Provider Demographics
NPI:1215491345
Name:CORTESIA SERVICES
Entity type:Organization
Organization Name:CORTESIA SERVICES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:WENDY
Authorized Official - Middle Name:I
Authorized Official - Last Name:ANDINO-WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:413-310-7213
Mailing Address - Street 1:325 OAKLAND ST
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01108-1361
Mailing Address - Country:US
Mailing Address - Phone:413-310-7213
Mailing Address - Fax:
Practice Address - Street 1:325 OAKLAND ST
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01108-1361
Practice Address - Country:US
Practice Address - Phone:413-310-7213
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-23
Last Update Date:2019-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)Group - Single Specialty
No171R00000XOther Service ProvidersInterpreterGroup - Single Specialty