Provider Demographics
NPI:1154398915
Name:GARBUTT, SYLVIA L (NP)
Entity type:Individual
Prefix:MS
First Name:SYLVIA
Middle Name:L
Last Name:GARBUTT
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:117 OSBORN STREET
Mailing Address - Street 2:
Mailing Address - City:KEYPORT
Mailing Address - State:NJ
Mailing Address - Zip Code:07735
Mailing Address - Country:US
Mailing Address - Phone:732-888-7869
Mailing Address - Fax:718-245-5637
Practice Address - Street 1:451 CLARKSON AVE
Practice Address - Street 2:E BUILDING KCHC
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11203
Practice Address - Country:US
Practice Address - Phone:718-245-5493
Practice Address - Fax:718-245-5637
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF4006861363LP0808X
NYF4203231363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
Not Answered363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health