George Jory Wixsom
MD | Psychiatry | Child & Adolescent
20 W Park Ave, Suite 310b, Long Beach
New York, 11561-2033
516-978-1612 516-374-2261
Maps & DirectionsGeorge Jory Wixsom is a Long Beach, New York based psychiatrist who is specialized in Child & Adolescent. Active license number of George Jory Wixsom is 224685-1 for Child & Adolescent in New York. His current practice location is 20 W Park Ave, Suite 310b, Long Beach. Patients can reach him at 516-978-1612 or can fax him at 516-374-2261. George Jory Wixsom is MD in Child & Adolescent and his NPI number (Unique professional ID assigned by NPPES) is 1114094612.
George Jory Wixsom has done additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Complete Profile:
George Jory Wixsom speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | George Jory Wixsom |
| Specialization: | Child & Adolescent |
| Gender: | Male |
| Credentials: | MD |
| Practice Address: | 20 W Park Ave, Suite 310b, Long Beach,
New York, 11561-2033 |
| Phone: | 516-978-1612 |
| Fax: | 516-374-2261 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1114094612 |
| NPI Enumeration Date: | 29 Nov, 2006 |
| NPI Last Update On: | 28 Jun, 2013 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for George Jory Wixsom are as mentioned below.
| License Number | Specialization | State | Status | |
| 224685-1 | Child & Adolescent | New York | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with George Jory Wixsom such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 02406628 | Medicaid | New York | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | George Jory Wixsom
50 W. Hawthorne Ave.,
Woodmere, New York |
| Zip: | 11598 |
| Phone Number: | 516-569-6600 |
| Fax Number: | 516-374-2261 |
Patients can reach George Jory Wixsom at
20 W Park Ave, Suite 310b, Long Beach, New York or can
call to book an appointment on 516-978-1612.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.