A native of the Western New York area (Tonawanda) Dr. Small graduated SUNY Buffalo in 1976 and the medical college of Ohio at Toledo (MCOT) in 1980. Dr. Small completed his residency from MCOT where he also had held the position of assistant professorship in general internal medicine until 1992. From there Dr. Small progressed to DeGraff hospital to practice medicine in his hometown for Three years until opening a general medicine private practice in North Buffalo between 1995-1998. Dr. Small was then Selected by Dr. Nelson Torres from Sisters hospital in Buffalo, NY to practice in the field of addiction medicine which he did while simultaneously acting as the associate director of addiction services of Buffalo New York’s Brylin hospital. In the year 2000 Meridian Medicine was born. From humble beginnings of nine patients the practice has flourished under Dr. Smalls care to its current capacity with a waiting list of patients yet to be seen.