Provider Demographics
NPI:1801103023
Name:BYRAM HEALTHCARE CENTERS, INC.
Entity type:Organization
Organization Name:BYRAM HEALTHCARE CENTERS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO&PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:PERRY
Authorized Official - Middle Name:A
Authorized Official - Last Name:BERNOCCHI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:914-286-2000
Mailing Address - Street 1:PO BOX 277596
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30384-7596
Mailing Address - Country:US
Mailing Address - Phone:770-442-5516
Mailing Address - Fax:770-590-8563
Practice Address - Street 1:3010 WOODCREEK DR
Practice Address - Street 2:SUITE A
Practice Address - City:DOWNERS GROVE
Practice Address - State:IL
Practice Address - Zip Code:60515-5415
Practice Address - Country:US
Practice Address - Phone:630-271-9041
Practice Address - Fax:630-271-9455
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BYRAM HOLDINGS, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-09-09
Last Update Date:2010-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies