Provider Demographics
NPI:1346120284
Name:COSSIN, NEIL STEVEN
Entity type:Individual
Prefix:DR
First Name:NEIL
Middle Name:STEVEN
Last Name:COSSIN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:RAVINA 16
Mailing Address - Street 2:, APARTMENT 1
Mailing Address - City:RAMAT BET SHEMESH DALET,9920417
Mailing Address - State:JERUSALEM
Mailing Address - Zip Code:9920417
Mailing Address - Country:IL
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:RAVINA 16
Practice Address - Street 2:, APARTMENT 1
Practice Address - City:RAMAT BET SHEMESH DALET,9920417
Practice Address - State:JERUSALEM
Practice Address - Zip Code:9920417
Practice Address - Country:IL
Practice Address - Phone:
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-03
Last Update Date:2025-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA23933207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine