| LCA CASE NUMBER | I-200-20183-691057 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-07-01 |
| DECISION DATE | 2020-07-09 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | ATTENDING PHYSICIAN |
| SOC CODE | 29-1069.03 |
| SOC TITLE | Hospitalists |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-07-01 |
| END DATE | 2023-06-30 |
| 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 | PHYSICIAN AFFILIATE GROUP OF NEW YORK, P.C. |
| TRADE NAME DBA | PAGNY |
| 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 | 16466723651 |
| NAICS CODE | 621111 |
| EMPLOYER POC LAST NAME | DELTS |
| EMPLOYER POC FIRST NAME | NICOLE |
| EMPLOYER POC JOB TITLE | CORPORATE HUMAN RESOURCES DIRECTOR |
| EMPLOYER POC ADDRESS1 | 55 WEST 125TH 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 | 16466723651 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | DUTTON |
| AGENT ATTORNEY FIRST NAME | ANDREW |
| AGENT ATTORNEY ADDRESS1 | 243 NEW HYDE PARK ROAD |
| AGENT ATTORNEY CITY | GARDEN CITY |
| AGENT ATTORNEY STATE | NY |
| AGENT ATTORNEY POSTAL CODE | 11530 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 15163083670.0 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | ANDREW DUTTON, ESQ., P.C. |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | NEW YORK STATE COURT OF APPEALS |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | Y |
| SECONDARY ENTITY BUSINESS NAME | NYC HHC NORTH CENTRAL BRONX HOSPITAL |
| WORKSITE ADDRESS1 | 3424 KOSSUTH AVENUE |
| LCA CASE WORKLOC1 CITY | BRONX |
| WORKSITE COUNTY | BRONX |
| LCA CASE WORKLOC1 STATE | NY |
| WORKSITE POSTAL CODE | 10467 |
| LCA CASE WAGE RATE FROM | 170976.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 170976.0 |
| PW UNIT OF PAY | Year |
| PW OTHER SOURCE | CBA |
| PW OTHER YEAR | 2020.0 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
