Individual
JESSE K ERCKERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
515 MADISON AVE, NEW YORK, NY 10022-5403
(646) 394-9996
Mailing address
16 ERIN LN # A, OLD BRIDGE, NJ 08857-2755
(732) 688-8635
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
26NR20291200
NJ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
F406920-01
NY
Other
Enumeration date
11/22/2024
Last updated
06/14/2025
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