Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

George Jory Wixsom, MD

Individual provider Child & Adolescent Psychiatry Physician · NPI 1114094612

George Jory Wixsom, MD is a Child & Adolescent Psychiatry Physician in Long Beach, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

20 W Park Ave Ste 310B
Long Beach, NY 11561-2033
Phone: (516) 978-1612
Fax: (516) 374-2261
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Child & Adolescent Psychiatry Physician (primary) Taxonomy 2084P0804X · Licence 224685-1 (NY)

Record details

NPI number1114094612
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 29, 2006
Last updated in NPPESJune 28, 2013