| Doctor Name: | MRS. CYNTHIA POMINVILLE LONGWAY |
| NPI Number: | 1861447831 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PCNS |
| License Number: | PPNS 00028 |
| Business Practice Address: | 250 Eddie Dowling Hwy Unit # 6 North Smithfield, RI - 028968228 |
| Business Phone Number: | 4012359089 |
| Business Fax Number: | 4012359091 |
| Mailing Address: | 140 Lake Dr, WEST GREENWICH |
| State: | RI |
| Postal Code: | 028171563 |
| Phone Number: | 4013973488 |
| Fax Number: | 4012359091 |
| NPI Enumeration Date: | 05/24/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WP0809X |
| License Number: | PPNS 00028 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | RI |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Psych/Mental Health, Adult |
| Taxonomy Definition: | |