Subject Numbers Regarding Health Provider Authorizations
August 8, 2018
Pursuant to Workers’ Compensation Law § 13-b, a provider must be licensed and registered with the New York State Education Department in order to maintain a Workers’ Compensation Board authorization(s).
The following have been removed from the list of providers authorized to treat injured workers and/or perform independent medical examinations within the New York State workers’ compensation system based on information provided by the New York State Education Department indicating that they do not currently have an active license to practice medicine in New York State.
| NAME | LAST KNOWN CITY OF PRACTICE | AUTHORIZATION NUMBER* | EFFECTIVE DATE |
|---|---|---|---|
| Abdul, Karim Raja W. | Syracuse | 091753-4W | June 11, 2018 |
| Abulfaraj, Moaz Waleed | Athens | 275442-2B | June 11, 2018 |
| Akselrud, Ilya Pavlovich | Brooklyn | 205019-3W | June 11, 2018 |
| Altchek, Edgar David | New York | 097014-5W | June 11, 2018 |
| Bailey, Peter Lee | Rochester | 143246-7W | June 11, 2018 |
| Benda, Richard Louis | Spofford | 117064-6W | June 11, 2018 |
| Braverman, Joseph S. | Briarcliff | 132572-9W | June 11, 2018 |
| Butterman, Marvin E. | Pomona | 089261-2W | June 11, 2018 |
| Chung, Jenna | Brooklyn | 283139-4W | June 11, 2018 |
| Credi, Magdi E. | Batavia | 123054-9W | June 11, 2018 |
| Crisostomo, Eugenio Samonte | Little Neck | 179847-9W | June 11, 2018 |
| Dee, Roger | Setauket | 128213-6W | June 11, 2018 |
| Devanny, John Richard | Rochester | 091482-0B | June 11, 2018 |
| Dorff, Daniel A. | Brooklyn | 086585-7W | June 11, 2018 |
| Drudge, Owen W. | Fairfax | S08896-3W | June 11, 2018 |
| Farrar, Frederick M. | Manlius | 137057-6W | June 11, 2018 |
| Feldman, Elinor Frances | Los Angeles | C01600-8W | June 11, 2018 |
| Fichman, Bert Lawrence | Hanover | 174943-1B | June 11, 2018 |
| Garcia, Gerald Junior | Stony Brook | 267318-4W | June 11, 2018 |
| Homuth Jonathan Robert | Elmira | 111865-2W | June 11, 2018 |
| Hong, Yong Kuk | Bayside | C09707-3B | June 11, 2018 |
| Houck, John F., Jr. | East Syracuse | 135133-7W | June 11, 2018 |
| Janus, Joyce Ann | Hilton | 136452-0W | June 11, 2018 |
| Katrib, Ziad A. | Latham | 283135-2W | June 11, 2018 |
| Kim, Kyung Ha | Yonkers | 150848-0W | June 11, 2018 |
| Kolanchick, Gary J. | Berne | 142539-6B | June 11, 2018 |
| Lasda, Norman A. | Camillus | 134601-4W | June 11, 2018 |
| Lebetkin, Lewis M. | Roslyn Harbor | 134743-4W | June 11, 2018 |
| Lee, Winnie Wei-Ning | New York | 259299-6W | June 11, 2018 |
| Maggio, Louis J. | Rye | 086839-8W | June 11, 2018 |
| Manaloto, Donatila Dumandan | Baldwin | 111255-6W | June 11, 2018 |
| Mandon, Victor I. | Great Neck | 140039-9W | June 11, 2018 |
| Maniace, Leo Lawrence | Mount Vernon | 179043-5W | June 11, 2018 |
| Masih, Emmanuel B. | Manhasset Hills | 130698-4W | June 11, 2018 |
| Matta, Mandeep Singh | Southlake | 256906-9W | June 11, 2018 |
| McGuire, Michael | New York | 084829-1W | June 11, 2018 |
| Melman, Martin K. | Croton on the Hudson | 126108-0W | June 11, 2018 |
| Meyerhoff, Gordon Roy | New York | 071661-3W | June 11, 2018 |
| Minick, Charles Richard | Sea Cliff | 097546-6W | June 11, 2018 |
| Mochaver, Sepande | Clinton | 259547-8W | June 11, 2018 |
| Mottahedeh, Debora | Westbury | 248391-5W | June 11, 2018 |
| Ni, Lou Fu | Staten Island | 132371-6W | June 11, 2018 |
| Norsky, Frank | Cohocton | 115294-1W | June 11, 2018 |
| Paley, Ann Marie Nardi | Providence | 110942-0W | June 11, 2018 |
| Paley, Herbert M. | Brooklyn | 078531-1W | June 11, 2018 |
| Pastore, Octavius J., Jr. | Port Chester | 097562-3W | June 11, 2018 |
| Pearce, Aimee Carroll | Minneapolis | 241807-7W | June 11, 2018 |
| Pedersen, Hilda | New York | 098304-9W | June 11, 2018 |
| Perrotto, Richard S. | Pearl River | S07076-3W | June 11, 2018 |
| Platt, Richard Alan | New York | C07546-7W | June 11, 2018 |
| Plaut, Martin Edward | Buffalo | 099705-6W | June 11, 2018 |
| Raj, Joseph I. | New Hartford | 159755-8W | June 11, 2018 |
| Samuel, Russell Henry | Glen Cove | 161000-5W | June 11, 2018 |
| Sarreck, Robert | Bloomingburg | 134005-8W | June 11, 2018 |
| Scariano, Nicolo | River Edge | 097588-8W | June 11, 2018 |
| Schulman, Robert Adam | Sebastpol | 190195-8W | June 11, 2018 |
| Scuccimarra, David B. | Croton on the Hudson | 123540-7W | June 11, 2018 |
| Shapiro, Neil Howard | Purchase | 127914-0B | June 11, 2018 |
| Sobral, Filipe Anacleto | Huntington | 274504-0W | June 11, 2018 |
| Stricoff, Ronald Lawrence | Parkland | 152220-0W | June 11, 2018 |
| Sugarman, Jeffrey Mark | Atlanta | 240606-4W | June 11, 2018 |
| Sullivan, Thomas Matthew | Tampa | C08900-5W | June 11, 2018 |
| Sutherland, Leroy Nichelous | Berkeley Heights | 218334-1W | June 11, 2018 |
| Ulep, Rosita Razo | Hicksville | 165046-4W | June 11, 2018 |
| Vogel, Edward J. | Charlottsville | 197109-2W | June 11, 2018 |
| Ulises, Paul Militano | Miami | 232110-7W | June 11, 2018 |
| Vahdat, Massoud | Brooklyn | 091892-0W | June 11, 2018 |
| Washington, Dode Nobia | Myrtle Beach | 205264-5W | June 11, 2018 |
| Wertenbaker, Christian T. | Bronx | 121279-4W | June 11, 2018 |
| Weyker, Paul David | San Francisco | 278536-8W | June 11, 2018 |
| Zempel, Tara Nicole | Silver Spring | C12682-3W | June 11, 2018 |
| Zevon, Scott J. | New York | 151242-5B | June 11, 2018 |
| Ramos, Joseph | Glen Ridge | 152154-1W | June 12, 2018 |
| Rashid, M | Arsley | 121750-4W | June 12, 2018 |
| Riber, Joshua Isaac | Suffern | 204143-2B | June 12, 2018 |
| Ristinen, Elaine | Bloomington | 186540-1W | June 12, 2018 |
| Ruisi, John Albert | Oakdale | 161768-7W | June 12, 2018 |
| Salas, Stephanie Ann | Bronx | 243065-0W | June 12, 2018 |
* Providers authorized to treat and perform independent medical examinations have an authorization number ending in B. Providers authorized to only treat have an authorization number ending in W. Providers authorized to only perform independent medical examinations have an authorization number ending in I.
These providers are prohibited from rendering treatment and care to injured workers and/or from performing independent medical examinations. Reports submitted for services rendered prior to the effective date are valid, but are invalid for any services rendered on or after that date. Requests to cross-examine any of the above for services rendered prior to the effective date should not be denied due to the removal of their authorizations.
Any questions regarding the authorized lists should be referred to the Medical Director’s Office at 1 (800) 781-2362.
Clarissa M. Rodriguez
Chair