09/20/2011 ROCHESTER NY 14612-5213 Exclusion - 18NYCRR515 STEEL BURTON B MD 00496424 00047457 33 Orange 06/14/1984 WASHINGTONVILLE NY 10992 Exclusion - 18NYCRR515 STEELE ANTHONY A. NM002890 00112919 12/20/2007 Fisherville VA 22939 Exclusion - 18NYCRR515 STEFANIDES AUDREY A Nurse 02206788 00209312 26 Monroe 10/20/2010 WEBSTER NY 14580-2544 Exclusion - 18NYCRR515 STEIN DANIEL S. NM002982 00192257 01/29/2008 Tampa FL 33607 Exclusion - 18NYCRR515 STEIN MICHAEL PAUL MD 00972770 00162340 99 Out Of State 07/05/2001 RANDOLPH NJ 07869 Exclusion - 18NYCRR515 STEINKE CHARLES THOMAS MD 01128270 00176283 61 Queens 02/13/1996 NEPONSIT NY 11694 Exclusion - 18NYCRR515 STEPHENS LISA NM001563 00539662 99 Out Of State 12/20/2006 NEWPORT FL 34655 Exclusion - 18NYCRR515 STEPHENSON DAVID W MD 01495321 00190843 30 Oneida 09/12/2005 AKRON OH 44313 Exclusion - 18NYCRR515 PHYSICIANS STERK SAM 01969319 00013073 62 Richmond 10/09/2002 STATEN ISLAND NY 10312 Exclusion - 18NYCRR515 STEVENS AMBULETTE SVC INC 00323515 0000P19K 59 Kings 04/10/1995 BROOKLYN NY 11238 Exclusion - 18NYCRR515 STEVENS CORDELIA F MD 01933797 00207599 33 Orange 12/20/2007 FLORIDA NY 10921 Exclusion - 18NYCRR515 STEVENS EDGAR VINCENT 01613345 00026393 31 Onondaga 11/20/2000 EAST SYRACUSE NY 13057 Exclusion - 18NYCRR515 STEVENS KIPPER VAN LPN Nurse 02121777 00240558 26 Monroe 09/20/2010 ROCHESTER NY 14608-2405 Exclusion - 18NYCRR515 STEVENS MICHAEL PATRICK MD 01658988 PA051614 99 Out Of State 07/19/2007 SUSQUEHANNA PA 18847 Exclusion - 18NYCRR515 STEVENS RICHARD RN NM006944 00568552 02/20/2011 Merrick NY 11566 Exclusion - 18NYCRR515 STEVENSON CARMEN RPN NM002266 00467326 07/02/2007 Troy NY 12180 Exclusion - 18NYCRR515 REGISTERED NURSE STEWART CHARLES L MD 00991951 00168584 47 Suffolk 07/28/2000 STONY BROOK NY 11794 Exclusion - 18NYCRR515 STEWART LYNN CNA NM001434 3414718405 10/18/2007 BUFFALO NY 14215 Exclusion - 18NYCRR515 STILLMAN JEFFREY MD 01250417 00183994 03 Broome 03/28/2008 BINGHAMTON NY 13903 Exclusion - 18NYCRR515 STILTS JULIE COOK Nurse NM006202 00442775 04/20/2010 Callery PA 16024 Exclusion - 18NYCRR515 STIMLER CHARLES ERIC MD 01080368 00161019 59 Kings 05/18/1990 BROOKLYN NY 11235 Exclusion - 18NYCRR515 STODDARD SHELDON Dietary Technician NM004929 10/20/2009 Rome NY 13440 Exclusion - 18NYCRR515 STOFF JESSE MD Physician 02968147 00150519 59 Kings 10/19/2011 BROOKLYN NY 11235-6320 Exclusion - 18NYCRR515 STOKOLS MARSHALL DPM 00841525 00003809 58 Bronx 08/10/1994 BRONX NY 10455 Exclusion - 18NYCRR515 STOLL JOHN W MD 00450995 00090128 24 Livingston 04/30/1990 NUNDA NY 14517 Exclusion - 18NYCRR515 STOLL SEYMOUR NM002464 00140178 08/20/2007 Torrance CA 90503 Exclusion - 18NYCRR515 STONE YVETTE MARIE Nurse NM006466 00416656 10/05/2010 Corinth NY 12822 Exclusion - 18NYCRR515 STORCH ALLYSEN NURSE NM003326 00447203 02/25/2008 Middletown NY 10940 Exclusion - 18NYCRR515 STORMS ANDREA LYNN Nurse NM006147 00280565 05/04/2009 North Syracuse NY 13021 Exclusion - 18NYCRR515 STRADE KELLY A NM002286 05/20/2008 Tonawanda NY 14217 Exclusion - 18NYCRR515 STRATFORD WILLIAM MD 01237109 00127363 01/11/2002 NEW YORK NY 10001 Exclusion - 18NYCRR515 STREETER ROBERT MACIO D P M 00418520 00003027 60 New York 03/30/1992 NEW YORK NY 10027 Exclusion - 18NYCRR515 STROGOV EMILIA DPM 00685745 00003321 59 Kings 08/22/2005 BROOKLYN NY 11212 Exclusion - 18NYCRR515 STRUGATS MICHAEL A DPM 00785557 00003640 28 Nassau 06/17/1999 LYNBROOK NY 11563 Exclusion - 18NYCRR515 STRUTSOVSKIY MIKHAIL Physicial Therapist 02367797 00019130/00251108 14 Erie 04/20/2010 KENMORE NY 14217-2337 Exclusion - 18NYCRR515 STUART YVONNE Clerk NM005118 05/17/2010 Bronx NY 10452 Exclusion - 18NYCRR515 STULC JAROSLAV P MD Physician 00953939 00157911 14 Erie 04/21/2010 BUFFALO NY 14220-2095 Exclusion - 18NYCRR515 STUMPF NICHOLLE CNA NM004974 342194161004E 01/20/2010 Mastic NY 11950 Exclusion - 18NYCRR515 STUPAK ADAM S. NM002877 12/20/2007 Hewlett NY 11557 Exclusion - 18NYCRR515 STUYVESANT HEIGHTS MED GRP PC 01175800 59 Kings 03/25/2001 BROOKLYN NY 11221 Exclusion - 18NYCRR515 STYNES KATHLEEN E LPN/RN NM005661 00124015/00311328 05/20/2010 Staten Island NY 10312 Exclusion - 18NYCRR515 SU CHENG HE Accupuncturist NM005270 00001328 10/13/2009 Flushing NY 11355 Exclusion - 18NYCRR515 SUADI DAVID GREGORY Physician NM006510 00217022 11/19/2010 Bakersfield CA 93314 Exclusion - 18NYCRR515 SUBRAMANIAM RASIAH MD NM006602 119403 12/22/2008 Englewood FL 34223 Exclusion - 18NYCRR515 PHYSICIANS SUFFOLK COUNTY HEARING AID CT 00627358 63SU1190 47 Suffolk 08/16/1993 PATCHOGUE NY 11772 Exclusion - 18NYCRR515 SUFFOLK COUNTY HEARING AID CT 00627367 47 Suffolk 02/23/1992 SMITHTOWN NY 11787 Exclusion - 18NYCRR515 SUFRIN MARCEL MDPC 00167446 00098346 61 Queens 03/17/1991 FLUSHING NY 11355 Exclusion - 18NYCRR515 SUH CHANG SAM Physician 01907157 00156595 47 Suffolk 08/18/2011 BROOKHAVEN NY 11719-9715 Exclusion - 18NYCRR515 SUH KENNETH DONG JIN Accupuncturist NM005343 00001535 10/20/2009 Elmhurst NY 11373 Exclusion - 18NYCRR515 SUKHARAVA TATSIANA Home Health Adie NM003384 05/20/2010 Brooklyn NY 11235 Exclusion - 18NYCRR515 SUKIENIK LEONARD ARI DO NM002505 00193974 08/02/2007 Willington FL 33414 Exclusion - 18NYCRR515 SULLIVAN KRISTYN AKA SILVAGNOLI Nurse NM006007 00254910 04/29/2010 Utica NY 13502 Exclusion - 18NYCRR515 SULLIVAN PAULA MARIE 02156921 00263006 02/19/2007 ROCHESTER NY 16368 Exclusion - 18NYCRR515 SULLIVAN ULONDA Home Health Aide NM005722 10/20/2010 Rochester NY 14613 Exclusion - 18NYCRR515 SUNDERLAND PEARSON III Physician NM007412 00236606 99 Out Of State 09/04/2011 Chevy Chase MD 20815 Exclusion - 18NYCRR515 SUNG KYUNG EUN DDS Dentist 02877627 00053404 58 Bronx 11/29/2010 BRONX NY 10458-5108 Exclusion - 18NYCRR515 SUNIK ANATOLY Acupuncturist NM006067 00002919 05/12/2010 Rego Park NY 11374 Exclusion - 18NYCRR515 SUNNEN GERARD V MD 00189313 00107435 60 New York 07/31/1997 NEW YORK NY 10016 Exclusion - 18NYCRR515 SUPERIOR PHARMACY INC 01944132 61 Queens 12/01/2002 JACKSON HEIGHTS NY 11372 Exclusion - 18NYCRR515 SUPPORT CENTER INC D & T 02160396 CD011072 33 Orange 07/21/2011 PORT JERVIS NY 12771-5132 Exclusion - 18NYCRR515 SYSTEM GENERATED FROM PROVIDER SURPRIS GUY A MD 00803838 00152432 60 New York 12/06/1992 NEW YORK NY 10027 Exclusion - 18NYCRR515 SUSHIL GUPTA 01617770 00196965 08/20/2006 WOODBRIDGE CT 06525 Exclusion - 18NYCRR515 SUSHMAA INTERNATIONAL, INC. NM003051 02/06/2008 New York NY 10001 Exclusion - 18NYCRR515 SUSTER STUART M. NM000692 00032820 09/13/2005 NORTH SALEM NY 10560 Exclusion - 18NYCRR515 SUTPHIN PHARMACY INC 00507759 00016913 61 Queens 04/06/1993 JAMAICA NY 11435 Exclusion - 18NYCRR515 SUTTER CAROL Nurse NM005244 00174951 10/11/2009 Ballston Spa NY 12020 Exclusion - 18NYCRR515 SUTTON DENISE J RN NM007647 00410513 33 Orange 11/01/2011 Walden NY 12586 Exclusion - 18NYCRR515 SUTTON REGINALD M MD Physician 00639721 00130142 14 Erie 02/22/2010 BUFFALO NY 14203-1195 Exclusion - 18NYCRR515 SVENDSEN PAMELA MARIE NM000673 00332227 01/04/2006 HICKSVILLE NY 11801 Exclusion - 18NYCRR515 SVS WELLCARE MEDICAL PLLC Physician Group 02958423 00059653 59 Kings 12/25/2011 BROOKLYN NY 11214 Exclusion - 18NYCRR515 SYSTEM GENERATED FROM CLAIM SWANSTON MELVON C PHD 01812468 00010100 61 Queens 08/20/2007 ST ALBANS NY 11412 Exclusion - 18NYCRR515 PSYCHOLOGIST SWIRE KENNETH MD 00272353 00126702 28 Nassau 12/20/1998 OCEANSIDE NY 11572 Exclusion - 18NYCRR515 SWISS MEDICAL SUPPLY INC 01503777 60 New York 10/05/1997 NEW YORK NY 10027 Exclusion - 18NYCRR515 SYBERG MARY ELLA LPN / RN NM007414 00164010/ 00501065 56 Wyoming 10/11/2011 Perry NY 14530 Exclusion - 18NYCRR515 SYED FARID 01318634 61 Queens 10/30/2007 JACKSON HEIGHTS NY 11372 Exclusion - 18NYCRR515 SYED KHADER M. NM001396 12/19/2006 OZONE PARK NY 11417 Exclusion - 18NYCRR515 SYLVAIN SERENA Unlicensed Nurse NM005483 99 Out Of State 10/02/2011 Ontario, Canada XX 00000 Exclusion - 18NYCRR515 SYLVESTER HEARING AID CENTER 00322707 00051003 55 Westchester 01/07/1992 WHITE PLAINS NY 10601 Exclusion - 18NYCRR515 SYLVESTER HEARING AIDS 00818240 63SY1260 58 Bronx 11/09/1992 BRONX NY 10458 Exclusion - 18NYCRR515 SYMA DRUGS INC 00871265 00018434 61 Queens 11/01/1997 JAMAICA NY 11432 Exclusion - 18NYCRR515 SZALAVETZ GEORGE DDS Dentist 00286044 00031974 59 Kings 06/05/2011 BROOKLYN NY 11235-4945 Exclusion - 18NYCRR515 SZEWCZYK DANIELLE CNA NM006575 3412092910 05/20/2007 BUFFALO NY 14212 Exclusion - 18NYCRR515 SZS MEDICAL CARE PLLC Physician Group 03120087 00065675 59 Kings 12/25/2011 BROOKLYN NY 11214-5193 Exclusion - 18NYCRR515 SYSTEM GENERATED FROM CLAIM SZWALLA ROBERTA MAE NURSE NM001656 00250546 02/20/2007 BINGHAMTON NY 13903 Exclusion - 18NYCRR515 Skaarup Kim aka Keller LPN NM005403 00105909 04/03/2011 Troy NY 12180 Exclusion - 18NYCRR515 T C H DRUGS CORP 00271783 00012596 60 New York 07/17/1993 NEW YORK NY 10027 Exclusion - 18NYCRR515 T J & E SALES & SERVICES CORP 00985153 60 New York 11/23/1997 NEW YORK NY 10016 Exclusion - 18NYCRR515 TAEFI PARVIZ PC MD 00468066 00102477 14 Erie 12/18/1997 BUFFALO NY 14209 Exclusion - 18NYCRR515 TAGGERT SUZANNE MARIE LPN NM007378 00219251 26 Monroe 08/16/2011 Fairport NY 14450 Exclusion - 18NYCRR515 TAHIR AZHAR MUNIR MD 01451505 00190786 46 Steuben 05/06/2004 HAMMONDSPORT NY 14840 Exclusion - 18NYCRR515 PHYSICIANS TAITT PRISCILLA ANN LPN 02123022 00237205 55 Westchester 06/20/2007 YONKERS NY 10701 Exclusion - 18NYCRR515 PRACTICAL NURSE TAJ KASHMIR INTERNATIONAL, INC. NM003046 02/06/2008 New York NY 10001 Exclusion - 18NYCRR515 TAJ KASHMIR NEW YORK, INC. NM003045 02/06/2008 New York NY 10001 Exclusion - 18NYCRR515 TALARICO KIMERLY NM002326 00010216 07/19/2007 Syracuse NY 13203 Exclusion - 18NYCRR515 SYSTEM GENERATED FROM CLAIM TALVY LOURDES D MD 00208411 00113962 59 Kings 10/19/2000 BROOKLYN NY 11233 Exclusion - 18NYCRR515 TAMBE MOSES ASHU MD 00830846 00153250 58 Bronx 02/26/1989 BRONX NY 10454 Exclusion - 18NYCRR515 TAMES STEVEN M MD 00601010 00139390 55 Westchester 11/20/1997 VALHALLA NY 10595 Exclusion - 18NYCRR515 TAMIR DANNY Physician NM007577 FL012920 59 Kings 11/29/2011 Brooklyn NY 11234-4103 Exclusion - 18NYCRR515 TAN EGBERT AUNG KYAING MD 01204439 00183140 60 New York 11/20/2000 NEW YORK NY 10002 Exclusion - 18NYCRR515 TAN FERNANDO TAN 01428853 00011913 28 Nassau 01/24/2008 FREEPORT NY 11520 Exclusion - 18NYCRR515 TAN SUNG DAM MD 01098544 00152228 60 New York 06/19/1996 NEW YORK NY 10016 Exclusion - 18NYCRR515 TAN TERESITA V MD 00678175 00113834 59 Kings 05/07/1995 BROOKLYN NY 11225 Exclusion - 18NYCRR515 TAN YAN SHIN MD 00971224 00167473 62 Richmond 12/27/1995 STATEN ISLAND NY 10314 Exclusion - 18NYCRR515 TANG BING H MD 00219690 00117916 61 Queens 11/20/1997 FLUSHING NY 11366 Exclusion - 18NYCRR515 TANVEER MOHAMMED Business Owner NM001283 61 Queens 09/20/2011 BAYSIDE NY 11361 Exclusion - 18NYCRR515 TARAKANOVA RAISA NM001505 06/04/2007 BROOKLYN NY 11235 Exclusion - 18NYCRR515 TARIKERE HEMALATHADEVI V MD 00815178 00157344 61 Queens 10/29/1990 RICHMOND HILL NY 11419 Exclusion - 18NYCRR515 TARTER ROGER P MD 00664737 55 Westchester 02/02/1992 MOUNT VERNON NY 10551 Exclusion - 18NYCRR515 TAUBES HARVEY MD 00770741 00084922 61 Queens 08/13/1996 SO OZONE PARK NY 11420 Exclusion - 18NYCRR515 TAVERAS VIRGILIO AKA MICHAEL GOODMAN Unlicensed Dentist NM007214 61 Queens 05/31/2011 Hollis NY 11423 Exclusion - 18NYCRR515 TAVERAS-NUNEZ JUAN NM006573 08/19/2010 Dannemora NY 12929 Exclusion - 18NYCRR515 TAVERNIER EDOUARD A MD 02365722 38 Rensselaer 08/20/2008 TROY NY 12180 Exclusion - 18NYCRR515 TAYLOR JAMES R. NM002668 10/18/2007 Brooklyn NY 11232 Exclusion - 18NYCRR515 TAYLOR JILL A 01365993 00188695 47 Suffolk 11/30/2007 PORT JEFFERSON NY 11777 Exclusion - 18NYCRR515 TAYLOR JOANN M LPN 01457469 00230092 04/07/2004 RICHMOND HILL NY 11418 Exclusion - 18NYCRR515 TAYLOR MICHELLE NURSE/NURSE AIDE NM001057 10/20/2005 RIVERHEAD NY 11901 Exclusion - 18NYCRR515 TAYLOR NICOLE LEE L.P.N. NM001559 00233304 01/15/2007 EAST MEADOW NY 11554 Exclusion - 18NYCRR515 TAYLOR SCOTT Chiropractor NM006134 00006828 09/20/2005 Morgantown WV 26501 Exclusion - 18NYCRR515 TBI SERVICES LLC Home Care Agency 02621387 TBI00335 29 Niagara 11/19/2009 GASPORT NY 14067 Exclusion - 18NYCRR515 TCHERNYTCHENKO VERONYKHA Receptionist NM006546 59 Kings 08/03/2011 Brooklyn NY 11235 Exclusion - 18NYCRR515 TDI PHARMACY 01883361 PA415428 99 Out Of State 12/29/2000 PITTSBURGH PA 15205 Exclusion - 18NYCRR515 TEEMAC MEDICAL RENTALS INC 00708127 47 Suffolk 10/11/1990 MEDFORD NY 11763 Exclusion - 18NYCRR515 TEKKNO LABORATORIES INC 01150229 10970000 61 Queens 12/01/1990 QUEENS VILLAGE NY 11428 Exclusion - 18NYCRR515 TELFER MEGAN LPN NM002218 00243629 05/28/2007 Dix Hills NY 11746 Exclusion - 18NYCRR515 PRACTICAL NURSE TEN EYCK MARYANN NURSE NM004028 00494915 08/24/2008 Niskayuna NY 12309 Exclusion - 18NYCRR515 TERAN LUIS A Unlicensed Dentist NM005175 07/20/2009 Jackson Heights NY 11372 Exclusion - 18NYCRR515 TERAN MARGARITA R Unlicensed Dentist NM005178 07/20/2009 Jackson Heights NY 11372 Exclusion - 18NYCRR515 TERDJANIAN RAFIK S Unknown NM007328 59 Kings 08/21/2011 Brooklyn NY 11235 Exclusion - 18NYCRR515 TERGLO ASSOCIATES INC 00969975 61 Queens 12/08/1993 MASPETH NY 11378 Exclusion - 18NYCRR515 TERRA JUSTIN C MD 01187273 00095765 60 New York 07/18/1995 NEW YORK NY 10029 Exclusion - 18NYCRR515 TERRANA CHARLES 00594963 00002847 14 Erie 02/19/1998 BUFFALO NY 14201 Exclusion - 18NYCRR515 TERUEL LORENZO TOLOSA MD 00694275 00100774 14 Erie 06/12/1987 BUFFALO NY 14225 Exclusion - 18NYCRR515 TEUSINK SCOTT HOWARD DPM 01268060 00004917 62 Richmond 06/05/1995 STATEN ISLAND NY 10304 Exclusion - 18NYCRR515 TEZEL HASAN K MD 00582036 03 Broome 05/20/1998 BINGHAMTON NY 13904 Exclusion - 18NYCRR515 THALER AMANDA L CNA NM004731 342507551206E 04/20/2010 Rome NY 13440 Exclusion - 18NYCRR515 THALES WELL INC Pharmacy 02640751 00027134 47 Suffolk 02/23/2010 HUNTINGTON STATION NY 11746-0860 Exclusion - 18NYCRR515 THALIA TERRI-ANN ELIE Speech Language Pathologist NM005164 00014800 07/06/2009 Westbury NY 11590 Exclusion - 18NYCRR515 THAMRONG BEN P MD 01157579 00116010 60 New York 07/30/1990 NEW YORK NY 10022 Exclusion - 18NYCRR515 THARAY MALINI HHA NM005193 58 Bronx 02/20/2011 Bronx NY 10475 Exclusion - 18NYCRR515 SYSTEM GENERATED FROM CLAIM THE MEDICINE SHOPPE PHARMACY 01790665 PA410540 99 Out Of State 02/02/2001 CRAFTON PA 15205 Exclusion - 18NYCRR515 THE NEW YORK HEALTH PLAN INC 01472302 61 Queens 06/08/1997 EAST ELMHURST NY 11370 Exclusion - 18NYCRR515 THIRD AVENUE PHARMACY & SURGICALS 01584321 00021243 60 New York 01/24/2008 NEW YORK NY 10016 Exclusion - 18NYCRR515 THOM DESIREE CNA NM000632 3413847511 01/04/2006 S. OZONE PARK NY 11420 Exclusion - 18NYCRR515 SYSTEM GENERATED FROM CLAIM THOMAS ANNAMMA NM000610 00419308 06/01/2005 YOUNKERS NY 10701 Exclusion - 18NYCRR515 THOMAS CHRISTINE Private Citizen NM006135 04/20/2005 Centereach NY 11720 Exclusion - 18NYCRR515 THOMAS FAYE C LPN Nurse 01656564 00238856 26 Monroe 09/20/2009 ROCHESTER NY 14611 Exclusion - 18NYCRR515 THOMAS FELECIA NM000443 26 Monroe 05/18/2006 ROCHESTER NY 14608 Exclusion - 18NYCRR515 THOMAS HAMILTON PHCY 00304518 00008959 55 Westchester 07/23/1997 MOUNT VERNON NY 10550 Exclusion - 18NYCRR515 THOMAS STEPHEN CNA NM006539 342789010309E 51 Ulster 10/20/2011 Lake Hill NY 12409 Exclusion - 18NYCRR515 THOMPSON C SCOTT 02115915 00218959 14 Erie 12/05/2007 DERBY NY 14047 Exclusion - 18NYCRR515 THOMPSON JANELL CNA NM000904 342050451103E 08/20/2008 ROCHESTER NY 14615 Exclusion - 18NYCRR515 THOMPSON LESLIE CNA NM006155 341264340299E 