| LCA CASE NUMBER | I-200-17248-934106 |
| STATUS | CERTIFIED |
| LCA CASE SUBMIT | 9/7/2017 |
| DECISION DATE | 9/13/2017 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 10/16/2017 |
| EMPLOYMENT END DATE | 10/15/2020 |
| LCA CASE EMPLOYER NAME | URBAN HEALTH PLAN, INC. |
| EMPLOYER ADDRESS | 1065 SOUTHERN BOULEVARD |
| EMPLOYER CITY | BRONX |
| EMPLOYER STATE | NY |
| EMPLOYER POSTAL CODE | 10459 |
| AGENT ATTORNEY NAME | , |
| LCA CASE JOB TITLE | FAMILY PHYSICIAN |
| SOC CODE | 29-1062 |
| SOC NAME | FAMILY AND GENERAL PRACTITIONERS |
| NAICS CODE | 621111 |
| TOTAL WORKERS | 1 |
| NEW EMPLOYMENT | 1 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| FULL TIME POSITION | Y |
| PREVAILING WAGE | 129,790.00 |
| PW UNIT OF PAY | Year |
| PW SOURCE | Other |
| PW SOURCE YEAR | 2017 |
| PW SOURCE OTHER | MGMA: PROVIDER COMPENSATION REPORT |
| LCA CASE WAGE RATE FROM | 130,000.00 |
| LCA CASE WAGE RATE TO | 0.00 |
| LCA CASE WAGE RATE UNIT | Year |
| H1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| SUPPORT H1B | NA |
| LCA CASE WORKLOC1 CITY | BRONX |
| WORKSITE COUNTY | BRONX |
| LCA CASE WORKLOC1 STATE | NY |
| WORKSITE POSTAL CODE | 10459 |
