Individual
MRS. AILISH SAMUELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
18 BROWNSKNOLL LN, EAGLE BRIDGE, NY 12057-2307
(518) 290-0554
Mailing address
18 BROWNSKNOLL LN, EAGLE BRIDGE, NY 12057-2307
(518) 919-3982
(479) 334-3222
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
403660
NY
Other
Enumeration date
08/04/2021
Last updated
04/08/2026
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