Individual provider · Type 1 NPI

Mark Evan Pugach, MD

Diagnostic Radiology Physician · Great Neck, NY

NPI number 1720082647 Active

Practice location

560 Northern Blvd, Suite 102
Great Neck, NY 11021-5100

Fax (516) 504-6398

Mailing address

560 Northern Blvd Ste 102
Great Neck, NY 11021-5100

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician Primary 2085R0202X193865 (NY)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1720082647

Mark Evan Pugach, MD's National Provider Identifier is 1720082647, issued on Jun 9, 2005. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Great Neck, NY. The record was last updated on May 7, 2026.