| LCA CASE NUMBER | I-200-16167-657665 |
| STATUS | CERTIFIED |
| LCA CASE SUBMIT | 6/15/16 |
| DECISION DATE | 6/21/16 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 7/1/16 |
| EMPLOYMENT END DATE | 6/30/19 |
| LCA CASE EMPLOYER NAME | PHYSICIAN AFFILIATE GROUP OF NY, P.C. |
| EMPLOYER ADDRESS | 55 WEST 125TH STREET |
| EMPLOYER CITY | NEW YORK |
| EMPLOYER STATE | NY |
| EMPLOYER POSTAL CODE | 10027 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | N/A |
| EMPLOYER PHONE | 6466723650 |
| AGENT ATTORNEY NAME | PERLITSH, STEPHEN |
| AGENT ATTORNEY CITY | NEW YORK |
| AGENT ATTORNEY STATE | NY |
| LCA CASE JOB TITLE | ATTENDING PHYSICIAN |
| SOC CODE | 29-1069 |
| SOC NAME | PHYSICIANS AND SURGEONS, ALL OTHER |
| NAIC CODE | 622110 |
| TOTAL WORKERS | 1 |
| PREVAILING WAGE | 210,000.00 |
| PW UNIT OF PAY | Year |
| PW WAGE SOURCE | CBA |
| PW SOURCE YEAR | 2012 |
| PW SOURCE OTHER | COLLECTIVE BARGAINING AGREEMENT |
| LCA CASE WAGE RATE FROM | 210,000.00 |
| 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 | 10451 |
