MEDICARE: DR. MIKAELA SARGEANT AUD

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	231H00000X	Audiologist	003362	NY

General Provider Information

NPI Number	:	1720915523
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MIKAELA SARGEANT AUD

Provider Business Mailing Address
First Line	:	1159 DEAN ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11216-3061
Country	:	US
Telephone Number	:	832-366-5812
Fax Number	:

Provider Business Practice Location Address
First Line	:	185 MONTAGUE ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11201-3600
Country	:	US
Telephone Number	:	347-808-7070
Fax Number	:

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

Provider Enumeration Date	:	05/06/2026
Last Update Date	:	05/06/2026

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