MEDICARE: JOSEPH WILLIAM KRAUT PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363AM0700X	Medical Physician Assistant	PA 17364	CA

General Provider Information

NPI Number	:	1275524282
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSEPH WILLIAM KRAUT PA-C

Provider Business Mailing Address
First Line	:	315 S MANNING BLVD
Second Line	:
City	:	ALBANY
State	:	NY
Zip	:	12208-1707
Country	:	US
Telephone Number	:	518-525-1550
Fax Number	:

Provider Business Practice Location Address
First Line	:	315 S MANNING BLVD
Second Line	:
City	:	ALBANY
State	:	NY
Zip	:	12208-1707
Country	:	US
Telephone Number	:	518-525-1550
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/31/2005
Last Update Date	:	04/07/2026

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