Provider Demographics
NPI:1649157215
Name:NORMAN, NIASIA C I
Entity type:Individual
Prefix:MS
First Name:NIASIA
Middle Name:C
Last Name:NORMAN
Suffix:I
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3026 BAINBRIDGE AVE APT E2
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10458-1764
Mailing Address - Country:US
Mailing Address - Phone:347-366-4141
Mailing Address - Fax:
Practice Address - Street 1:730 KELLY ST APT E2
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10455-1911
Practice Address - Country:US
Practice Address - Phone:347-366-4141
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-18
Last Update Date:2025-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)