# INNATE WISDOM LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** The Back Pain Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023463205
- **Authorized official:** DR. DENNIS JAMES BARTECK D.C. (CEO/OWNER)
- **Authorized official phone:** (212) 725-0755

## Contact information

- **Practice address:** 290 MADISON AVE, SIXTH FLOOR, NEW YORK, NY 10017-6308
- **Practice address phone:** (212) 725-0755
- **Practice address fax:** (212) 725-0577
- **Mailing address:** 1550 HARBOR BLVD, APT 2511, WEEHAWKEN, NJ 07086
- **Mailing address phone:** (212) 725-0755
- **Mailing address fax:** (212) 725-0577

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 38MC00498700 | NJ | — |
| 111N00000X | Chiropractor | X011990-1 | NY | Yes |

## Other

- **Enumeration date:** 04/26/2016
- **Last updated:** 09/27/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1396785499 | NPI | NY |