MEDICARE: DR. KEVIN A MCCRACKEN MD

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	207XS0117X	Orthopaedic Surgery of the Spine Physician	339279	NY
2	207X00000X	Orthopaedic Surgery Physician	339279	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1013944586
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KEVIN A MCCRACKEN MD

Provider Business Mailing Address
First Line	:	PO BOX 14890
Second Line	:
City	:	ALBANY
State	:	NY
Zip	:	12212-4890
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1182 TROY SCHENECTADY RD STE 100
Second Line	:
City	:	LATHAM
State	:	NY
Zip	:	12110-1000
Country	:	US
Telephone Number	:	518-269-4690
Fax Number	:

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

Provider Enumeration Date	:	06/28/2006
Last Update Date	:	03/02/2026

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Directions to “ DR. KEVIN A MCCRACKEN MD” Practice Location

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