Havriliak, Jacqueline M

Havriliak, Jacqueline M is an individual health care provider with primary practice located at 156 Corliss Ave Suite 107, Johnson City NY 13790-2060. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Havriliak, Jacqueline M can be contacted via phone (607) 763-6735.

Contact Information

Primary practice address
156 Corliss Ave Suite 107 Johnson City NY 13790-2060
Phone: (607) 763-6735
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X RN246320L Pennsylvania

Profile Details

NPI number 1063457760
LBN Legal business name Havriliak, Jacqueline M
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers