Provider Demographics
NPI:1386223550
Name:CAIN ZARZOSA, RAISSA ELIZABETH
Entity type:Individual
Prefix:
First Name:RAISSA
Middle Name:ELIZABETH
Last Name:CAIN ZARZOSA
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:783 KNICKERBOCKER AVE APT 103
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11207-2270
Mailing Address - Country:US
Mailing Address - Phone:925-325-2694
Mailing Address - Fax:
Practice Address - Street 1:783 KNICKERBOCKER AVE APT 103
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11207-2270
Practice Address - Country:US
Practice Address - Phone:925-325-2694
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-06
Last Update Date:2025-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program