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Workers' Compensation Board

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New York State
Workers' Compensation Board
OFFICE OF THE CHAIR
328 State Street  Schenectady, New York 12305
Governor Andrew M. Cuomo


Subject No. 046-1091

Changes to the List of Health Care Providers Authorized to
Render Services to Injured Workers
Under the Workers' Compensation Law

Date: 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