Pugach, Mark Evan
Pugach, Mark Evan is an individual health care provider with primary practice located at 560 Northern Blvd Suite 102, Great Neck NY 11021-5100. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Pugach, Mark Evan can be contacted via phone (516) 504-1600.Contact Information
Primary practice address
560 Northern Blvd Suite 102
Great Neck NY 11021-5100
Phone: (516) 504-1600
Fax: (516) 504-6398
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 193865 | New York |
Profile Details
| NPI number | 1720082647 |
|---|---|
| LBN Legal business name | Pugach, Mark Evan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 9th, 2005 |
| Last updated | Mar 11th, 2010 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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