Dr EVANGELINE M GOODMAN is a female medical professional, specializing in Nurse Practitioner. She graduated in 2012.
SQUARE CARE MEDICAL GROUP LLP
191 HERRICKS RD
GARDEN CITY PARK
NY
110405236
Tel: 5167422224
| Npi | 1871848267 |
| Pac Id | 6507097110 |
| Professional Enrollment Id | I20140325001003 |
| Last Name | GOODMAN |
| First Name | EVANGELINE |
| Middle Name | M |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2012 |
| Primary Specialty | NURSE PRACTITIONER |
| Secondary Specialty 1 | |
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| Organization Legal Name | SQUARE CARE MEDICAL GROUP LLP |
| Group Practice Pac Id | 7012938434 |
| Number Of Group Practice Members | 76 |
| Line 1 Street Address | 191 HERRICKS RD |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | GARDEN CITY PARK |
| State | NY |
| Zip Code | 110405236 |
| Phone Number | 5167422224 |
| Hospital Affiliation Ccn 1 | 330393 |
| Hospital Affiliation Lbn 1 | SUNY/STONY BROOK UNIVERSITY HOSPITAL |
| Hospital Affiliation Ccn 2 | 330185 |
| Hospital Affiliation Lbn 2 | JOHN T MATHER MEMORIAL HOSPITAL OF PORT JEFFERSON |
| Hospital Affiliation Ccn 3 | |
| Hospital Affiliation Lbn 3 | |
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| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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