Eileen R Kraeger, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

009635 Issued in NY

Practice address

53 Public SQ
Suite 202
Watertown, NY 13601-2674

Phone

(315) 786-8408

Fax

(315) 786-6368

NPI assigned

May 18, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1912950445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 PUBLIC SQ",
            "address_2": "SUITE 202",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136012674",
            "telephone_number": "315-786-8408",
            "fax_number": "315-786-6368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 PUBLIC SQ",
            "address_2": "SUITE 202",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136012674",
            "telephone_number": "315-786-8408",
            "fax_number": "315-786-6368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAEGER",
        "first_name": "EILEEN",
        "middle_name": "R",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-18",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "009635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolann V Kozlowski, P.T.
• KPH Healthcare Services, Inc.
• KPH Healthcare Services, Inc.
• KPH Healthcare Services, Inc.
• KPH Healthcare Services, Inc.
• Cynthia Krake
• John Krake
• Lawrence George Kramer, MD
• Jeffrey Clinton Krauss, PA
• Kevin J Kriesel, MD

• Medical Physician Assistant in Watertown, NY
• Providers in Watertown, NY by specialty
• Medical Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.