| LCA CASE NUMBER | I-200-19283-080770 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2019-10-10 |
| DECISION DATE | 2019-10-18 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | PHYSICIAN |
| SOC CODE | 29-1069.00 |
| SOC TITLE | Physicians and Surgeons, All Other |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-04-01 |
| END DATE | 2023-03-31 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 1 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | NORTHWELL HEALTH |
| EMPLOYER ADDRESS1 | 2000 MARCUS AVENUE |
| EMPLOYER CITY | NEW HYDE PARK |
| EMPLOYER STATE | NY |
| EMPLOYER POSTAL CODE | 11042 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | +15165175015 |
| NAICS CODE | 62211 |
| EMPLOYER POC LAST NAME | MELBOURNE |
| EMPLOYER POC FIRST NAME | KALA |
| EMPLOYER POC JOB TITLE | SR. SPECIALIST, HR |
| EMPLOYER POC ADDRESS1 | 1111 MARCUS AVENUE, SUITE M21, ENTRANCE 5 |
| EMPLOYER POC CITY | LAKE SUCCESS |
| EMPLOYER POC STATE | NY |
| EMPLOYER POC POSTAL CODE | 11042 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | +15165175015 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | FISHER |
| AGENT ATTORNEY FIRST NAME | THEDA |
| AGENT ATTORNEY ADDRESS1 | 430 PARK AVENUE |
| AGENT ATTORNEY ADDRESS2 | 10TH FLOOR |
| AGENT ATTORNEY CITY | NEW YORK |
| AGENT ATTORNEY STATE | NY |
| AGENT ATTORNEY POSTAL CODE | 10022 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12128489886.0 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | WITHERS BERGMAN LLP |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | COURT OF APPEALS |
| WORKSITE WORKERS | 1.0 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 475 SEAVIEW AVENUE |
| LCA CASE WORKLOC1 CITY | STATEN ISLAND |
| WORKSITE COUNTY | RICHMOND |
| LCA CASE WORKLOC1 STATE | NY |
| WORKSITE POSTAL CODE | 10305 |
| LCA CASE WAGE RATE FROM | 325000.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 230672.0 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | IV |
| PW OES YEAR | 7/1/2019 - 6/30/2020 |
| TOTAL WORKSITE LOCATIONS | 2.0 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | FISHER |
| PREPARER FIRST NAME | THEDA |
| PREPARER BUSINESS NAME | WITHERS BERGMAN LLP |
| PREPARER EMAIL | [email protected] |