01/19/2012 Buffalo NY 14215 Exclusion - 18NYCRR515 SYSTEM GENERATED FROM CLAIM THOMPSON LORNA MD 01547011 00184435 59 Kings 08/20/2000 BROOKLYN NY 11220 Exclusion - 18NYCRR515 THOMPSON LYNN CNA NM000659 3408218007 03/23/2005 BUFFALO NY 14211 Exclusion - 18NYCRR515 SYSTEM GENERATED FROM CLAIM THOMPSON MELLISSA L LPN/RN Nurse 01722563 00245889/00519855 13 Dutchess 12/20/2009 POUGHKEEPSIE NY 12603 Exclusion - 18NYCRR515 THOOMPALLY SRINATH Pharmacist 02619496 00049132 39 Rockland 01/16/2012 NEW CITY NY 10956-7153 Exclusion - 18NYCRR515 PHARMACISTS TIANGCO ANGELES S MD 00593568 00095605 55 Westchester 01/12/1994 NEW ROCHELLE NY 10801 Exclusion - 18NYCRR515 TICZON RENATO A MD 00471614 00117925 08/07/2002 WATERTOWN NY 13601 Exclusion - 18NYCRR515 TIEMANN WILLIAM E PHYSICIAN NM003984 00239156 07/09/2008 Houma LA 70360 Exclusion - 18NYCRR515 TIKRANIAN HAROUTYOUN Chiropractor NM005269 00010258 10/13/2009 Bridgeport CT 06610 Exclusion - 18NYCRR515 TILANI NARENDRA MANAGING AGENT PERFUME COMPANY NM003052 02/06/2008 Edison NJ 08820 Exclusion - 18NYCRR515 TILLSON MARGARET Nurse NM005806 341822270602E 21 Herkimer 07/20/2010 LITTLE FALLS NY 13365 Exclusion - 18NYCRR515 TIMELESS SHOE INC 00800284 59 Kings 09/03/1990 BROOKLYN NY 11214 Exclusion - 18NYCRR515 TIMOTHEE MICHELLE Unknown NM006437 10/03/2010 Pomona NY 10970 Exclusion - 18NYCRR515 TINDALE CELIA M 01406399 00000407 59 Kings 11/19/1998 BROOKLYN NY 11203 Exclusion - 18NYCRR515 TIRADO EDWIN JR Direct Care Worker NM007418 09/06/2011 Schenectady NY 12303 Exclusion - 18NYCRR515 SYSTEM GENERATED FROM CLAIM TISDALE MICHELLE CNA NM001222 3400888911 10/18/2007 ROCHESTER NY 14613 Exclusion - 18NYCRR515 TKACHENKO YELEM DDS 02102330 00048914 10/09/2002 BROOKLYN NY 11214 Exclusion - 18NYCRR515 TOBIAS JOANNE SUSAN DMD AKA JOANNE BAKER Dentist 02691867 00042355 55 Westchester 10/02/2011 WHITE PLAINS NY 10605-2637 Exclusion - 18NYCRR515 TOBON BERNARDO AJ MD 00235281 00125921 59 Kings 09/27/1990 BROOKLYN NY 11215 Exclusion - 18NYCRR515 TODER WOLF L. NM002876 01/09/2009 Brooklyn NY 11204 Exclusion - 18NYCRR515 TOKAR LEEBA-LYUDMILA Home Health Aide NM003390 10/20/2009 Brooklyn NY 11230 Exclusion - 18NYCRR515 TOLEDO HILARIO FELIX MD 00935511 00157842 58 Bronx 08/24/1990 BRONX NY 10460 Exclusion - 18NYCRR515 TOLEDO RONALDO BANAG MD Physician NM004923 00216948 01/12/2009 Hilo HI 96720 Exclusion - 18NYCRR515 TOM CAT II CONSTRUCTION INC. NM001289 10/11/2006 BAY SHORE NY 11229 Exclusion - 18NYCRR515 TOMBACK DAVID B MD 02106316 00212034 02/05/2003 KEW GARDENS NY 11215 Exclusion - 18NYCRR515 TOMEI NICHOLAS Patient Care Technician NM006006 08/15/2010 Manorville NY 11949 Exclusion - 18NYCRR515 TOMLINSON KARL E MD 00173840 00101112 60 New York 06/19/1996 NEW YORK NY 10021 Exclusion - 18NYCRR515 TOPCHIK HOWARD A/K/A Topchik Sheldon H Pharmacist NM003373 00021317 09/20/2009 Oceanside NY 11572 Exclusion - 18NYCRR515 TORANZO ROSARIO R.P.N. NM001542 00325802 01/15/2007 NEW HAMPTON NY 10958 Exclusion - 18NYCRR515 TORRES ANTONIO CNA NM003223 341711561001E 06/19/2008 Waterford NY 12188 Exclusion - 18NYCRR515 TORRES CARLOS FRANCISCO MD 00512854 00139465 26 Monroe 11/14/2007 ROCHESTER NY 14642 Exclusion - 18NYCRR515 TORRES PEDRO LUIS DPM 00669865 00003342 58 Bronx 09/06/1994 BRONX NY 10458 Exclusion - 18NYCRR515 TORRES RAMON A MD Physician 01148810 00165437 60 New York 09/20/2009 NEW YORK NY 10011 Exclusion - 18NYCRR515 TOTH JOHN R MD Physician 00765366 KS018310 99 Out Of State 12/20/2009 TOPEKA KS 66604-1407 Exclusion - 18NYCRR515 TOTH MIKLOS MD Physician 01491221 00144210 60 New York 04/18/2011 NEW YORK NY 10021-3317 Exclusion - 18NYCRR515 TOTH TEREZIA M MD 00488688 00122772 55 Westchester 03/26/2006 YONKERS NY 10703 Exclusion - 18NYCRR515 TOUSSAINT VALENTINA NM001522 UNKNOWN 03/09/2006 NEW YORK NY 10025 Exclusion - 18NYCRR515 TOVBINA INNA MD 02023238 00215222 59 Kings 07/19/2007 BROOKLYN NY 11229 Exclusion - 18NYCRR515 PHYSICIANS TRABUCCO ARNALDO FRANCESCO MD 01089023 00166371 28 Nassau 09/08/2005 REGO PARK NY 11374 Exclusion - 18NYCRR515 PHYSICIANS TRABULSI JURIA RN NM007935 00585663 01/19/2012 Wellsboro PA 16901 Exclusion - 18NYCRR515 REGISTERED NURSE TRAIGER JACK DDS 00311793 00022088 58 Bronx 10/06/1997 BRONX NY 10462 Exclusion - 18NYCRR515 TRAPANI BILLIE A Pharmacist 02525271 00034810 25 Madison 09/05/2011 CAZENOVIA NY 13035-1281 Exclusion - 18NYCRR515 TRAVERSO JOSEPH L. NM000652 00153676 09/12/2005 W. ORANGE NJ 07052 Exclusion - 18NYCRR515 TREATMENT CTR OF WESTCHESTER 01121282 P8026000 55 Westchester 06/20/2000 WHITEPLAINS NY 10601 Exclusion - 18NYCRR515 TREGUBOV ALEXANDER 01343255 00044153 59 Kings 05/20/1999 BROOKLYN NY 11235 Exclusion - 18NYCRR515 TREMMEL ROBERT 01949408 00034977 09/05/2002 WESTBURY NY 11596 Exclusion - 18NYCRR515 TREMPER JESSICA CNA NM006193 342095180204E 01 Albany 08/18/2011 Latham NY 12110 Exclusion - 18NYCRR515 TREVOR CHARLES a/k/a/ Trevor Charles Office Manager NM004903 59 Kings 09/20/2011 Brooklyn NY 11225 Exclusion - 18NYCRR515 TRIANGLE SUPPLY INC 00268988 00007707 61 Queens 10/05/1992 NEW YORK NY 11418 Exclusion - 18NYCRR515 TRIBBEY MOSES Physician NM006946 exempt person 02/22/2011 Chesterfield Va 23812 Exclusion - 18NYCRR515 TRIBECA MEDICAL P.C. NM004503 00204777 10/13/2008 New York NY 10025 Exclusion - 18NYCRR515 TRIBORO DENTAL CENTER 01154961 00000000 60 New York 02/24/2005 WARWICK NY 10990 Exclusion - 18NYCRR515 TRIDRO DENTAL D/B/A STOUDEN ELENA S 02071332 00048430 60 New York 06/19/2008 NEW YORK NY 10035 Exclusion - 18NYCRR515 TRIFTSHAUSER CLARK G MD 00634097 00126113 06/10/2003 LEWISTON NY 14092 Exclusion - 18NYCRR515 TRIKHA AJIT MD #07596-025 NM004911 00176042 03/26/2009 Marion Il 62959 Exclusion - 18NYCRR515 PHYSICIANS TRIPATHY ANIL KUMAR MD Physician 02552927 00231591 14 Erie 02/17/2010 DERBY NY 14047 Exclusion - 18NYCRR515 TRIPODI DENISE ANNE LPN / RN NM005738 00212413/00507764 01/20/2010 Bronx NY 10469 Exclusion - 18NYCRR515 TRU FORM INCORPORATED 00321742 58 Bronx 05/19/1987 BRONX NY 10463 Exclusion - 18NYCRR515 TRUMPATORI JOSEPH V 00304027 00033240 61 Queens 05/26/2008 OZOEN PARK NY 11417 Exclusion - 18NYCRR515 TRUTA MARIANNE P DMD 00702507 00032693 58 Bronx 02/18/1999 BRONX NY 10473 Exclusion - 18NYCRR515 TSAI DAVID 01837801 00129307 99 Out Of State 01/25/2000 MOUNT VERNON NY 10550 Exclusion - 18NYCRR515 TSAI JUNG-NAN Physician NM005948 00115482 02/12/2010 Milwaukee WI 53215 Exclusion - 18NYCRR515 TSAKONAS GEORGE MD 00154509 00094075 59 Kings 07/22/1991 BROOKLYN NY 11206 Exclusion - 18NYCRR515 TSENG MAO HSUNG MD 01051312 00160199 04 Cattaraugus 02/19/1998 GOWANDA NY 14070 Exclusion - 18NYCRR515 TSILO MARIANNA Coordinator at Immediate Home Care NM003606 02/13/2011 Elmhurst NY 11370 Exclusion - 18NYCRR515 TSYNMAN NAUM DANILOVICH MD 00707364 00147279 59 Kings 01/04/2006 BROOKLYN NY 11235 Exclusion - 18NYCRR515 PHYSICIANS TUCKER ANGELA 01683605 00195258 39 Rockland 11/04/2004 SPRING VALLEY NY 10977 Exclusion - 18NYCRR515 PHYSICIANS TUCKER BETTY J RN Nurse 02263207 00290418 28 Nassau 03/18/2010 FREEPORT NY 11520-1738 Exclusion - 18NYCRR515 TUCKER DAVID L Sales Person NM005692 12/20/2009 Madison NJ 07940 Exclusion - 18NYCRR515 TUNG MING C 00412675 00016571 61 Queens 08/24/2007 CORONA NY 11368 Exclusion - 18NYCRR515 TUNG MING CHING DPM 00686140 00003375 61 Queens 08/24/2007 FLUSHING NY 11355 Exclusion - 18NYCRR515 TURECKI DUDLEY EUGENE MD PC 00620484 00084336 29 Niagara 12/13/1992 N TONAWANDA NY 14120 Exclusion - 18NYCRR515 TURNER RODERICK H MD 00690386 MA028343 99 Out Of State 06/09/1996 BOSTON MA 02120 Exclusion - 18NYCRR515 TURNER SHERRY A LPN Nurse NM004973 00224476 02/18/2010 Seneca Falls NY 13148 Exclusion - 18NYCRR515 TUROVSKY LEON G 00843292 00158755 59 Kings 04/20/2000 BROOKLYN NY 11235 Exclusion - 18NYCRR515 TUZHILIN SERGEI