Organization
BASILICA MANAGEMENT CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARIFF DE LOS SANTOS (CEO)
(732) 789-0801
Entity
Organization
Contact information
Practice address
5030 BROADWAY STE 664, NEW YORK, NY 10034-1612
(732) 789-0801
(718) 406-9994
Mailing address
5030 BROADWAY STE 664, NEW YORK, NY 10034-1612
(732) 789-0801
(718) 406-9994
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
12/10/2025
Last updated
12/10/2025
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