| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1922094853 | EVANS | TRACY | A | 725 RESERVOIR AVE | CRANSTON | RI | 029104448 | |
| 1518060300 | FORTUNA | ROBERT | JOSEPH | 725 RESERVOIR AVE | CRANSTON | RI | 029104448 | |
| 1639299464 | HOPKINSON | STEPHANIE | 725 RESERVOIR AVENUE | CRANSTON | RI | 02910 | ||
| 1275528903 | SINGER | IRA | JOEL | 725 RESERVOIR AVE | CRANSTON | RI | 029104448 |