A MD 00861876 00156977 61 Queens 09/27/1994 REGO PARK NY 11374 Exclusion - 18NYCRR515 TWO STAR SURGICAL SUPPLY INC 00880171 59 Kings 05/02/1991 BROOKLYN NY 11237 Exclusion - 18NYCRR515 TYLER SHANEEKA M CDPAP Aide NM006156 05/19/2011 Valley Stream NY 11580 Exclusion - 18NYCRR515 UDANI MAHENDRA C MD Physician 00680653 00147578 03 Broome 12/13/2010 JOHNSON CITY NY 13790-2174 Exclusion - 18NYCRR515 UDO CHRISTIANA BASSEY Nurse NM006618 00598688 10/20/2010 Lawrenceville Ga 30045 Exclusion - 18NYCRR515 UMANOFF LEONARD 02006980 00048513 59 Kings 05/18/2006 BROOKLYN NY 11229 Exclusion - 18NYCRR515 PHYSICIANS UMMER ARUMPANAYIL MD 00800266 00154760 29 Niagara 06/08/1997 LOCKPORT NY 14094 Exclusion - 18NYCRR515 UMOREN THERESA Imposter Nurse NM006616 05/19/2011 Houston TX 77036 Exclusion - 18NYCRR515 UNITED DENTAL SERVICES PC 01531093 00000000 05/07/2001 BINGHAMTON NY 13901 Exclusion - 18NYCRR515 UPHILL MEDICAL ASSOCIATES NM001564 NONE 99 Out Of State 07/20/2005 BRAMPTON, ONTARIO, CANADA CN 00000 Exclusion - 18NYCRR515 UPPAL DARSHAN Unknown NM003053 04/05/2011 Albertson NY 11507 Exclusion - 18NYCRR515 UPPER MANHATTAN TASK FORCE AI 01403965 60 New York 08/31/1996 NEW YORK NY 10027 Exclusion - 18NYCRR515 URBANO HERNAN A MD 00171586 00100085 59 Kings 05/08/1990 BROOKLYN NY 11206 Exclusion - 18NYCRR515 URGO JOSEPH NM001536 00030618 07/20/2004 YONKERS NY 10704 Exclusion - 18NYCRR515 URI MEDICAL SERVICE P C Physician Group 03283612 00091811 61 Queens 12/19/2011 FLUSHING NY 11354-2826 Exclusion - 18NYCRR515 URREA HECTOR 00970585 00005346 61 Queens 03/09/2006 RICHMOND HILL NY 11419 Exclusion - 18NYCRR515 OPTHALMIC DISPENSER USACHONAK NADZEZHDA HOME HEALTH AIDE NM003371 04/22/2008 Aberdeen NJ 07747 Exclusion - 18NYCRR515 USTIN BARBARA H NURSE NM001626 00277264 02/19/2007 KATONAH NY 10536 Exclusion - 18NYCRR515 UTSMAN FERNANDO Unlicensed Dentist NM005177 07/20/2009 Fresh Meadows NY 11366 Exclusion - 18NYCRR515 UY JOHN JOEL LOTUACO Physical Therapist NM007049 00022627 04/04/2011 Coram NY 11727 Exclusion - 18NYCRR515 UZAKOVA SAKHIBA Fraudulent HHA NM004908 09/05/2011 Far Rockaway NY 11691 Exclusion - 18NYCRR515 V P PHARMACY INC 00263561 00016436 61 Queens 10/05/1992 CORONA NY 11368 Exclusion - 18NYCRR515 VAISMAN NAUM G MD 00416555 00136522 59 Kings 10/18/2007 BROOKLYN NY 11229 Exclusion - 18NYCRR515 VALENCIA AMANDA PAOLA Physician's Assistant NM007280 00012220 61 Queens 06/30/2011 Sunnyside NY 11104 18NYCRR504.1(d)(19) VALENTI ANTHONY P RPT 00636484 14 Erie 04/10/1995 GOWANDA NY 14070 Exclusion - 18NYCRR515 VALENTIN ROSA N Nurse NM005662 00270465 02/09/2010 Bronx NY 10473 Exclusion - 18NYCRR515 VALENTIN TABITHA CNA NM006947 342699690608E 02/23/2011 Syracuse NY 13205 Exclusion - 18NYCRR515 SYSTEM GENERATED FROM CLAIM VALERY GUZNEV 00885061 0000P52K 59 Kings 02/13/1992 BROOKLYN NY 11223 Exclusion - 18NYCRR515 VALES EVELYN TECHNICIAN NM002325 07/19/2007 Stroudsburg PA 18360 Exclusion - 18NYCRR515 SYSTEM GENERATED FROM CLAIM VALIANT MEDICAL SERVICES NM001928 00094241 05/15/2007 Brooklyn NY 11229 Exclusion - 18NYCRR515 VALUE CARE PHARM & SURG INC 01539528 00022361 60 New York 11/11/1997 NEW YORK NY 10128 Exclusion - 18NYCRR515 VAN HOOSE THERESA A NURSE NM002725 00492409 04/20/2008 Walworth NY 14568 Exclusion - 18NYCRR515 VAN KLEECK WILLIAM JAY JR DO 00893870 00155587 51 Ulster 09/27/2007 KINGSTON NY 12401 Exclusion - 18NYCRR515 VAN KUST LYDIA LPN 02155104 00255792 60 New York 04/06/2011 NEW YORK NY 10032 Exclusion - 18NYCRR515 VANCE RICARDO BRUCE MD 00909348 00156327 58 Bronx 11/08/1994 BRONX NY 10451 Exclusion - 18NYCRR515 VANDAMME JAMES H. NM001410 00245075 07/19/2007 CANANDAIGUA NY 14424 Exclusion - 18NYCRR515 REGISTERED NURSE VANGOR ERICA LPN NM007032 00275145 37 Putnam 05/02/2011 Carmel NY 10512 Exclusion - 18NYCRR515 VANHOUTEN IDA NURSE NM001630 00419166 02/19/2007 IMPERIAL BEACH CA 91932 Exclusion - 18NYCRR515 VARALLI DANIEL Pharmacist NM006136 00028378 05/19/2005 Beaver WV 25813 Exclusion - 18NYCRR515 VARAS GEORGE MD 00184863 00105653 59 Kings 03/07/1986 BROOKLYN NY 11237 Exclusion - 18NYCRR515 VARENOVA ELENA ILLEGAL HOME HEALTH AIDE NM004031 08/24/2008 Brooklyn NY 11224 Exclusion - 18NYCRR515 VARGAS VELARDE LUIS F DDS 00375824 00033460 61 Queens 11/20/2008 ELMHURST NY 11373 Exclusion - 18NYCRR515 VARIN SELES A. Ophthalmic Dispensing NM006355 00004996 06/28/2010 Rochester NY 14618 Exclusion - 18NYCRR515 VARVARA BARBARA NM004871 00270236 04/14/2009 North Babylon NY 11704 Exclusion - 18NYCRR515 PRACTICAL NURSE VASOYA PRAVIN B Neurologist NM005490 06/18/2009 Brooklyn NY 11232 Exclusion - 18NYCRR515 VASSALLUZZO CHRISTOPHER MD Physician 02847689 PA007242 99 Out Of State 01/17/2012 EASTON PA 18042-3851 Exclusion - 18NYCRR515 PHYSICIANS VASUDEVAN RAMABHADRAN MD Physician 01014548 00164515 14 Erie 04/05/2010 BUFFALO NY 14209-1194 Exclusion - 18NYCRR515 VAUGHN CHERYL I RN NM004967 00546388 06/17/2009 Queens Village NY 11429 Exclusion - 18NYCRR515 REGISTERED NURSE VAVERCHAK NANCY Nurse NM005665 00457268 02/09/2010 Cicero NY 13039 Exclusion - 18NYCRR515 VAYNSHELBAUM YEFIM MD 00964003 00161694 60 New York 09/12/1990 NEW YORK NY 10016 Exclusion - 18NYCRR515 VAYNSHTEYN RAYA Personal Care Aide NM002842 03/18/2010 Brooklyn NY 11204 Exclusion - 18NYCRR515 VEERAMACHANENI V RAO 01487392 00029970 58 Bronx 03/20/2009 BRONX NY 10457 Exclusion - 18NYCRR515 SYSTEM GENERATED FROM PROVIDER VEES AMBULETTE SERVICE INC 01155119 00031040 59 Kings 04/12/1995 BROOKLYN NY 11233 Exclusion - 18NYCRR515 VEES SURGICAL SUPPLY CO 01063565 59 Kings 09/20/2000 BROOKLYN NY 11233 Exclusion - 18NYCRR515 VEGA LAURIE RN NM007622 00540556 14 Erie 09/20/2011 Williamsville NY 14221 Exclusion - 18NYCRR515 VEIZAGA-MENDEZ JOSE E NM003950 00121888 06/19/2008 Foxboro MA 02035 Exclusion - 18NYCRR515 VEJAY OXYGEN INC 01653727 99 Out Of State 10/18/2007 WESTBOROUGH MA 01581 Exclusion - 18NYCRR515 VEKSLER POLINA HOM NM000676 N/A 10/07/2005 STATEN ISLAND NY 10304 Exclusion - 18NYCRR515 VELASQUEZ JOSEFINA S MD 00419627 00140584 59 Kings 10/17/1990 BROOKLYN NY 11228 Exclusion - 18NYCRR515 VELEZ ANTHONY MD 00209527 60 New York 02/02/2000 NEW YORK NY 10009 Exclusion - 18NYCRR515 VELEZ AUGUSTINE MD 00958154 00148521 06 Chautauqua 11/20/2000 IRVING NY 14081 Exclusion - 18NYCRR515 VENKATRAM PRABHAKAR MD 01428064 00166354 59 Kings 07/27/1998 BROOKLYN NY 11235 Exclusion - 18NYCRR515 VERDELL JEROME MD 01159897 00172769 58 Bronx 10/20/1998 BRONX NY 10454 Exclusion - 18NYCRR515 VERNIK LYUDMILA YEFIMOVNA LPN / RN NM007125 00275202/00551882 05/02/2011 Brooklyn NY 11230-4384 Exclusion - 18NYCRR515 VERRI PATRICIA LPN/ RN NM007928 00556179/ 00239873 12/20/2011 Fernandina Beach FL 32024 Exclusion - 18NYCRR515 REGISTERED NURSE VHR SERVICE CORP 01266682 00B90254 59 Kings 04/27/1994 BROOKLYN NY 11230 Exclusion - 18NYCRR515 VIBAR DELIA N NURSE NM001632 00305334 02/19/2007 ELMHURST NY 11373 Exclusion - 18NYCRR515 VIBERT DONALD Unlicensed Instructor NM005261 04/27/2011 Brooklyn NY 11203 Exclusion - 18NYCRR515 VICKNER MICHAEL J. NM002529 00301440 09/17/2007 Newburg NY 12550 Exclusion - 18NYCRR515 VICTOR JACQUELINE A M LPN 01297507 00212653 61 Queens 01/07/1997 FLUSHING NY 11355 Exclusion - 18NYCRR515 VICTOR ROY C CFO FOR INSTITUTE FOR CANCER NM003142 02/26/2008 Yorktown Heights NY 10598 Exclusion - 18NYCRR515 VIDAL ERLINDA P MD Physician 00485438 00117955 22 Jefferson 03/06/2011 WATERTOWN NY 13601-3652 Exclusion - 18NYCRR515 VIGLIATORE LEONARD J RPT 00705055 00005011 47 Suffolk 04/06/1994 BAY SHORE NY 11706 Exclusion - 18NYCRR515 VIGNEAU CHRISTINE RN NM007207 00542074 99 Out Of State 04/20/2011 Philadelphia PA 19106 Exclusion - 18NYCRR515 VIKTORENKOV VYATCHESLAV Medical Facility Manager NM004963 62 Richmond 09/07/2011 Staten Island NY 10305 Exclusion - 18NYCRR515 VILAIRE SIMONE