Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Alyssa Michelle Churchill, MD

Individual provider Pediatrics Physician · NPI 1396242434

Alyssa Michelle Churchill, MD is a Pediatrics Physician in Bay Shore, New York. Licensed in New York. Registered with an NPI since 2018.

Licensed in
NY
In the registry since
2018
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

376 E Main St Ste 101
Bay Shore, NY 11706-8441
Phone: (631) 539-5400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Cardiology Physician (primary) Taxonomy 2080P0202X · Licence 309766 (NY)
Pediatrics Physician Taxonomy 208000000X · Licence 309766 (NY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1396242434
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 6, 2018
Last updated in NPPESJuly 28, 2025
Certification dateJuly 28, 2025

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