Individual
MELISSA LEE LONGOBARDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
571 BROAD ST, CENTRAL FALLS, RI 02863-2837
(401) 864-0503
Mailing address
106 COMMON FENCE BLVD, PORTSMOUTH, RI 02871-5610
(401) 728-7556
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA00269
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7009808
—
RI
Enumeration date
03/01/2006
Last updated
07/09/2007
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