Chiropractor NM006137 00010054 03/19/2009 West New York NJ 07093 Exclusion - 18NYCRR515 VILLA CARMELO I MD 00425127 00125346 12/06/2006 JOHNSTOWN NY 12095 Exclusion - 18NYCRR515 VILLANOVA MICHAEL Owner of Multiple Billing Services/ One Ring Ambulette NM006754 11/23/2010 Briarcliff Manor NY 10510 Exclusion - 18NYCRR515 VILLANOVA RENEE Owner of Multiple Billing Services, Inc NM006755 11/23/2010 Briarcliff Manor NY 10510 Exclusion - 18NYCRR515 VILLANOVA RICHARD Owner of Multiple Billing Services, Inc NM006756 11/23/2010 Briarcliff Manor NY 10510 Exclusion - 18NYCRR515 VILLARREAL RAMIRO NM002408 00005752 08/05/2007 Falconer NY 14733 Exclusion - 18NYCRR515 VILLARUZ ROGELIO V MD 00971215 MDD20839 99 Out Of State 12/04/1988 CHEVERLEY MD 20785 Exclusion - 18NYCRR515 VILLEGAS PATRICIA Unlicensed NM005024 N/A 12/30/2009 Bedford Hills NY 10507 Exclusion - 18NYCRR515 VILORIA HUGO L MD 00224171 00119488 61 Queens 11/06/1989 JACKSON HGTS NY 11372 Exclusion - 18NYCRR515 VILVAR SERGE MD NM002854 00201257 10/03/2007 Wheatley Heights NY 11798 Exclusion - 18NYCRR515 VINCENT RAHKI aka Rakhi A Joseph Nurse NM001661 00276485 99 Out Of State 09/20/2009 IRVING TX 75038 Exclusion - 18NYCRR515 VINOKOUR VADIM Unknown NM007599 59 Kings 11/20/2011 Brooklyn NY 11235-1663 Exclusion - 18NYCRR515 VINSON STEVEN Employee NM007094 04/20/2011 Portsmouth VA 23701 Exclusion - 18NYCRR515 VIP MEDICAL ASSOCIATES 01503740 7002142R 60 New York 01/30/2002 NEW YORK NY 10011 Exclusion - 18NYCRR515 VIRGIL-GREEN LETICIA CNA NM004971 341595960301E 01/20/2010 Brentwood NY 11717 Exclusion - 18NYCRR515 VISAI LAVEN PHARMACY INC Pharmacy 02961544 61 Queens 04/13/2009 WOODSIDE NY 11377-4444 Exclusion - 18NYCRR515 SYSTEM GENERATED FROM PROVIDER VISIONARY OPTICS OF JAMAICA Optician 02256417 61 Queens 01/20/2010 JAMAICA NY 11432-5215 Exclusion - 18NYCRR515 VITA SHARMAN LPN 01767326 00235174 55 Westchester 04/25/2005 SO SALEM NY 10590 Exclusion - 18NYCRR515 PRACTICAL NURSE VITA-LIGHT INTERNATIONAL LTD 01127839 59 Kings 07/20/1998 BROOKLYN NY 11204 Exclusion - 18NYCRR515 VITAL CARE PHARMACEUTICAL COR 01611527 00022779 62 Richmond 06/02/2004 STATEN ISLAND NY 10309 Exclusion - 18NYCRR515 PHARMACISTS VITAL MEDICAL CARE NM001924 00094241 05/15/2007 East Elmhurst NY 11373 Exclusion - 18NYCRR515 VIVA PHARMACY INC 01098508 00019952 60 New York 08/13/2008 NEW YORK NY 10033 Exclusion - 18NYCRR515 VIZCAY SARA C MD 01181460 FL028373 99 Out Of State 04/12/1993 TAMPA FL 33615 Exclusion - 18NYCRR515 VLADIMIR SHEKHTER AMBULETTE 01123624 00030914 60 New York 05/23/1993 NEW YORK NY 10002 Exclusion - 18NYCRR515 VLB EAST VILLAGE PHARMACY INC 00548027 00017002 60 New York 12/05/1986 NEW YORK NY 10009 Exclusion - 18NYCRR515 VOGEL BARRY M MD 00412193 NJ031014 99 Out Of State 10/04/2000 GLEN RIDGE NJ 07028 Exclusion - 18NYCRR515 VOGT LINDA Nurse NM006194 00088690 06/02/2010 Schaghticoke NY 12154 Exclusion - 18NYCRR515 VOLK JOSEPH DDS 01054062 00041321 10/18/2007 MELVILLE NY 11747 Exclusion - 18NYCRR515 VOLKOV SEMYON Home Health Aide NM003383 03/18/2010 Brooklyn NY 11235 Exclusion - 18NYCRR515 VOLOSEVICH HOME CARE INC 00934336 00030447 28 Nassau 12/12/1998 BALDWIN NY 11510 Exclusion - 18NYCRR515 VOLOSEVICHS HOME CARE INC 01261421 28 Nassau 12/12/1998 BALDWIN NY 11510 Exclusion - 18NYCRR515 VOLOSEVICHS HOME CARE NR INC 00911362 28 Nassau 12/12/1998 BALDWIN NY 11510 Exclusion - 18NYCRR515 VOLPE ANGELO JOHN MD 00924314 00156331 59 Kings 09/05/1996 BROOKLYN NY 11206 Exclusion - 18NYCRR515 VOLPE JULIE RAE RN NM007911 RN585975(PA Only) 01/19/2012 Waverly NY 14892 Exclusion - 18NYCRR515 REGISTERED NURSE VOORHIS BRENDA J 00739597 00140215 04 Cattaraugus 06/19/2007 GOWANDA NY 14070 Exclusion - 18NYCRR515 VOROB ALEX DDS 00807869 00038071 59 Kings 12/07/2004 BROOKLYN NY 11224 Exclusion - 18NYCRR515 DENTAL SCHOOL/DENTIST VOSPER TRUDY 01261494 00417484 47 Suffolk 09/20/2006 ROCKY POINT NY 11778 Exclusion - 18NYCRR515 VUYYURU LOKESH BABU Physician NM005018 00182889 05/19/2009 Chester VA 23836 Exclusion - 18NYCRR515 VVT PHARMACY CORP Pharmacy 02582043 OC015050/ 00027036 39 Rockland 01/16/2012 NEW CITY NY 10956-7153 Exclusion - 18NYCRR515 SYSTEM GENERATED FROM PROVIDER WA-DUTUMI-BARNES ZIADA A NM007224 00566937 06/06/2011 Newburgh NY 12551 Exclusion - 18NYCRR515 REGISTERED NURSE WACHEN HARRY LEOPOLD 00116207 00080961 61 Queens 12/05/2007 FOREST HILLS NY 11375 Exclusion - 18NYCRR515 WADSWORTH MEDICAL LAB 01349393 60 New York 01/07/1999 NEW YORK NY 10033 Exclusion - 18NYCRR515 WAHBA ATIF NAGUIB MD 00841570 00159233 04/11/2002 BROCKPORT NY 14420 Exclusion - 18NYCRR515 WAHBY SAMIR RIAD MD NM001285 00152248 09/13/2006 FORT DODGE IA 50501 Exclusion - 18NYCRR515 WAHL JONATHAN MD Physician 02848373 00232419 58 Bronx 08/03/2011 BRONX NY 10462-3711 Exclusion - 18NYCRR515 WAITE CORA S. NM001548 00113788 01/15/2007 LEROY NY 14482 Exclusion - 18NYCRR515 WALBORN CRYSTAL LPN NM007609 00273774 07 Chemung 11/29/2011 Elmira NY 14904 Exclusion - 18NYCRR515 WALDEN JOHN LMSW 03041976 00072864 58 Bronx 09/05/2011 BRONX NY 10461-3109 Exclusion - 18NYCRR515 WALDMAN RICHARD A NM003243 00104391 02/29/2008 Whiteville NC 28472 Exclusion - 18NYCRR515 WALEGIR PATRICIA B NM003646 00237505 06/10/2008 Flushing NY 11355 Exclusion - 18NYCRR515 WALKER LATRICE Nurse NM006723 00279209 14 Erie 11/16/2010 Buffalo NY 14215 Exclusion - 18NYCRR515 WALKER PATRICE CNA NM001142 3412843403 04/20/2009 JAMAICA NY 11432 Exclusion - 18NYCRR515 SYSTEM GENERATED FROM CLAIM WALKER SANDRA 01336209 00195280 59 Kings 02/12/1996 BROOKLYN NY 11216 Exclusion - 18NYCRR515 WALKER THORNTON S MD 00331755 00111642 28 Nassau 10/11/1990 FREEPORT NY 11520 Exclusion - 18NYCRR515 WALL ROXANNE M Nurse NM006639 00465217 04 Cattaraugus 11/04/2009 Gowanda NY 14070 Exclusion - 18NYCRR515 WALLER CALVIN Clinic Officer NM001527 08/18/2005 BUFFALO NY 14215 Exclusion - 18NYCRR515 WALSH NANCY MARIE NM001631 00109192 07/19/2007 TONAWANDA NY 14223 Exclusion - 18NYCRR515 PRACTICAL NURSE WALSH SONIA AKA SONIA WISDOM HHA NM007387 61 Queens 11/29/2011 Far Rockaway NY 11691-2075 Exclusion - 18NYCRR515 WALTER GREGORY W NM001944 0014661 09/20/2007 Albany GA 31707 Exclusion - 18NYCRR515 WALTERS JOSEPH OWEN MD 00833330 00152251 58 Bronx 07/15/1992 BRONX NY 10475 Exclusion - 18NYCRR515 WALTS NELSON R 02506265 00001723 99 Out Of State 07/09/2007 MINEVILLE NY 12956 Exclusion - 18NYCRR515 PHYSICIANS ASSISTANT WANG JUN CLINICAL LABORATORY PRACTITIONER NM004446 00007086 11/08/2008 New York NY 10128 Exclusion - 18NYCRR515 WANG SUSAN Office Mangager NM004938 04/20/2009 Garden City NY 11530 Exclusion - 18NYCRR515 SYSTEM GENERATED FROM CLAIM WARD LAURA BETH 01560787 00237018 55 Westchester 12/20/2007 VERPLANCK NY 10596 Exclusion - 18NYCRR515 WARING FRAN H NURSE NM002734 00478127 10/30/2007 Great Neck NY 11021 Exclusion - 18NYCRR515 WARREN DANA L Nurse NM005709 00206475 02/17/2010 Bronx NY 10466 Exclusion - 18NYCRR515 WASHINGTON JAMES E DDS 00644335 00033243 14 Erie 06/21/1990 BUFFALO NY 14215 Exclusion - 18NYCRR515 WASHINGTON JENNIFER T a/k/a KONITSIOTIS Nurse NM006749 00508101 11/23/2010 Liverpool NY 13088 Exclusion - 18NYCRR515 WASHINGTON TERESA CNA NM000444 3419611304 26 Monroe 05/18/2006 ROCHESTER NY 14615 Exclusion - 18NYCRR515 WASSEF ADEL A MD 00866573 NJ025163 99 Out Of State 01/15/2000 EAST ORANGE NJ 07019 Exclusion - 18NYCRR515 WASSERMAN SCOTT A PHYSICIAN NM004688 00184400 10/31/2008 Scottsdale AZ 85255 Exclusion - 18NYCRR515 WATKINS GLEN DRUG & SURGICAL 01387219 00021580 44 Schuyler 07/19/2007 WATKINS GLEN NY 14891 Exclusion - 18NYCRR515 WATZMAN HOWARD 02010617 PA58802L 99 Out Of State 03/20/2007 SELLECSVILLE PA 18960 Exclusion - 18NYCRR515 WAYNE WILLIAM B MD 00703911 00147947 28 Nassau 05/24/1994 HEWLETT NY 11557 Exclusion - 18NYCRR515 WE CARE HEALTH SUPPY INC 