Individual provider · Type 1 NPI
George Jory Wixsom, MD
Child & Adolescent Psychiatry Physician · Long Beach, NY
NPI number
1114094612
Active
Practice location
20 W Park Ave, Suite 310B
Long Beach, NY 11561-2033
Fax (516) 374-2261
Mailing address
50 W. Hawthorne Ave.
Woodmere, NY 11598
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Child & Adolescent Psychiatry Physician Primary | 2084P0804X | 224685-1 (NY) |
Child & Adolescent Psychiatry Physician: Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
2 other providers at this address
About NPI 1114094612
George Jory Wixsom, MD's National Provider Identifier is 1114094612, issued on Nov 29, 2006. The primary taxonomy on file is Child & Adolescent Psychiatry Physician (2084P0804X), and the practice location is in Long Beach, NY. The record was last updated on Jun 28, 2013.