Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Vineet Bansal

Individual provider Family Medicine Physician · NPI 1104068667

Vineet Bansal is a Family Practice in Potsdam, New York. Qualified in 2003, 23 years ago. Practices with Canton-Potsdam Hospital, a 239-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
23
Licensed in
NY
In the registry since
2009

Practice location Address checks out

49 Lawrence Ave
Potsdam, NY 13676-1889
Phone: (315) 261-5550
Fax: (315) 261-5597
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 267481 (NY)

Record details

NPI number1104068667
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 30, 2009
Last updated in NPPESOctober 9, 2013
Mailing address50 Leroy St, Potsdam, NY 13676-1786

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Canton-Potsdam Hospital — 239 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Potsdam