00513319 17 Fulton 04/20/1998 GLOVERSVILLE NY 12078 Exclusion - 18NYCRR515 WEBB CECILIA L Home Health Aide NM005698 02/16/2010 Albany NY 12210 Exclusion - 18NYCRR515 WEBER WARREN S MD 00334414 00081648 47 Suffolk 06/20/2000 SMITHTOWN NY 11787 Exclusion - 18NYCRR515 WEBSTER MONICA LPN 02043305 31 Onondaga 05/20/2009 SYRACUSE NY 13207 Exclusion - 18NYCRR515 PRACTICAL NURSE WEBSTER MYRTLE R. NM002425 00137973 08/05/2007 Millerton PA 16936 Exclusion - 18NYCRR515 PRACTICAL NURSE WEG OSKAR MD Physician 01851014 00169749 61 Queens 11/01/2011 FOREST HILLS NY 11375-5501 Exclusion - 18NYCRR515 WEGERSKI MARK S CHIROPRACTOR NM004023 00005429 06/30/2008 Versailles KY 40383 Exclusion - 18NYCRR515 WEIL DANIEL DAVID MD PC 00903397 00142636 59 Kings 08/01/1993 BROOKLYN NY 11223 Exclusion - 18NYCRR515 WEIN FRED 01620171 00030627 59 Kings 11/29/2004 BROOKLYN NY 11212 Exclusion - 18NYCRR515 PHARMACISTS WEINBERG ALLAN I. RPA RPA NM004735 001577 02/24/2009 Brooklyn NY 11234 Exclusion - 18NYCRR515 PHYSICIANS ASSISTANT WEINBERG JASON Clinical Social Worker 02875212 00074545 59 Kings 08/02/2011 BROOKLYN NY 11223 Exclusion - 18NYCRR515 WEINBERG JOSEPH NM001602 03/28/2002 SUFFERN NY 10901 Exclusion - 18NYCRR515 WEINBERG STEVEN N Pharmacist NM007052 00042945 04/06/2011 South Farmingdale NY 11735 Exclusion - 18NYCRR515 WEINER IRA H Physician NM006317 00135561 99 Out Of State 09/15/2010 Narbeth PA 19072 Exclusion - 18NYCRR515 WEINER MARIANNA M Dentist 01588081 00045913 59 Kings 10/11/2011 BROOKLYN NY 11235 Exclusion - 18NYCRR515 WEINSTEIN ARTHUR NM002544 00025686 09/20/2007 McLean VA 22102 Exclusion - 18NYCRR515 WEINSTEIN GEORGE I OD 00329259 00002583 59 Kings 04/28/1992 BROOKLYN NY 11201 Exclusion - 18NYCRR515 WEIR BURNADETT D LPN 01722412 00187383 61 Queens 06/07/2005 HOLLIS NY 11412 Exclusion - 18NYCRR515 PRACTICAL NURSE WEISS BRIAN E Dentist NM005847 00033386 03/15/2010 New York NY 10022 Exclusion - 18NYCRR515 WEISS LEENA P MD 01075387 00162252 31 Onondaga 11/04/2005 ALBANY NY 12208 Exclusion - 18NYCRR515 PHYSICIANS WEISS RICHARD LEWIS MD PC 00613947 00092842 14 Erie 11/18/1999 BUFFALO NY 14201 Exclusion - 18NYCRR515 WEISSMAN ARTHUR F MD 01273207 00171859 14 Erie 04/06/2005 WEST SENECA NY 14224 Exclusion - 18NYCRR515 PHYSICIANS WELCH FREDERICK W MD 00899303 00134064 99 Out Of State 08/11/1997 SUSQUEHANNA PA 18847 Exclusion - 18NYCRR515 WELLES KRISTINE LISA A/K/A MCKEY NM001432 00391429 07/19/2007 HOLLEY NY 14470 Exclusion - 18NYCRR515 REGISTERED NURSE WELLS DEBORAH Occupational Therapist NM004090 00004520 05/30/2010 Argyle NY 12809 Exclusion - 18NYCRR515 WELLS WALLACE H JR MD 01124423 00160840 61 Queens 01/05/2001 NEW YORK NY 10011 Exclusion - 18NYCRR515 WELSHMAN PATSY RN NM005184 00574776 06/20/2011 Brooklyn NY 11212 Exclusion - 18NYCRR515 WENDERLICH MEREDITH A LPN NM007630 00295481 07 Chemung 10/25/2011 Horseheads NY 14845 Exclusion - 18NYCRR515 WENDT TIMOTHY S NM001637 342110360404E 05/20/2007 STAR LAKE NY 13690 Exclusion - 18NYCRR515 WENTLAND THOMAS PETER Physician NM005020 00201936 05/28/2009 Arlington Heights MD 60005 Exclusion - 18NYCRR515 WERNER DONALD R MD 00775668 00141903 58 Bronx 09/20/2000 BRONX NY 10469 Exclusion - 18NYCRR515 WERNER JEROME M.D. NM001425 00138856 12/25/2006 WEST PALM BEACH FL 33415 Exclusion - 18NYCRR515 WERTHEIM HOWARD 01351326 NJ019756 99 Out Of State 01/28/2005 PARSIPPANY NJ 07054 Exclusion - 18NYCRR515 PHARMACISTS WERTHEIMER THOMAS A PHYSICIAN NM004063 00207619 07/18/2008 Smyna GA 30080 Exclusion - 18NYCRR515 WESLEY JOSEPH WYNN MD 00460339 00134157 06/27/2002 SADDLE BROOK NJ 07662 Exclusion - 18NYCRR515 WESLEY MARSHA A MD 00875892 00144237 59 Kings 02/05/1992 BROOKLYN NY 11213 Exclusion - 18NYCRR515 WESSER DAVID ROBERT MD 00977000 00082591 61 Queens 09/05/1996 ELMHURST NY 11373 Exclusion - 18NYCRR515 WEST RIVER MEDICAL P.C. MEDICAL CLINIC NM002606 00187870 10/24/2007 New York NY 10040 Exclusion - 18NYCRR515 WESTCHESTER COUNSELING SERV 01554672 55 Westchester 07/20/1998 PEEKSKILL NY 10566 Exclusion - 18NYCRR515 WESTCHESTER PHARMACY INC 00265747 00020829 55 Westchester 01/04/1993 MT VERNON NY 10550 Exclusion - 18NYCRR515 WESTCHESTER SURG SUPY INC CO 00511188 55 Westchester 12/18/1997 LARCHMONT NY 10538 Exclusion - 18NYCRR515 WESTERN NEW YORK HEARING SVCS 00854999 06 Chautauqua 10/10/1995 DUNKIRK NY 14048 Exclusion - 18NYCRR515 WESTERN NEW YORK HEARING SVCS 00636508 04 Cattaraugus 10/10/1995 OLEAN NY 14760 Exclusion - 18NYCRR515 WESTERN NEW YORK HEARING SVCS 00619521 64WE1013 06 Chautauqua 10/10/1995 JAMESTOWN NY 14701 Exclusion - 18NYCRR515 WESTLAKE DIANE L. RPN NM002530 00164290 09/17/2007 Auburn NY 13021 Exclusion - 18NYCRR515 WESTON SHERRY A RN NM007192 00545083 07/12/2011 Waverly NY 14892 Exclusion - 18NYCRR515 REGISTERED NURSE WEXLER DAVID 02126410 00117973 99 Out Of State 09/20/2006 NEW YORK NY 10038 Exclusion - 18NYCRR515 PHYSICIANS WHALEN BARBARA 01902189 00212154 16 Franklin 01/22/2008 MALONE NY 12953 Exclusion - 18NYCRR515 WHALEN DOROTHY L NURSE NM003323 00518382 02/25/2008 Witherbee NY 12998 Exclusion - 18NYCRR515 WHEELER AMANDA R Pharmacy Employee NM007223 14 Erie 06/05/2011 Buffalo NY 14218-3515 Exclusion - 18NYCRR515 WHELAN JOHN LPN 02206206 00260187 47 Suffolk 10/19/2006 WEST BABYLON NY 11704 Exclusion - 18NYCRR515 PRACTICAL NURSE WHITAKER HEALTH CARE SUPPLIES 01112110 00020152 47 Suffolk 10/05/1992 HUNTINGTON STATION NY 11746 Exclusion - 18NYCRR515 WHITAKER LISA LPN LPN 00748949 00145916 42 Schenectady 08/18/2011 SCOTIA NY 12302-2434 Exclusion - 18NYCRR515 WHITCOMB SCOTT T RN LPN/RN 01860360 00243164/00510725 54 Wayne 07/12/2011 ONTARIO NY 14519-9711 Exclusion - 18NYCRR515 SYSTEM GENERATED FROM CLAIM WHITE JAJENNA Community Habitation Specialist NM005186 07/20/2009 Cuba NY 14727 Exclusion - 18NYCRR515 WHITE LAWRENCE J DDS 00750481 00036682 58 Bronx 06/20/2006 BRONX NY 10452 Exclusion - 18NYCRR515 WHITE MICHAEL BARCLAY MD 01828844 00207774 59 Kings 04/20/2006 BROOKLYN NY 11219 Exclusion - 18NYCRR515 WHITE PHAEDRA NURSE NM003685 00459916 11/20/2008 Miami FL 33157 Exclusion - 18NYCRR515 WHITEHEAD MOSELLE AMELIA Nurse NM006465 00292818 14 Erie 10/05/2010 Buffalo NY 14215 Exclusion - 18NYCRR515 WHITELAW PHILLIP LOWE MD 00402328 00073608 28 Nassau 04/20/1998 PLAINVIEW NY 11803 Exclusion - 18NYCRR515 WHITEMAN GERALD J DDS 00290973 NJ007678 99 Out Of State 01/20/2009 OLD BRIDGE NJ 08857-2575 Exclusion - 18NYCRR515 WHITESTONE PHARMACY INC 00973900 00019174 58 Bronx 05/25/2006 BRONX NY 10465 Exclusion - 18NYCRR515 WHITMAN DIXIE CNA NM000445 3302147908 26 Monroe 05/18/2006 ROCHESTER NY 14607 Exclusion - 18NYCRR515 WHITMAN JOHN RAY Nurse NM005949 00311811 05/17/2010 Gardiner NY 12525 Exclusion - 18NYCRR515 WIBBERLEY T P Physician 01673909 00149426 26 Monroe 04/27/2011 ROCHESTER NY 14620-3620 Exclusion - 18NYCRR515 WIDMAN LISA M RN 02624440 00534086 41 Saratoga 01/04/2011 STILLWATER NY 12170 Exclusion - 18NYCRR515 REGISTERED NURSE WIEGAND DIANE Home Health Manager NM006138 04/20/2005 Woodstock NY 22498 Exclusion - 18NYCRR515 WIERSUM JEFFRY MD 00469407 00074392 31 Onondaga 08/29/1995 SYRACUSE NY 13210 Exclusion - 18NYCRR515 WIGGINS HEATHER MARIE Nurse NM006344 00294063 08/10/2010 Elmira NY 14903 Exclusion - 18NYCRR515 WILBERT MITCHELL W DDS 00892246 00039265 30 Oneida 12/31/1992 ROME NY 13440 Exclusion - 18NYCRR515 WILBIRT DAVID A. MD NM003610 10/20/2008 Tempe AZ 85282 Exclusion - 18NYCRR515 WILDER MARK Nurse NM006464 00414046 10/05/2010 Long Beach NY 11561 Exclusion - 18NYCRR515 WILKINS KELLEY A Nurse NM005754 00255305 03/01/2010 Yonkers NY 10703 Exclusion - 18NYCRR515 WILKINSON WILLIAM H MD 01493952 00179807 06 Chautauqua 04/20/1998 JAMESTOWN NY 14701 Exclusion - 18NYCRR515 WILLIAMS ANTON LACY LPN 02206191 00265189 47 Suffolk 03/20/2008 CENTRAL ISLIP NY 11722 Exclusion - 