Healthcare Provider Details

I. General information

NPI: 1467231043
Provider Name (Legal Business Name): DR. NANI E. FUETING
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/25/2023
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14 HARWOOD CT STE 305
SCARSDALE NY
10583-4120
US

IV. Provider business mailing address

14 HARWOOD CT STE 305
SCARSDALE NY
10583-4120
US

V. Phone/Fax

Practice location:
  • Phone: 914-486-9419
  • Fax:
Mailing address:
  • Phone: 914-486-9419
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberP124874
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: