| LCA CASE NUMBER | I-200-18094-678663 |
| STATUS | CERTIFIED |
| LCA CASE SUBMIT | 5/17/18 |
| DECISION DATE | 5/23/18 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 7/1/18 |
| EMPLOYMENT END DATE | 6/30/21 |
| LCA CASE EMPLOYER NAME | 139 MEDICAL FACILITY, P.C. |
| EMPLOYER BUSINESS DBA | AVICENNA MEDICAL CENTER |
| EMPLOYER ADDRESS | 3410-3418 BROADWAY |
| EMPLOYER CITY | NEW YORK |
| EMPLOYER STATE | NY |
| EMPLOYER POSTAL CODE | 10031 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 2122832099 |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY NAME | SUTHERLAND, EMMA |
| AGENT ATTORNEY CITY | HERNDON |
| AGENT ATTORNEY STATE | VA |
| LCA CASE JOB TITLE | PHYSICIAN (FAMILY MEDICINE) |
| SOC CODE | 29-1062 |
| SOC NAME | FAMILY AND GENERAL PRACTITIONERS |
| NAICS CODE | 62111 |
| TOTAL WORKERS | 1 |
| NEW EMPLOYMENT | 1 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMP | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| FULL TIME POSITION | Y |
| PREVAILING WAGE | 106,662.00 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | Level I |
| PW SOURCE | OES |
| PW SOURCE YEAR | 2017 |
| PW SOURCE OTHER | OFLC ONLINE DATA CENTER |
| LCA CASE WAGE RATE FROM | 127,000.00 |
| LCA CASE WAGE RATE TO | 0.00 |
| LCA CASE WAGE RATE UNIT | Year |
| H1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| SUPPORT H1B | NA |
| LABOR CON AGREE | Y |
| LCA CASE WORKLOC1 CITY | NEW YORK |
| WORKSITE COUNTY | NEW YORK |
| LCA CASE WORKLOC1 STATE | NY |
| WORKSITE POSTAL CODE | 10031 |
