Individual
DR. KEVIN HOWARD SMALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
125 MINEOLA AVE, STE 200, ROSLYN HEIGHTS, NY 11577-2042
(516) 616-5500
(888) 502-6582
Mailing address
125 MINEOLA AVE, STE 200, ROSLYN HEIGHTS, NY 11577-2042
(314) 477-6255
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
266256
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
266256
NYS LICENSE
NY
Enumeration date
06/15/2008
Last updated
03/07/2017
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