Provider Demographics
NPI:1134002066
Name:THE ECKARDT ADULT HEALTH NP PLLC
Entity type:Organization
Organization Name:THE ECKARDT ADULT HEALTH NP PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:USANEE
Authorized Official - Last Name:ECKARDT
Authorized Official - Suffix:
Authorized Official - Credentials:DNP
Authorized Official - Phone:917-330-3232
Mailing Address - Street 1:10 RAMBLEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:NEWBURGH
Mailing Address - State:NY
Mailing Address - Zip Code:12550-7709
Mailing Address - Country:US
Mailing Address - Phone:917-330-3232
Mailing Address - Fax:
Practice Address - Street 1:10 RAMBLEWOOD DR
Practice Address - Street 2:
Practice Address - City:NEWBURGH
Practice Address - State:NY
Practice Address - Zip Code:12550-7709
Practice Address - Country:US
Practice Address - Phone:917-330-3232
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:THE ECKARDT ADULT HEALTH NP PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-07-29
Last Update Date:2025-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult HealthGroup - Single Specialty