MEDICARE: DR. NANI E. FUETING

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist	P124874	NY

General Provider Information

NPI Number	:	1467231043
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NANI E. FUETING

Provider Business Mailing Address
First Line	:	14 HARWOOD CT STE 305
Second Line	:
City	:	SCARSDALE
State	:	NY
Zip	:	10583-4120
Country	:	US
Telephone Number	:	914-486-9419
Fax Number	:

Provider Business Practice Location Address
First Line	:	14 HARWOOD CT STE 305
Second Line	:
City	:	SCARSDALE
State	:	NY
Zip	:	10583-4120
Country	:	US
Telephone Number	:	914-486-9419
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/25/2023
Last Update Date	:	12/17/2025

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