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Subject Number 046-1092 Notice of Rescission of Registration of IME Entity ICE Exams, Inc.

Subject Numbers Regarding Health Provider Authorizations

August 10, 2018

Effective August 1, 2018, the New York State Workers’ Compensation Board is rescinding the designation of ICE Exams, Inc. as an entity registered to derive income from independent medical examinations in workers’ compensation cases. This rescission is made pursuant to Section 13-n of the Workers’ Compensation Law and 12 NYCRR §300.2(e)(6)(iv). Pursuant to 12 NYCRR § 300.2(e)(6)(ii)(a)(3), ICE Exams, Inc.’s name shall be removed from the list of registered entities effective August 1, 2018. This rescission is permanent. The entity’s address is:

1 Oakland Street
Mansfield, MA 02048

On the effective date of this rescission, the entity named above is permanently prohibited from deriving income from independent medical examinations in workers’ compensation cases. Examinations conducted prior to August 1, 2018 are valid.

Any questions regarding the authorized lists should be referred to the Medical Director’s Office at 1 (800) 781-2362.

Clarissa M. Rodriguez
Chair