| | Physician Last Name: | Blake |
| | Physician First Name: | Carlton |
| | Physician Middle Name: | |
| | Address: | 343 Washington Avenue
Roosevelt, New York 11575 |
| | License Number: | 089251 |
| | License Type: | MD |
| | Year of Birth: |
1934
|
| | Effective Date: | 02/06/1991 |
| | Action Description for DOH Webpage: | Censure and reprimand |
| | Misconduct Description for DOH Webpage: | The New York State Board of Regents sustained the charge finding the physician guilty of having been convicted in New York State Supreme Court, Suffolk County of Offering a False Instrument for Filing. |
| | License Limitations or Conditions for DOH Webpage: | |
| | Board Order: |
|
