Individual
KYRIS SMALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRPA-P
Contact information
Practice address
493 NOSTRAND AVE, BROOKLYN, NY 11216-5117
(718) 230-1379
(718) 638-1628
Mailing address
493 NOSTRAND AVE, BROOKLYN, NY 11216-5117
(718) 230-1379
(718) 638-1628
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
9809
NY
Other
Enumeration date
04/17/2026
Last updated
04/17/2026
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