Individual
SAMANTHA JEAN CALLISTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW. CASAC-M
Contact information
Practice address
2250 GRAND AVE, BALDWIN, NY 11510-3109
(631) 200-1669
(631) 302-6641
Mailing address
2250 GRAND AVE, BALDWIN, NY 11510-3109
(516) 200-1669
(631) 302-6641
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
33173
NY
Other
Enumeration date
10/10/2017
Last updated
09/24/2025
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