Healthcare Provider Details

I. General information

NPI: 1003844309
Provider Name (Legal Business Name): KAREN WOODBURN-HOURIE MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/28/2006
Last Update Date: 10/30/2025
Certification Date: 10/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12506 101ST AVE
SOUTH RICHMOND HILL NY
11419-1412
US

IV. Provider business mailing address

55 WATER ST FL 2
NEW YORK NY
10041-0010
US

V. Phone/Fax

Practice location:
  • Phone: 718-849-2900
  • Fax: 718-559-5468
Mailing address:
  • Phone: 646-680-2888
  • Fax: 516-542-5556

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number181579
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: