| LCA CASE NUMBER | I-200-20196-714120 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-07-14 |
| DECISION DATE | 2020-07-21 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Internal Medicine Physician |
| SOC CODE | 29-1062.00 |
| SOC TITLE | Family and General Practitioners |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-07-28 |
| END DATE | 2023-07-27 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 1 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Fair Haven Community Health Clinic, Inc. |
| TRADE NAME DBA | Fair Haven Community Health Care |
| EMPLOYER ADDRESS1 | 374 Grand Avenue |
| EMPLOYER CITY | New Haven |
| EMPLOYER STATE | CT |
| EMPLOYER POSTAL CODE | 06513 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 12037525123 |
| NAICS CODE | 621999 |
| EMPLOYER POC LAST NAME | Marrocco |
| EMPLOYER POC FIRST NAME | Therese |
| EMPLOYER POC JOB TITLE | Vice President of Human Resources |
| EMPLOYER POC ADDRESS1 | 374 Grand Avenue |
| EMPLOYER POC CITY | New Haven |
| EMPLOYER POC STATE | CT |
| EMPLOYER POC POSTAL CODE | 06513 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12037525123 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Berger |
| AGENT ATTORNEY FIRST NAME | Dan |
| AGENT ATTORNEY MIDDLE NAME | H |
| AGENT ATTORNEY ADDRESS1 | 79 Masonic Street |
| AGENT ATTORNEY CITY | Northampton |
| AGENT ATTORNEY STATE | MA |
| AGENT ATTORNEY POSTAL CODE | 01060 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 14135843232.0 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Curran, Berger & Kludt |
| STATE OF HIGHEST COURT | MA |
| NAME OF HIGHEST STATE COURT | Supreme Judicial Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 374 Grand Avenue |
| LCA CASE WORKLOC1 CITY | New Haven |
| WORKSITE COUNTY | NEW HAVEN CITY |
| LCA CASE WORKLOC1 STATE | CT |
| WORKSITE POSTAL CODE | 06513 |
| LCA CASE WAGE RATE FROM | 190000.0 |
| LCA CASE WAGE RATE TO | 215000.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 159411.0 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
