In a medium saucepan, combine the milk, heavy cream, sugar, salt, and vanilla extract. Heat over low heat, but do not boil.
Meanwhile, in a separate bowl, whisk the egg yolks. Gradually add a ladleful of the warm milk mixture to the egg yolks while whisking constantly to temper the eggs.
Pour the egg mixture back into the saucepan. Cook over low heat, stirring constantly, until the custard thickens and coats the back of a spoon. This should take about 5-7 minutes.
Strain the mixture through a fine-mesh sieve. Stir in the almond extract and the finely ground pistachios. If desired, add a drop of green food coloring for an authentic look. Let cool to room temperature before refrigerating for at least 4 hours (or overnight).
Pour the chilled custard into an ice cream maker and churn according to the manufacturer's instructions.
When the ice cream is almost done, stir in the coarsely chopped almonds for added crunch.
Transfer the ice cream to an airtight container and freeze for at least 2 hours to allow it to firm up.
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