# BRIDGE MEDICAL DISTRIBUTION NETWORK, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184879595
- **Authorized official:** MR. MALCOLM JOEL KANTER (CEO)
- **Authorized official phone:** (800) 277-6690

## Contact information

- **Practice address:** 14 WOLFE LN, PURCHASE, NY 10577-1110
- **Practice address phone:** (800) 277-6690
- **Practice address fax:** (914) 761-2361
- **Mailing address:** 14 WOLFE LN, PURCHASE, NY 10577-1110
- **Mailing address phone:** (800) 277-6690
- **Mailing address fax:** (914) 761-2361

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 293D00000X | Physiological Laboratory | — | NULL | — |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | — | NULL | Yes |

## Other

- **Enumeration date:** 11/26/2008
- **Last updated:** 11/26/2008