| George Jory Wixsom, MD | |
|
20 W Park Ave, Suite 310b, Long Beach, NY 11561-2033 | |
| (516) 978-1612 | |
| (516) 374-2261 |
| Full Name | George Jory Wixsom |
|---|---|
| Gender | Male |
| Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
| Location | 20 W Park Ave, Long Beach, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114094612 | NPI | - | NPPES |
| 02406628 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | 224685-1 (New York) | Primary |
| Entity Name | Department Of State Hospitals |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124078704 PECOS PAC ID: 9638174238 Enrollment ID: O20081031000305 |
| Mailing Address | Practice Location Address |
|---|---|
| George Jory Wixsom, MD 50 W. Hawthorne Ave., Woodmere, NY 11598 Ph: (516) 569-6600 | George Jory Wixsom, MD 20 W Park Ave, Suite 310b, Long Beach, NY 11561-2033 Ph: (516) 978-1612 |
Dr. Rajesh Desai, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 871 E Park Ave, Long Beach, NY 11561 Phone: 516-889-8844 Fax: 516-889-8857 | |
Dr. Iqbal Jangda, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 871 E Park Ave, Long Beach, NY 11561 Phone: 516-889-8844 Fax: 516-889-8857 | |
Dr. Robert A Katz, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 120 W Park Ave Ste 309, Long Beach, NY 11561 Phone: 516-260-6330 Fax: 239-271-2202 | |
Krista Michelle Lim-hing, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 621 E Olive St Fl 1, Long Beach, NY 11561 Phone: 770-845-3011 | |
Dr. Ashok Bhatt, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 871 E Park Ave, Long Beach, NY 11561 Phone: 516-889-8844 Fax: 516-889-8857 | |
Dr. Stanley Y Reddy, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 871 E Park Ave, Long Beach, NY 11561 Phone: 516-889-8844 Fax: 516-889-8857 |