Healthcare Provider Details
I. General information
NPI: 1154398915
Provider Name (Legal Business Name): SYLVIA L GARBUTT NP
Entity Type: Individual
Gender: Female
Sole Proprietor: X
II. Dates (important events)
Enumeration Date: 03/01/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
451 CLARKSON AVE E BUILDING KCHC
BROOKLYN NY
11203
US
IV. Provider business mailing address
117 OSBORN STREET
KEYPORT NJ
07735
US
V. Phone/Fax
- Phone: 718-245-5493
- Fax: 718-245-5637
- Phone: 732-888-7869
- Fax: 718-245-5637
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363LP0808X |
| Taxonomy | Psychiatric/Mental Health Nurse Practitioner |
| License Number | F4006861 |
| License Number State | NY |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LW0102X |
| Taxonomy | Women's Health Nurse Practitioner |
| License Number | F4203231 |
| License Number State | NY |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: