Healthcare Provider Details

I. General information

NPI: 1801612254
Provider Name (Legal Business Name): EMILY BENJAMIN LINDELL PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/02/2024
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 HOSPITAL HILL RD
SHARON CT
06069-2096
US

IV. Provider business mailing address

300 MINORTOWN RD
WOODBURY CT
06798-2202
US

V. Phone/Fax

Practice location:
  • Phone: 203-598-5295
  • Fax:
Mailing address:
  • Phone: 203-598-5294
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number6893
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: