Healthcare Provider Details
I. General information
NPI: 1821935446
Provider Name (Legal Business Name): EVERCARE MEDICAL PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/01/2026
Last Update Date: 05/01/2026
Certification Date: 05/01/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
463 W SPROUL RD
SPRINGFIELD PA
19064-2120
US
IV. Provider business mailing address
23 ROBERT PITT DR STE 102A
MONSEY NY
10952-3470
US
V. Phone/Fax
- Phone: 845-360-2552
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208D00000X |
| Taxonomy | General Practice Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
YITZCHAK
GOLDSMITH
Title or Position: PRESIDENT
Credential: DO
Phone: 845-360-2552