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Ailish Samuelson, PMHNP-BC — NPI 1851065734, Eagle Bridge, NY | NPI Central

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NPI 1851065734

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Ailish Samuelson, PMHNP-BC

NPI 1851065734 · Psychiatric/Mental Health Nurse Practitioner · Eagle Bridge, NY

Provider details

NPI number: 1851065734
Entity type: Individual
Primary specialty: Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Credential: PMHNP-BC
Sex: Female
Sole proprietor: No
License: 403660 (NY)

Specialties & taxonomies

Psychiatric/Mental Health Nurse PractitionerPrimary363LP0808XLicense 403660 (NY)
Physician Assistants & Advanced Practice Nursing Providers

Practice location

18 Brownsknoll Ln

Eagle Bridge, NY 12057-2307

Phone: (518) 290-0554

Approximate (ZIP-level) locationGet directions

More NY providers

Mailing address

18 Brownsknoll Ln

Eagle Bridge, NY 12057-2307

Additional practice locations (2)

643 Grooms Rd
Clifton Park, NY 12065-5912
Phone: (518) 919-3982
5 Main St
Hoosick Falls, NY 12090-2003
Phone: (518) 919-8932

Registry dates

Enumerated: 2021-08-04
Last updated: 2026-04-08
Certified: 2026-04-08

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.