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 | Epic Long Island |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174563936 PECOS PAC ID: 7315835907 Enrollment ID: O20040305000757 |
Entity Name | Peninsula Counseling Center,inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437262839 PECOS PAC ID: 2668361353 Enrollment ID: O20040311000882 |
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 |