Carlo Gambino came from Sicily in 1921 at the age of 19. A seasoned gang member, he immediately began his growth up the New York Mafia ladder. He worked in gangs led by Joe "the Boss" Masseria, Salvatore Maranzano, Philip and Vincent Mangano, and Albert Anastasia. After the murder of Anatasia in 1957, Gambino became the head of the family, and changed the name of the organization from D'Aquila to Gambino. Known as the Boss of Bosses, Carlo Gambino grew to be one of the most powerful Mafia bosses of all time. He died of heart failure at age 74 in 1976.think
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