MEDICARE: 1975 VICTORY CHIROPRACTIC PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QP3300X	Pain Clinic/Center
2	261QM2500X	Medical Specialty Clinic/Center

General Provider Information

NPI Number	:	1891662987
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	1975 VICTORY CHIROPRACTIC PC

Provider Business Mailing Address
First Line	:	1975 VICTORY BLVD
Second Line	:
City	:	STATEN ISLAND
State	:	NY
Zip	:	10314-3553
Country	:	US
Telephone Number	:	718-203-8518
Fax Number	:	718-223-5853

Provider Business Practice Location Address
First Line	:	1975 VICTORY BLVD
Second Line	:
City	:	STATEN ISLAND
State	:	NY
Zip	:	10314-3553
Country	:	US
Telephone Number	:	718-203-8518
Fax Number	:	718-223-5853

Authorized Official
Title or Position	:	CHIROPRACTOR/OWNER
Name	:	DR. MARINA GADABORSHEV
Credential	:	DC
Telephone Number	:	973-519-6302

Provider Enumeration Date	:	10/22/2025
Last Update Date	:	10/22/2025

Similar Medicare Providers

1114761129 — VICTORY BLVD SOCIAL DAY CARE INC
Practice Location Address:

1975 VICTORY BLVD
STATEN ISLAND, NY
10314-3553

Practice Phone: 646-515-6898
Practice Fax:

1902321490 — COURTNEY R SATCHELL NP
Practice Location Address:

650 VICTORY BLVD
STATEN ISLAND, NY
10301-3553

Practice Phone: 646-267-7211
Practice Fax:

1790469286 — AMANDA ROSE BOLLINI
Practice Location Address:

650 VICTORY BLVD
STATEN ISLAND, NY
10301-3553

Practice Phone: 347-613-6145
Practice Fax:

1922353770 — LSO ORTHOTICS, CO.
Practice Location Address:

3724 24TH ST STE 242
LONG ISLAND CITY, NY
11101-3553

Practice Phone: 718-606-2590
Practice Fax:

1093105348 — ADVANCED WOUND SOLUTIONS
Practice Location Address:

3724 24TH ST , SUITE 242
LONG ISLAND CITY, NY
11101-3553

Practice Phone: 718-606-2590
Practice Fax: 718-606-6087

1194684886 — IRIS HOOD LMSW
Practice Location Address:

201 BRYSON AVE
STATEN ISLAND, NY
10314-1922

Practice Phone: 917-816-1929
Practice Fax:

Directions to “1975 VICTORY CHIROPRACTIC PC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.