| Physician Last Name: | Henriquez |
| Physician First Name: | Carlos |
| Physician Middle Name: | L |
| Address: | 110 Creek Locks Road
P.O.Box 449
Rosendale, New York 12472 |
| License Number: | 095347 |
| License Type: | MD |
| Year of Birth: |
1939
|
| Effective Date: | 07/18/2008 |
| Action Description for DOH Webpage: | The physician has agreed to never activate his registration or reapply for a medical license to practice medicine in New York State. |
| Misconduct Description for DOH Webpage: | This action is a modification of the terms previously imposed in by BPMC Order #01-294 and does not constitute a new disciplinary action. Previously the physician had admitted guilt to the charges of engaging in conduct which evidences moral unfitness; negligence on more than one occasion; practicing fraudulently; filing a false report and application; excessive testing and failing to maintain adequate records. |
| License Limitations or Conditions for DOH Webpage: | |
| Board Order: |
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