EILEEN R KRAEGER PA NPI 1912950445

NPI Information

  • NPI: 1912950445
  • Provider Name: EILEEN R KRAEGER, PA
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • Address: 53 PUBLIC SQ
    SUITE 202
    WATERTOWN, NY
    ZIP 13601
  • Phone: (315) 786-8408

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NPI Details

Eileen R Kraeger, PA is a medical physician assistant in Watertown, NY. Eileen R Kraeger, PA NPI is 1912950445. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

53 PUBLIC SQ
SUITE 202
WATERTOWN, NY
ZIP 13601-674
Phone: (315) 786-8408
Fax: (315) 786-6368

The enumeration date for this NPI number is 5/18/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AM0700XPhysician AssistantMedical009635NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1PA0740MEDICARE ID-TYPE UNSPECIFIEDNEW YORK
2Q38910MEDICARE UPINNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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