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Subject Number 046-1282 Notice of Rescission of Insight Medical Services, P.C.

Subject Numbers Regarding Health Provider Authorizations

March 26, 2020

Effective February 19, 2020, the New York State Workers' Compensation Board is rescinding the designation of Insight Medical Services, P.C. 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), Insight Medical Services, P.C.'s name shall be removed from the list of registered entities effective February 19, 2020. This rescission is permanent. The entity's address is:

9 High Ridge Court
Pleasantville, New York 10570

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 February 19, 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