# P. BADER & N. GONDAL M.D. , P.C.

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

## Provider details

- **NPI number:** 1073653390
- **Authorized official:** DR. PAUL BRUCE BADER MD (PRESIDENT)
- **Authorized official phone:** (718) 263-7766

## Contact information

- **Practice address:** 11247 QUEENS BLVD, STE 209, FOREST HILLS, NY 11375-7417
- **Practice address phone:** (718) 263-7766
- **Practice address fax:** (718) 544-1981
- **Mailing address:** 11247 QUEENS BLVD, STE 209, FOREST HILLS, NY 11375-7417
- **Mailing address phone:** (718) 263-7766
- **Mailing address fax:** (718) 544-1981

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RH0003X | Hematology & Oncology Physician | 143018 | NY | Yes |

## Other

- **Enumeration date:** 02/07/2007
- **Last updated:** 01/22/2008