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Subject Number 046-1375 Notice of Rescission of Registration of IME Entity WorkFit Medical, LLC

Subject Numbers Regarding Health Provider Authorizations

February 23, 2021

Effective October 28, 2020, the New York State Workers’ Compensation Board is rescinding the designation of WorkFit Medical, LLC 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), WorkFit, LLC's name shall be removed from the list of registered entities effective October 28, 2020. This rescission is permanent. The entity's address is:

1160 Chili Avenue, Suite 200
Rochester, New York 14624

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 October 28, 2020, 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