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
| Taxonomy | Code | License |
|---|---|---|
| Diagnostic Radiology Physician Primary | 2085R0202X | 193865 (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.