1975 VICTORY CHIROPRACTIC PC NPI 1891662987

NPI Information

NPI: 1891662987
Provider Name: 1975 VICTORY CHIROPRACTIC PC
Classification: Clinic/Center - 261QM2500X
Specialization: Medical Specialty
Entity Type: Organization
Address: 1975 VICTORY BLVD
STATEN ISLAND, NY
ZIP 10314
Phone: (718) 203-8518

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NPI Details

1975 VICTORY CHIROPRACTIC PC is a medical specialty clinic center in Staten Island, NY. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). 1975 VICTORY CHIROPRACTIC PC NPI is 1891662987. The provider is registered as an organization entity type.

The provider's business location address is:

1975 VICTORY BLVD
STATEN ISLAND, NY
ZIP 10314-553
Phone: (718) 203-8518
Fax: (718) 223-5853

The provider's authorized official is Marina Gadaborshev .
The authorized official title is Chiropractor/owner and has the following contact phone number (973) 519-6302.

The enumeration date for this NPI number is 10/22/2025 and was last updated on 10/22/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP3300X	Clinic/Center	Pain			No
2	261QM2500X	Clinic/Center	Medical Specialty			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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