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Author and Mafia historian Patrick Downey has theorized that Piraino may have in fact been the patriarch of the Profaci crime family, the precursor to the Colombo crime family, because Piraino's criminal interests, Brooklyn territory and several members of his group were absorbed into the group led by Brooklyn based Mafia leader and Maranzano ally, Joseph Profaci, a theory that is supported by some, and dismissed by others.
St. John's Cemetery, Queens, a cemetery located in Middle Village, holds many famed mobsters, including John Gotti, Lucky Luciano, Joe Gallo, Carlo Gambino, Joseph Profaci, Joe Colombo, Vito Genovese and Carmine Galante.