Provider Demographics
NPI:1780244269
Name:RITTMILLER, BAYLY MARIE (PA)
Entity type:Individual
Prefix:
First Name:BAYLY
Middle Name:MARIE
Last Name:RITTMILLER
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:BAYLY
Other - Middle Name:MARIE
Other - Last Name:ANDERSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA
Mailing Address - Street 1:3044 ROUTE 50
Mailing Address - Street 2:
Mailing Address - City:SARATOGA SPRINGS
Mailing Address - State:NY
Mailing Address - Zip Code:12866-3073
Mailing Address - Country:US
Mailing Address - Phone:518-886-5800
Mailing Address - Fax:
Practice Address - Street 1:3044 ROUTE 50
Practice Address - Street 2:
Practice Address - City:SARATOGA SPRINGS
Practice Address - State:NY
Practice Address - Zip Code:12866-3073
Practice Address - Country:US
Practice Address - Phone:518-886-5800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-18
Last Update Date:2019-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical