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NPI Code Detail

MEDICARE: MS. NIASIA C NORMAN I

MEDICARE:  MS. NIASIA C NORMAN I
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) Counselor

General Provider Information

NPI Number : 1649157215
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. NIASIA C NORMAN I
Provider Business Mailing Address
First Line : 3026 BAINBRIDGE AVE APT E2
Second Line :
City : BRONX
State : NY
Zip : 10458-1764
Country : US
Telephone Number : 347-366-4141
Fax Number :
Provider Business Practice Location Address
First Line : 730 KELLY ST APT E2
Second Line :
City : BRONX
State : NY
Zip : 10455-1911
Country : US
Telephone Number : 347-366-4141
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/18/2025
Last Update Date : 08/18/2025

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Directions to “ MS. NIASIA C NORMAN I ” Practice Location

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