Provider Demographics
NPI:1760282891
Name:JALLOH, SEYCHELLES
Entity type:Individual
Prefix:
First Name:SEYCHELLES
Middle Name:
Last Name:JALLOH
Suffix:
Gender:
Credentials:
Other - Prefix:MRS
Other - First Name:SEYCHELLES
Other - Middle Name:
Other - Last Name:DOYLEY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHD, YOGA TEACHER
Mailing Address - Street 1:1210 E 94TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11236-3931
Mailing Address - Country:US
Mailing Address - Phone:347-687-4018
Mailing Address - Fax:
Practice Address - Street 1:151 W 30TH ST FL 3
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10001-4027
Practice Address - Country:US
Practice Address - Phone:347-687-4018
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-17
Last Update Date:2025-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY18-000176070202D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes202D00000XAllopathic & Osteopathic PhysiciansIntegrative MedicineGroup - Multi-Specialty