Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jacqueline M Havriliak, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1063457760

Jacqueline M Havriliak, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Johnson City, New York. Qualified in 1991, 35 years ago. Practices with Bryn Mawr Medical Specialists Association, a 135-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
35
Licensed in
PA
In the registry since
2006
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

156 Corliss Ave Ste 107
Johnson City, NY 13790-2060
Phone: (607) 763-6735
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence RN246320L (PA)

Record details

NPI number1063457760
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNA
Sole proprietorNo
NPI enumeratedJune 17, 2006
Last updated in NPPESJuly 8, 2007

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 1991 (35 years in practice)
Group practice Bryn Mawr Medical Specialists Association — 135 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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