| LCA CASE NUMBER | I-200-20210-738370 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-07-28 |
| DECISION DATE | 2020-08-04 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Attending Physician in Pediatrics |
| SOC CODE | 29-1065.00 |
| SOC TITLE | Pediatricians, General |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2021-01-01 |
| END DATE | 2023-12-31 |
| 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 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 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 | 16467142109 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | PERLITSH |
| AGENT ATTORNEY FIRST NAME | STEPHEN |
| AGENT ATTORNEY MIDDLE NAME | M |
| 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 H+H Harlem Hospital Center |
| WORKSITE ADDRESS1 | 506 Lenox Avenue |
| LCA CASE WORKLOC1 CITY | New York |
| WORKSITE COUNTY | NEW YORK |
| LCA CASE WORKLOC1 STATE | NY |
| WORKSITE POSTAL CODE | 10037 |
| LCA CASE WAGE RATE FROM | 169291.2 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 139797.0 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Neumann |
| PREPARER FIRST NAME | Rochelle |
| PREPARER BUSINESS NAME | Law Office of Stephen M. Perlitsh |
| PREPARER EMAIL | [email protected] |
