| LCA CASE NUMBER | I-200-20120-528620 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-04-29 |
| DECISION DATE | 2020-05-06 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Pediatric Cardiologist |
| SOC CODE | 29-1069.00 |
| SOC TITLE | Physicians and Surgeons, All Other |
| FULL TIME POSITION | N |
| LCA CASE EMPLOYMENT START DATE | 2020-05-06 |
| END DATE | 2021-10-14 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 1 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Physician Affiliate Group of NY, PC |
| EMPLOYER ADDRESS1 | 55 West 125th Street |
| EMPLOYER ADDRESS2 | Suite 1001 |
| EMPLOYER CITY | New York |
| EMPLOYER STATE | NY |
| EMPLOYER POSTAL CODE | 10027 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 16466723650 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Morales |
| EMPLOYER POC FIRST NAME | Lisa |
| EMPLOYER POC MIDDLE NAME | Marie |
| EMPLOYER POC JOB TITLE | HR Coordinator |
| EMPLOYER POC ADDRESS1 | 55 West 155th Street |
| EMPLOYER POC ADDRESS2 | Suite 1001 |
| EMPLOYER POC CITY | New York |
| EMPLOYER POC STATE | NY |
| EMPLOYER POC POSTAL CODE | 10027 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 16467142109 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Arias |
| AGENT ATTORNEY FIRST NAME | Betsy |
| AGENT ATTORNEY ADDRESS1 | 110 West 34th Street |
| AGENT ATTORNEY ADDRESS2 | Suite 300 |
| AGENT ATTORNEY CITY | New York |
| AGENT ATTORNEY STATE | NY |
| AGENT ATTORNEY POSTAL CODE | 10001 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12128403878.0 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | LAW OFFICE OF STEPHEN M PERLITSH |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | Y |
| SECONDARY ENTITY BUSINESS NAME | NYC Health + Hospitals/Harlem |
| WORKSITE ADDRESS1 | 506 Lenox Avenue |
| LCA CASE WORKLOC1 CITY | New York |
| WORKSITE COUNTY | NEW YORK |
| LCA CASE WORKLOC1 STATE | NY |
| WORKSITE POSTAL CODE | 10029 |
| LCA CASE WAGE RATE FROM | 80.0 |
| LCA CASE WAGE RATE TO | 100.0 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 58.36 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2019 - 6/30/2020 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Bart |
| PREPARER FIRST NAME | Marla |
| PREPARER MIDDLE INITIAL | P. |
| PREPARER BUSINESS NAME | Law Office of Stephen M. Perlitsh |
| PREPARER EMAIL | [email protected] |
