Individual
SHRAIY AGRAWAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
200B VILLAGE WALK, GUILFORD, CT 06437-2745
(203) 458-2020
Mailing address
375 E MAIN ST UNIT 9, BRANFORD, CT 06405-2963
(347) 406-2276
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
009990
NY
152W00000X
Optometrist
Primary
3350
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/29/2024
Last updated
07/22/2024
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