| LCA CASE NUMBER | I-200-21158-375532 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-06-07 |
| DECISION DATE | 2021-06-14 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | FAMILY NURSE PRACTITIONER |
| SOC CODE | 29-1171.00 |
| SOC TITLE | Nurse Practitioners |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-08-12 |
| END DATE | 2024-08-11 |
| 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 | PERRY AVENUE FAMILY MEDICAL CENTER |
| EMPLOYER ADDRESS1 | 3071 PERRY AVENUE |
| EMPLOYER CITY | BRONX |
| EMPLOYER STATE | NY |
| EMPLOYER POSTAL CODE | 10467 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 17182316700 |
| NAICS CODE | 621111 |
| EMPLOYER POC LAST NAME | ESPADA |
| EMPLOYER POC FIRST NAME | ALEJANDRO |
| EMPLOYER POC JOB TITLE | OFFICE ADMINISTRATOR |
| EMPLOYER POC ADDRESS 1 | 3071 PERRY AVENUE |
| EMPLOYER POC CITY | BRONX |
| EMPLOYER POC STATE | NY |
| EMPLOYER POC POSTAL CODE | 10467 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 17182316700 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | SHANKAR |
| AGENT ATTORNEY FIRST NAME | SWEEKRUTHA |
| AGENT ATTORNEY ADDRESS1 | 875 SIXTH AVENUE |
| AGENT ATTORNEY ADDRESS2 | SUITE 1810 |
| AGENT ATTORNEY CITY | New York |
| AGENT ATTORNEY STATE | NY |
| AGENT ATTORNEY POSTAL CODE | 10001 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12125946657 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | SHANKAR NINAN & CO., LLP |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | SUPREME |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 3071 PERRY AVENUE |
| LCA CASE WORKLOC1 CITY | BRONX |
| WORKSITE COUNTY | BRONX |
| LCA CASE WORKLOC1 STATE | NY |
| WORKSITE POSTAL CODE | 10467 |
| LCA CASE WAGE RATE FROM | 70 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 68.93 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | IV |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Shankar |
| PREPARER FIRST NAME | Sweekrutha |
| PREPARER BUSINESS NAME | Shankar Ninan & Co., LLP |
| PREPARER EMAIL | [email protected] |
