Individual ProviderKyle T SmithStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address1051 Riverside Dr, New York, NY 10032-1007(646) 774-5000PECOS EnrollmentBased on the most recent information from CMS, provider Kyle T Smith does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1497509996Provider TypeIndividualFull NameSmith, Kyle TGenderMaleSole ProprietorYesEnumeration Date4/12/2024Last Updated4/12/2024Contact InformationPractice LocationPractice Address1051 Riverside Dr, New York, NY 10032-1007Phone(646) 774-5000FaxUnlisted FaxMailing LocationMailing Address315 W 74th St Apt B, New York, NY 10023-1677PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer