MEDICARE: SARAH OLIVIA BRANDON

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
1	174N00000X	Lactation Consultant (Non-RN)
2	374J00000X	Doula

General Provider Information

NPI Number	:	1518812817
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH OLIVIA BRANDON

Provider Business Mailing Address
First Line	:	1939 UTICA AVE APT 515
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11234-3213
Country	:	US
Telephone Number	:	929-505-7259
Fax Number	:

Provider Business Practice Location Address
First Line	:	1939 UTICA AVE APT 515
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11234-3213
Country	:	US
Telephone Number	:	929-505-7259
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/02/2026
Last Update Date	:	03/02/2026

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Directions to “ SARAH OLIVIA BRANDON ” Practice Location

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