| LCA CASE NUMBER | I-200-20234-781480 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-08-21 |
| DECISION DATE | 2020-08-28 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Attending Physician |
| SOC CODE | 29-1069.00 |
| SOC TITLE | Physicians and Surgeons, All Other |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2021-01-30 |
| END DATE | 2024-01-29 |
| 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. (PAGNY) |
| EMPLOYER ADDRESS1 | 55 W. 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 | 622110 |
| EMPLOYER POC LAST NAME | Carpenter |
| EMPLOYER POC FIRST NAME | Lea Power |
| EMPLOYER POC JOB TITLE | Director, Talent Acquisition |
| EMPLOYER POC ADDRESS1 | 55 W. 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 | 16467142123 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Kidambi |
| AGENT ATTORNEY FIRST NAME | Vaman |
| AGENT ATTORNEY ADDRESS1 | 140 Monroe Turnpike |
| AGENT ATTORNEY ADDRESS2 | Suite A |
| AGENT ATTORNEY CITY | Trumbull |
| AGENT ATTORNEY STATE | CT |
| AGENT ATTORNEY POSTAL CODE | 06611 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12034165300.0 |
| AGENT ATTORNEY PHONE EXT | 104.0 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
|
| LAWFIRM NAME BUSINESS NAME | Kidambi & Associates, P.C. |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | Y |
| SECONDARY ENTITY BUSINESS NAME | Lincoln Medical & Mental health Center |
| WORKSITE ADDRESS1 | 234 EAST 149TH STREET |
| WORKSITE ADDRESS2 | SUITE 8D-200 |
| LCA CASE WORKLOC1 CITY | Bronx |
| WORKSITE COUNTY | BRONX |
| LCA CASE WORKLOC1 STATE | NY |
| WORKSITE POSTAL CODE | 10451 |
| LCA CASE WAGE RATE FROM | 170976.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 125965.0 |
| 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 | Kidambi |
| PREPARER FIRST NAME | Vaman |
| PREPARER BUSINESS NAME | Kidambi & Associates, P.C. |
| PREPARER EMAIL | [email protected] |