18NYCRR515 WILLIAMS CAROLINA CNA NM003126 341411480100E 10/20/2008 Utica NY 13501 Exclusion - 18NYCRR515 WILLIAMS CAROLYN CNA NM006438 342035220903E 12/06/2010 Jamaica NY 11433 Exclusion - 18NYCRR515 WILLIAMS CHARLES T MD 01261467 00184942 32 Ontario 10/20/1998 GENEVA NY 14456 Exclusion - 18NYCRR515 WILLIAMS CONRAD ROBERT MD 00822055 00154261 59 Kings 02/13/1991 BROOKLYN NY 11212 Exclusion - 18NYCRR515 WILLIAMS CYNTHIA A DME Provider NM004683 99 Out Of State 05/20/2010 Tyrone GA 30290 Exclusion - 18NYCRR515 WILLIAMS DAVID L DME Provider NM004682 99 Out Of State 05/20/2010 Tyrone GA 30290 Exclusion - 18NYCRR515 WILLIAMS DEBORAH E MD 01182356 00180333 58 Bronx 06/30/1994 BRONX NY 10468 Exclusion - 18NYCRR515 WILLIAMS DWIGHT LAMARR MD 00917299 00162253 59 Kings 01/22/1992 BROOKLYN NY 11206 Exclusion - 18NYCRR515 WILLIAMS HOLLY JEAN Nurse NM006436 00538800 99 Out Of State 06/17/2010 South Burlington VT 05403 Exclusion - 18NYCRR515 WILLIAMS JOHN T NM002209 00473786 05/28/2007 Greenville NY 12083 Exclusion - 18NYCRR515 REGISTERED NURSE WILLIAMS JULIE V. NM002886 00268733 10/23/2007 West Eaton NY 13484 Exclusion - 18NYCRR515 WILLIAMS MONA L. NM002933 01/19/2008 Syracuse NY 13205 Exclusion - 18NYCRR515 WILLIAMS OTIS ALEXANDER JR 01168065 00181582 58 Bronx 05/29/1992 BRONX NY 10453 Exclusion - 18NYCRR515 WILLIAMS RHODINA LYNN MD 01198172 00168740 58 Bronx 08/20/1991 BRONX NY 10457 Exclusion - 18NYCRR515 WILLIAMS ROGER B 02181280 00025626 55 Westchester 03/05/2003 White Plains NY 10601 Exclusion - 18NYCRR515 WILLIAMS SHANIKA N CNA NM001297 3423602111 09/20/2007 AUBURN NY 13021 Exclusion - 18NYCRR515 WILLIAMS STEVEN R Massage Therapist/Nurse NM005704 00011641/00294701 02/16/2010 Bronx NY 10467 Exclusion - 18NYCRR515 WILLIAMS VICKY CNA NM007064 342854540809E 58 Bronx 04/17/2011 Bronx NY 10460 Exclusion - 18NYCRR515 WILLIAMS-KELLY JOYCE LPN 01758429 00239069 07/09/2002 FREEPORT NY 11520 Exclusion - 18NYCRR515 WILLIAMSON DIANA L MD Physician 01357235 00167726 60 New York 11/28/2010 NEW YORK NY 10023-3619 Exclusion - 18NYCRR515 WILLIS AVENUE MEDICAL P.C. NM004504 00098458 10/13/2008 Mineola NY 11501 Exclusion - 18NYCRR515 WILLIS KATHERINE NM002543 00266807 09/20/2007 North Tonawanda NY 14120 Exclusion - 18NYCRR515 WILNER ALAN H DDS 00291901 00031976 59 Kings 03/20/2001 BROOKLYN NY 11231 Exclusion - 18NYCRR515 WILSON ANTHONY R Chiropractor NM005324 00007480 09/07/2011 Atmore AL 36502 Exclusion - 18NYCRR515 WILSON BRANDON LEE NM000613 00256227 10/20/2005 WILTON NY 12831 Exclusion - 18NYCRR515 WILSON DEBRA CNA NM006580 339064961090E 10/18/2007 ROCHESTER NY 14608 Exclusion - 18NYCRR515 WILSON DWAYNE LAFRANTZ MD 01973115 00210137 33 Orange 09/18/2008 NEWBURGH NY 12550 Exclusion - 18NYCRR515 WILSON EVELYN NM002363 00035525 07/19/2007 Englewood NJ 07631 Exclusion - 18NYCRR515 WILSON ISABEL Home Health Aide NM007724 99 Out Of State 01/02/2012 Jackson NJ 08527 Exclusion - 18NYCRR515 WILSON LISA NM000723 00237495 30 Oneida 08/20/2007 UTICA NY 13501 Exclusion - 18NYCRR515 WILSON VIRGINIA E. NM002783 01/20/2009 Scotia NY 12302 Exclusion - 18NYCRR515 SYSTEM GENERATED FROM CLAIM WILSON WOODROW PHILLIPS NM001554 00120638 01/23/2007 MONARCH BEACH CA 92629 Exclusion - 18NYCRR515 WIMBERLY MARGARET D HOME HEALTH AIDE NM003105 12/18/2008 Hempstead NY 11550 Exclusion - 18NYCRR515 WINCHESTER RICHARD L. CNA NM000680 3421360506 11/12/2008 CATSKILL NY 12414 Exclusion - 18NYCRR515 WINGFIELD GUITO CASSAGNOL MD 01084766 00175827 58 Bronx 10/22/1991 BRONX NY 10452 Exclusion - 18NYCRR515 WINKLEY SUSAN NM000804 00332944 04/20/2006 BURT NY 14028 Exclusion - 18NYCRR515 WINSLOW BRADLEY Nurse NM004946 00529397 10/20/2009 Glens Falls NY 12804 Exclusion - 18NYCRR515 WISE RALPH J PHD 00519700 00004884 33 Orange 11/15/1995 MIDDLETOWN NY 10940 Exclusion - 18NYCRR515 WIXSON CHRISTOPHER D RPA Physician 02604539 00004279 31 Onondaga 01/20/2010 SYRACUSE NY 13210-1853 Exclusion - 18NYCRR515 WOJCHOWSKI KELLY A DENTAL ASSISTANT NM002265 00000527 07/02/2007 Geneva NY 14456 Exclusion - 18NYCRR515 SYSTEM GENERATED FROM CLAIM WOLBERG DIEDRE SACHS 00865045 00005202 03/04/2004 ALBANY NY 12207 Exclusion - 18NYCRR515 WOLDE-TSADIK SEIFE M 01702987 00206226 59 Kings 12/18/2008 BROOKLYN NY 11212 Exclusion - 18NYCRR515 PHYSICIANS WOLDEYOHANNES MESGHENA MD 00710687 00146856 58 Bronx 01/09/1991 BRONX NY 10452 Exclusion - 18NYCRR515 WOLF CLIFFORD DPM Podiatrist 01630473 99 Out Of State 03/18/2010 POWAY CA 92064-2058 Exclusion - 18NYCRR515 WOLF ROBERT A PHYSICIAN NM002242 00100256 07/09/2007 Bloomfield Hills MI 48302 Exclusion - 18NYCRR515 PHYSICIANS WOLF WALTER NM003457 01/01/1998 Brooklyn NY 11235 Exclusion - 18NYCRR515 WOLFF DOUGLAS WARREN 01900265 00176406 59 Kings 04/20/2008 BROOKLYN NY 11211 Exclusion - 18NYCRR515 WOLFSON STANLEY MD 00471825 00083182 58 Bronx 04/19/2001 BRONX NY 10465 Exclusion - 18NYCRR515 WOLNER CHAIM NM003489 01/01/1998 Unknown ZZ 00000 Exclusion - 18NYCRR515 WOMENS HEALTH SERVICE 01129533 40 St. Lawrence 12/27/1995 OGDENSBURG NY 13669 Exclusion - 18NYCRR515 WOOD CHARLES JOHN 02071227 00047147 35 Oswego 06/30/2008 MEXICO NY 13114 Exclusion - 18NYCRR515 WOOD CHRISTINE M. NM000620 330570270490E 01/04/2006 RICHFORD NY 13835 Exclusion - 18NYCRR515 CERTIFIED DENTAL ASSISTANT WOOD DARCY ANN LPN NM007126 00272385 05/02/2011 Catskill NY 12414 Exclusion - 18NYCRR515 WOODBERRY-WRIGHT GERALDINE 01037801 00004165 08/01/2001 FLUSHING NY 11367 Exclusion - 18NYCRR515 WOODBURY PHARMACY 01545711 00022367 33 Orange 10/19/2006 CENTRAL VALLEY NY 10917 Exclusion - 18NYCRR515 WOODCOCK LESLIE D PC MD 00545446 00112637 31 Onondaga 07/30/2007 SYRACUSE NY 13210 Exclusion - 18NYCRR515 WOODSON RHONDA CNA NM005342 341770030302E 06/17/2010 Utica NY 13501 Exclusion - 18NYCRR515 WOODWARD JEROME PAUL MD 00833523 00148690 03/05/2003 FAIRPORT NY 14450 Exclusion - 18NYCRR515 WOODWARD WILLOW M MD 01470268 00189067 29 Niagara 10/19/2000 LEWISTON NY 14092 Exclusion - 18NYCRR515 WOODWORTH LINDA L LPN 01950898 00226650 02/07/2002 AVOCA NY 14809 Exclusion - 18NYCRR515 WORTHINGTON VICKIE A Nurse NM005504 00543853 10/20/2009 Coleman FL 33521 Exclusion - 18NYCRR515 WORWA PATRICIA NM000674 00243043 01/04/2006 CHEEKTOWAGA NY 14225 Exclusion - 18NYCRR515 WREIOLE AUGUST L 00685290 NJ034165 99 Out Of State 02/12/2008 LONG BRANCH NJ 07740 Exclusion - 18NYCRR515 WRIGHT CARRIE NM001528 NONE 06/20/2005 EDEN NY 14057 Exclusion - 18NYCRR515 WRIGHT CYNTHIA NM001401 00556335 10/19/2006 CHANTILLY VA 20152 Exclusion - 18NYCRR515 WRIGHT DENISE Personal Care Aide NM004825 10/20/2009 Rochester NY 14619 Exclusion - 18NYCRR515 WRIGHT GWENDOLYN NURSE NM002663 00519095 10/18/2007 Norton OH 44203 Exclusion - 18NYCRR515 WRIGHT HAROLD L MD 00152667 00093546 58 Bronx 11/26/1989 BRONX NY 10455 Exclusion - 18NYCRR515 WRIGHT KIRBY MD 00886508 00128070 59 Kings 12/29/1991 BROOKLYN NY 11203 Exclusion - 18NYCRR515 WRIGHT PATRICIA M NURSE NM003065 00104247 12/20/2007 Rochester NY 14621 Exclusion - 18NYCRR515 WRIGHT RACHEL L NURSE NM002726 00273548 10/30/2007 Olean NY 14760 Exclusion - 18NYCRR515 WRIGHT ROBERT E NM004807 00225386 12/18/2008 Greenwood Village CO 80111 Exclusion - 18NYCRR515 WRIGHT RUTHANNE NURSE NM002889 00515793 10/23/2007 Millerton NY 12546 Exclusion - 18NYCRR515 WRIGHT SALLY A Psychologist NM007295 00012791 99 Out Of State 10/24/2011 Alderson WV 24910 Exclusion - 18NYCRR515 WRIGHT TWINE REBECCA H MD 00277789 00133673 28 Nassau 07/06/1992 UNIONDALE NY 11553 Exclusion - 18NYCRR515 WRISLEY PAUL M Massage Therapist NM007122 00017677 05/02/2011 Churchville NY 14428-9405 Exclusion - 18NYCRR515 WYNN LAURENCE MD 00989717 00132258 58 Bronx 03/04/1993 BRONX NY 10457 Exclusion - 18NYCRR515 XPRESS AMBULETTE SVC INC 02139224 B0031448 55 Westchester 07/09/2004 MT VERNON NY Exclusion - 18NYCRR515 