George 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.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.