The best cream-based pasta in Little Italy? The linguini bianco with chicken. Nice large portion, chicken grilled perfectly, just enough tomato so you get the flavor without it tasting like a marinara, and just enough cream so as not to feel like you are gaining weight with every bite.
The service is great here, and I also love the ambience. Eat outside under the umbrellas on a nice day, look out over the cobblestones of Little Italy's main streets, sit back, relax and maybe for a moment or two, you'll get a feeling like you are actually in Italy, enjoying a lovely dinner in a quaint little cafe.