| LCA CASE NUMBER | I-200-19290-093771 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2019-10-17 |
| DECISION DATE | 2019-10-24 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Psychiatrist 1 (Children & Youth) |
| SOC CODE | 29-1066.00 |
| SOC TITLE | Psychiatrists |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2019-12-28 |
| END DATE | 2022-12-27 |
| 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 | New York State Office of Mental Health |
| TRADE NAME DBA | Capital District Psychiatric Center |
| EMPLOYER ADDRESS1 | 75 New Scotland Avenue |
| EMPLOYER ADDRESS2 | Capital District Psychiatric Center |
| EMPLOYER CITY | Albany |
| EMPLOYER STATE | NY |
| EMPLOYER POSTAL CODE | 12208 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | +15185496612 |
| NAICS CODE | 622210 |
| EMPLOYER POC LAST NAME | Moon |
| EMPLOYER POC FIRST NAME | Nicole |
| EMPLOYER POC JOB TITLE | Associate Director of HR 1 |
| EMPLOYER POC ADDRESS1 | 75 New Scotland Avenue |
| EMPLOYER POC CITY | Albany |
| EMPLOYER POC STATE | NY |
| EMPLOYER POC POSTAL CODE | 12208 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | +15185496612 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Ketcher |
| AGENT ATTORNEY FIRST NAME | Adam |
| AGENT ATTORNEY MIDDLE NAME | J. |
| AGENT ATTORNEY ADDRESS1 | 1400 Broadway |
| AGENT ATTORNEY CITY | New York |
| AGENT ATTORNEY STATE | NY |
| AGENT ATTORNEY POSTAL CODE | 10018 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16468617054.0 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Fragomen, Del Rey, Bernsen & Loewy LLP |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | New York Court of Appeals |
| WORKSITE WORKERS | 1.0 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 75 New Scotland Avenue |
| LCA CASE WORKLOC1 CITY | Albany |
| WORKSITE COUNTY | ALBANY |
| LCA CASE WORKLOC1 STATE | NY |
| WORKSITE POSTAL CODE | 12208 |
| LCA CASE WAGE RATE FROM | 205875.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 205875.0 |
| PW UNIT OF PAY | Year |
| PW OTHER SOURCE | CBA |
| PW OTHER YEAR | 2019.0 |
| TOTAL WORKSITE LOCATIONS | 1.0 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Agagi |
| PREPARER FIRST NAME | Eitan |
| PREPARER BUSINESS NAME | Fragomen, Del Rey, Bernsen & Loewy LLP |
| PREPARER EMAIL | [email protected] |
