Jacqueline M Havriliak, CRNA
NPI #1063457760 in Johnson City, New York
Provider Information
- NPI Number
- 1063457760
- Entity Type
- Individual
- Name
- Jacqueline M Havriliak, CRNA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Anesthetist, Certified Registered
- Credential
- CRNA
- Enumeration Date
- Jun 17, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 156 CORLISS AVE
- Address 2
- SUITE 107
- City
- Johnson City
- State
- New York
- ZIP Code
- 13790-2060
- Phone
- (607) 763-6735
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Anesthetist, Certified Registered |
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