1975 VICTORY CHIROPRACTIC PC – NPI #1891662987
Clinic/Center

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 is an AHC clinic located in STATEN ISLAND, NY. NPPES has assigned the NPI number 1891662987 to 1975 VICTORY CHIROPRACTIC PC on October 22, 2025. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QM2500X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Medical Specialty

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for 1975 VICTORY CHIROPRACTIC PC below.

NPI Profile for
1975 VICTORY CHIROPRACTIC PC

NPI Number
1891662987
Enumeration Date

(about 8 months ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
1975 VICTORY CHIROPRACTIC PC
Primary location
1975 VICTORY BLVD
STATEN ISLAND, NY 10314-3553
Phone: (718) 203-8518 Fax: (718) 223-5853
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
MARINA GADABORSHEV
CHIROPRACTOR/OWNER
Phone: (973) 519-6302
Updated
Certification Date
Oct 22, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QM2500X
- Clinic/Center / Medical Specialty (Primary)
261QP3300X
- Clinic/Center / Pain

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.