National Provider Identifier

Michael McCracken, BS

Michael McCracken, BS is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program in Buffalo, NY and a listed phone number of (716) 829-2802.

NPI 1578449666Buffalo, NYStudent in an Organized Health Care Education/Training Program

Profile Overview

NPI
1578449666
Provider Type
Individual
Primary Specialty
Student in an Organized Health Care Education/Training Program
Enumeration Date
August 13, 2025
Last Updated
August 13, 2025

Practice Location

  • 955 Main St
  • Buffalo, NY 14203-1121

Phone: (716) 829-2802

Mailing Address

  • 272 Blackstone Blvd
  • Tonawanda, NY 14150-8914

Specialties

  • Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
NPI
1578449666
Entity Type
Individual
Last Name
McCracken
First Name
Michael
Credential
BS
Mailing Street Address
272 Blackstone Blvd
Mailing City
Tonawanda
Mailing State
NY
Mailing ZIP Code
14150-8914
Mailing Country
US
Practice Street Address
955 Main St
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14203-1121
Practice Country
US
Practice Phone
(716) 829-2802
Enumeration Date
August 13, 2025
Last Updated
August 13, 2025
Sex
Male
Sole Proprietor
No
Certification Date
August 13, 2025
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Student in an Organized Health Care Education/Training Program (390200000X)