Healthcare Provider Details

I. General information

NPI: 1528072709
Provider Name (Legal Business Name): MAPLE GATE ANESTHESIOLOGISTS, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/27/2006
Last Update Date: 09/23/2025
Certification Date: 09/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2568 WALDEN AVE STE 103-105
CHEEKTOWAGA NY
14225-4760
US

IV. Provider business mailing address

2568 WALDEN AVE STE 103-105
CHEEKTOWAGA NY
14225-4760
US

V. Phone/Fax

Practice location:
  • Phone: 716-632-1088
  • Fax: 716-632-7842
Mailing address:
  • Phone: 716-632-1088
  • Fax: 716-632-7842

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number State

VIII. Authorized Official

Name: PETER FILOCAMO
Title or Position: PRESIDENT
Credential: M.D.
Phone: 716-632-1088