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Notice of Right to Select a Workers’ Compensation Board Authorized Health Care Provider (C-3.1)

NEW YORK CITY
14 Wall Street, Suite 5A
New York, NY 10005

T 212 227 6440
F 212 227 9854
E NYCOSH[AT]NYCOSH.ORG

LONG ISLAND
100 Vanderbilt Motor Parkway, Suite 320
Hauppauge, NY 11788

T 631 435 1857
F 631 435 1893

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