| LCA CASE NUMBER | I-200-21012-007638 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-01-12 |
| DECISION DATE | 2021-01-20 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Gastroenterology Physician |
| SOC CODE | 29-1069.00 |
| SOC TITLE | Physicians and Surgeons, All Other |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-04-05 |
| END DATE | 2022-12-11 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 1 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Good Samaritan Hospital Medical Center |
| EMPLOYER ADDRESS1 | 1000 Montauk Highway |
| EMPLOYER CITY | West Islip |
| EMPLOYER STATE | NY |
| EMPLOYER POSTAL CODE | 11795 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 16313763000 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Spina |
| EMPLOYER POC FIRST NAME | Lori |
| EMPLOYER POC JOB TITLE | Vice President, Human Resources |
| EMPLOYER POC ADDRESS 1 | 1000 Montauk Highway |
| EMPLOYER POC CITY | West Islip |
| EMPLOYER POC STATE | NY |
| EMPLOYER POC POSTAL CODE | 11795 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 16313763427 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | New |
| AGENT ATTORNEY FIRST NAME | Courtney |
| AGENT ATTORNEY MIDDLE NAME | H |
| AGENT ATTORNEY ADDRESS1 | 1300 Clinton Square |
| AGENT ATTORNEY CITY | Rochester |
| AGENT ATTORNEY STATE | NY |
| AGENT ATTORNEY POSTAL CODE | 14604 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 14014541116 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Nixon Peabody LLP |
| STATE OF HIGHEST COURT | MA |
| NAME OF HIGHEST STATE COURT | Supreme Judicial Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 400 West Main Street |
| LCA CASE WORKLOC1 CITY | Babylon |
| WORKSITE COUNTY | SUFFOLK |
| LCA CASE WORKLOC1 STATE | NY |
| WORKSITE POSTAL CODE | 11702 |
| LCA CASE WAGE RATE FROM | 600000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 240240 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | IV |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 3 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | James |
| PREPARER FIRST NAME | Elizabeth |
| PREPARER MIDDLE INITIAL | H |
| PREPARER BUSINESS NAME | Nixon Peabody LLP |
| PREPARER EMAIL | [email protected] |