PHARMACISTS XUE LAI FAN A/K/A LISA Accupuncturist NM005268 00000935 10/13/2009 Flushing NY 11355 Exclusion - 18NYCRR515 YABLECKI EDWARD J NM002145 00041519 06/20/2007 Spring Hill FL 34606 Exclusion - 18NYCRR515 PHYSICIANS YAKOV RAUFOV MEDICAL PC 02671474 59 Kings 03/03/2008 BROOKLYN NY 11229 Exclusion - 18NYCRR515 YALDIZIAN RICHARD INTERNIST NM000681 00151575 01/20/2006 HOWARD BEACH NY 11414 Exclusion - 18NYCRR515 YANKURA JOSEPH PSY NM000653 00009275 08/04/2005 FREEPORT NY 11520 Exclusion - 18NYCRR515 PHYSICAL THERAPIST YAQOOB CHAUDRY M Clerk NM006996 03/08/2011 Bronx NY 10467 Exclusion - 18NYCRR515 YASEVICH MOUSYA HHA NM003387 59 Kings 09/20/2011 Brooklyn NY 11224 Exclusion - 18NYCRR515 YASEVICH ROZALYIA aka Rozaliya Home Health Aide NM003378 06/17/2010 Brooklyn NY 11224 Exclusion - 18NYCRR515 YASSIN SAMIR M A MD Physician 00715119 00144249 59 Kings 02/23/2010 BROOKLYN NY 11203-1626 Exclusion - 18NYCRR515 YAVEL ROBERT P DDS 00287238 00023017 05/07/2002 JAMAICA NY 11432 Exclusion - 18NYCRR515 YEARWOOD CECILIA NURSE NM002662 00230416 10/18/2007 Warsaw NC 28398 Exclusion - 18NYCRR515 YEBOAH ISAAC G Employee NM005345 10/20/2009 Bronx NY 10452 Exclusion - 18NYCRR515 YEDID JOSEPH Psychologist NM006140 07861- CA 08/18/2005 San Diego CA 92130 Exclusion - 18NYCRR515 YEHUDIAN IRAGE MD Physician 02362265 00169099 61 Queens 07/15/2009 JACKSON HEIGHTS NY 11372-2939 Exclusion - 18NYCRR515 YEN STEPHEN 00544385 00035521 60 New York 01/20/2009 NEW YORK NY 10019 Exclusion - 18NYCRR515 SYSTEM GENERATED FROM CLAIM YENTEL BENJAMIN PC MD 00160949 00096251 58 Bronx 08/01/1995 BRONX NY 10456 Exclusion - 18NYCRR515 YEUNG NORMAN Physician NM005710 00199500 02/17/2010 Oakland CA 94612 Exclusion - 18NYCRR515 YOHANAN UDI EHUD 01603718 00045433 61 Queens 12/20/2007 RIDGEWOOD NY 11385 Exclusion - 18NYCRR515 YOLETTE JOSEPH NM001646 341468120500E 09/20/2007 MONSEY NY 10952 Exclusion - 18NYCRR515 YONG PETER YAU-LING MD 00224286 00119534 59 Kings 09/20/1999 BROOKLYN NY 11222 Exclusion - 18NYCRR515 YOON CHANG Physicial Therapist NM006139 00031415 05/20/2008 Springfield VA 22152 Exclusion - 18NYCRR515 YORKTOWN MEDICAL LAB INC 00289318 5968A010 55 Westchester 05/11/1988 YORKTOWN HEIGHTS NY 10598 Exclusion - 18NYCRR515 YOUNG JOHN GERALD NM003447 00112345 01/01/1998 New York NY 10021 18NYCRR504.1(d)(19) YOUNG LAUREN Nurse NM006533 00167407 10/19/2010 Riverhead NY 11901 Exclusion - 18NYCRR515 YOUNG ROBERT B MD PC 00921779 00125981 05 Cayuga 11/09/1992 AUBURN NY 13021 Exclusion - 18NYCRR515 YOUSEF TARIQ A PHYSICIAN NM003202 00236330 03/19/2009 Briarcliff Manor NY 10451 Exclusion - 18NYCRR515 PHYSICIANS YU HENRY C H MD 00514190 00144251 60 New York 07/19/2005 MANHASSET NY 11030 Exclusion - 18NYCRR515 PHYSICIANS YU KYUNG Chiropractor NM007936 00008363 01/19/2012 Palisades Park NJ 07650 Exclusion - 18NYCRR515 CHIROPRACTOR/PORT-XRAY-SVC (QMB) YU YAN YAN A/K/A ANGELA Accupuncturist NM005264 00000677 10/13/2009 Fresh Meadows NY 11365 Exclusion - 18NYCRR515 YUNATANOV STEVE VYACHESLAV 01380198 00044486 07/09/2004 KEW GARDENS NY 11415 Exclusion - 18NYCRR515 YUND THEODORE J MD 00366385 00136400 27 Montgomery 08/10/1988 AMSTERDAM NY 12010 Exclusion - 18NYCRR515 YUZBASHYAN SAHAKANUSH Home Health Aide NM001504 04/20/2009 SAN DIEGO CA 92116 Exclusion - 18NYCRR515 SYSTEM GENERATED FROM CLAIM Yu Chin Christine Chen Physician NM007218 00259611 61 Queens 06/05/2011 Flushing NY 11355-3524 Exclusion - 18NYCRR515 ZAGLADKO DENIS DME Business Owner NM007597 62 Richmond 11/27/2011 Staten Island NY 10308-3139 Exclusion - 18NYCRR515 OPTOMETRISTS ZAGORSKI ANDREW STEPHEN Physicial Therapist NM006205 00021189 06/08/2010 Wantagh NY 11793 Exclusion - 18NYCRR515 ZAGORUYCHENKO TATIANA NM006577 11/27/2006 BROOKLYN NY 11234 Exclusion - 18NYCRR515 ZAKRZEWSKI ANGELA CNA NM006771 341870400902R 05/19/2011 Amherst NY 14228 Exclusion - 18NYCRR515 ZARATE JESUS M. NM000649 00144321 12/08/2006 WEST DES MOINES IA 50266 Exclusion - 18NYCRR515 ZARETSER ALEXANDER Unknown NM007733 61 Queens 01/16/2012 Brooklyn NY 10235-6665 Exclusion - 18NYCRR515 SYSTEM GENERATED FROM CLAIM ZARKIN ALLAN MD 00985415 00095976 61 Queens 06/20/2000 FOREST HILLS NY 11374 Exclusion - 18NYCRR515 ZAWADA STANLEY JOHN DPM 00858168 00003845 61 Queens 12/08/1993 BAYSIDE NY 11360 Exclusion - 18NYCRR515 ZAWAHIR M K MD 00220131 00117999 99 Out Of State 09/20/2006 TENAFLY NJ 07670 Exclusion - 18NYCRR515 ZEGARRUNDO ROLANDO F MD Physician 00235341 00235341 99 Out Of State 07/19/2011 HOUSTON TX 77035-4214 Exclusion - 18NYCRR515 ZEHNER WILLIAM J JR MD 01201050 31 Onondaga 08/24/2008 SYRACUSE NY 13210 Exclusion - 18NYCRR515 ZELANO SALVATORE A PC MD 00390230 00124660 59 Kings 07/20/2000 BROOKLYN NY 11219 Exclusion - 18NYCRR515 ZELIKMAN ABRAM G MD 00925099 00164698 59 Kings 04/30/1990 BROOKLYN NY 11236 Exclusion - 18NYCRR515 ZELLER JEFFREY Nurse NM006164 00180134/00491733 05/30/2010 Canton NY 13617 Exclusion - 18NYCRR515 ZELMANOWICZ ABE NURSING HOME OWNER NM000946 04/20/2008 SCARSDALE NY 10583 Exclusion - 18NYCRR515 ZETLIN VALENTINE W MD 00082251 00047744 60 New York 07/28/1997 NEW YORK NY 10019 Exclusion - 18NYCRR515 ZHAMARYAN SERGEY Business Owner NM007422 59 Kings 09/20/2011 Brooklyn NY 11223-4658 Exclusion - 18NYCRR515 ZHAROV ELEONORA MD 01516765 00191209 09/09/2002 BROOKLYN NY 11235 Exclusion - 18NYCRR515 ZHELEZNYAKOV LEONID Office Worker NM006544 59 Kings 08/03/2011 Brooklyn NY 11230 Exclusion - 18NYCRR515 ZHITLOVSKY GERMAN MD 00934794 00163179 39 Rockland 03/16/1995 NANUET NY 10954 Exclusion - 18NYCRR515 ZHU MING Z MD Physician 01721939 00200493 59 Kings 09/06/2011 BROOKLYN NY 11229-4403 Exclusion - 18NYCRR515 PHYSICIANS ZIEGLER JOHN EDWARD NM001679 00002593 07/19/2007 ITHACA NY 14850 Exclusion - 18NYCRR515 ZIKRIA BASHIR A MD Physician 00273010 00091655 60 New York 03/25/2010 NEW YORK NY 10032-3720 Exclusion - 18NYCRR515 ZIMMERMAN ARNOLD DO NM002868 00141422 11/01/2007 Wayside NJ 07712 Exclusion - 18NYCRR515 ZIMMERMAN DANIEL J MD 00836677 00154263 62 Richmond 01/09/2000 STATEN ISLAND NY 10306 Exclusion - 18NYCRR515 ZIMMERMAN SETH 01841074 00176125 99 Out Of State 10/06/2005 EAST MEADOW NY 11554 Exclusion - 18NYCRR515 PHYSICIANS ZINAMAN RICHARD L DDS 00690895 00032016 60 New York 04/20/1998 NEW YORK NY 10025 Exclusion - 18NYCRR515 ZITO JOSEPH ANTHONY MD 01588756 60 New York 05/18/2000 NEW YORK NY 10025 Exclusion - 18NYCRR515 ZIVAYEVA DILOROM Home Health Aide - Unlicensed NM002766 04/26/2010 Brooklyn NY 11223 Exclusion - 18NYCRR515 ZIYAYEVA DILOROM Nurse NM006574 00596004 59 Kings 07/20/2010 Brooklyn NY 11235 Exclusion - 18NYCRR515 ZIZI CHARLES OPERATOR OF ALWAYS THERE HOME CARE NM002670 12/20/2009 New York NY 10280 Exclusion - 18NYCRR515 ZOLOTAREVA ELLA NM001307 10/19/2006 BROOKLYN NY 11230 Exclusion - 18NYCRR515 ZONG JACOB AKA JAINQI ZONG Acupuncturist NM006216 00001721 61 Queens 09/04/2011 Flushing NY 11355 Exclusion - 18NYCRR515 ZSHOLOBCHUK OKSANA Home Health Aide NM002934 59 Kings 04/26/2010 Brooklyn NY 11218 Exclusion - 18NYCRR515 ZUCKER ARNOLD H MD 00250106 55 Westchester 10/19/2000 MOUNT VERNON NY 10550 Exclusion - 18NYCRR515 ZUCKER HARVEY A NURSE NM002732 00467475 10/30/2007 Pelham NY 10803 Exclusion - 18NYCRR515 ZUKOR ALAN J Dentist 02186450 00048651 59 Kings 09/20/2009 JAMAICA NY 11432 Exclusion - 18NYCRR515 ZUMAETA MARINA Therapist-Unlicensed NM005740 02/23/2010 New Milford CT 06776 Exclusion - 18NYCRR515 ZUPKOFF GERALD DDS Dentist 00303668 00021704 59 Kings 11/07/2010 BROOKLYN NY 11229-4956 Exclusion - 18NYCRR515 ZURAKOWSKI BOGDAN 00816404 58 Bronx 09/07/1989 BRONX NY 11452 Exclusion - 18NYCRR515 ZUTTAH SILAS H MD 00883990 00153216 60 New York 04/13/1990 NEW YORK NY 10031 Exclusion - 18NYCRR515 ZWEIG IVAN H MD 00784987 00153577 21 Herkimer 04/08/1990 HERKIMER NY 13350 Exclusion - 18NYCRR515