| LCA CASE NUMBER | I-200-20113-509050 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-04-22 |
| DECISION DATE | 2020-04-29 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | RESIDENT PHYSICIAN AND HOSPITALIST |
| SOC CODE | 29-1069.00 |
| SOC TITLE | Physicians and Surgeons, All Other |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-04-29 |
| END DATE | 2021-06-30 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 1 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | NORTHWELL HEALTH |
| EMPLOYER ADDRESS1 | 125 COMMUNITY DRIVE |
| EMPLOYER CITY | GREAT NECK |
| EMPLOYER STATE | NY |
| EMPLOYER POSTAL CODE | 11021 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 15164653178 |
| NAICS CODE | 62211 |
| EMPLOYER POC LAST NAME | VANHUSE |
| EMPLOYER POC FIRST NAME | VENICE |
| EMPLOYER POC MIDDLE NAME | MARIE |
| EMPLOYER POC JOB TITLE | ASST. VICE PRESIDENT, GRADUATE MEDICAL EDUCATION |
| EMPLOYER POC ADDRESS1 | 125 COMMUNITY DRIVE |
| EMPLOYER POC CITY | GREAT NECK |
| EMPLOYER POC STATE | NY |
| EMPLOYER POC POSTAL CODE | 11021 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 15164653178 |
| 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 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 270-05 76TH AVENUE |
| LCA CASE WORKLOC1 CITY | NEW HYDE PARK |
| WORKSITE COUNTY | QUEENS |
| LCA CASE WORKLOC1 STATE | NY |
| WORKSITE POSTAL CODE | 11040 |
| LCA CASE WAGE RATE FROM | 79000.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 66747.0 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2019 - 6/30/2020 |
| TOTAL WORKSITE LOCATIONS | 3 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
