| LCA CASE NUMBER | I-200-16210-517435 |
| STATUS | CERTIFIED |
| LCA CASE SUBMIT | 8/10/16 |
| DECISION DATE | 8/16/16 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 9/29/16 |
| EMPLOYMENT END DATE | 9/28/19 |
| LCA CASE EMPLOYER NAME | URBAN HEALTH PLAN, INC. |
| EMPLOYER ADDRESS | 1065 SOUTHERN BOULEVARD |
| EMPLOYER CITY | BRONX |
| EMPLOYER STATE | NY |
| EMPLOYER POSTAL CODE | 10459 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 7189914833 |
| AGENT ATTORNEY NAME | PERLITSH, STEPHEN |
| AGENT ATTORNEY CITY | NEW YORK |
| AGENT ATTORNEY STATE | NY |
| LCA CASE JOB TITLE | FAMILY MEDICINE PHYSICIAN |
| SOC CODE | 29-1062 |
| SOC NAME | FAMILY AND GENERAL PRACTITIONERS |
| NAIC CODE | 621111 |
| TOTAL WORKERS | 1 |
| PREVAILING WAGE | 110,386.00 |
| PW UNIT OF PAY | Year |
| PW WAGE SOURCE | Other |
| PW SOURCE YEAR | 2016 |
| PW SOURCE OTHER | OFLC ONLINE DATA CENTER |
| LCA CASE WAGE RATE FROM | 135,000.00 |
| LCA CASE WAGE RATE TO | 0.00 |
| LCA CASE WAGE RATE UNIT | Year |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| LCA CASE WORKLOC1 CITY | BRONX |
| WORKSITE COUNTY | BRONX |
| LCA CASE WORKLOC1 STATE | NY |
| WORKSITE POSTAL CODE | 10459 |
