| LCA CASE NUMBER | I-200-21169-409910 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-06-18 |
| DECISION DATE | 2021-06-25 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Orthodontist |
| SOC CODE | 29-1023.00 |
| SOC TITLE | Orthodontists |
| FULL TIME POSITION | False |
| LCA CASE EMPLOYMENT START DATE | 2021-07-01 |
| END DATE | 2024-06-30 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 1 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | MARIA A. KARPOV, DMD, MS, P.C. |
| TRADE NAME DBA | Karpov Orthodontics |
| EMPLOYER ADDRESS1 | 315 West 70th Street |
| EMPLOYER ADDRESS2 | Suite 1J |
| EMPLOYER CITY | New York |
| EMPLOYER STATE | NY |
| EMPLOYER POSTAL CODE | 10023 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 12122454234 |
| NAICS CODE | 621210 |
| EMPLOYER POC LAST NAME | Karpov |
| EMPLOYER POC FIRST NAME | Maria |
| EMPLOYER POC MIDDLE NAME | A. |
| EMPLOYER POC JOB TITLE | President |
| EMPLOYER POC ADDRESS 1 | 315 West 70th Street |
| EMPLOYER POC ADDRESS 2 | Suite 1J |
| EMPLOYER POC CITY | New York |
| EMPLOYER POC STATE | NY |
| EMPLOYER POC POSTAL CODE | 10023 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12122454234 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Rizzo |
| AGENT ATTORNEY FIRST NAME | Danielle |
| AGENT ATTORNEY MIDDLE NAME | Marie |
| AGENT ATTORNEY ADDRESS1 | 726 Exchange Street |
| AGENT ATTORNEY ADDRESS2 | Suite 1000 |
| AGENT ATTORNEY CITY | Buffalo |
| AGENT ATTORNEY STATE | NY |
| AGENT ATTORNEY POSTAL CODE | 14210 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 17162005149 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Harris Beach PLLC |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | Court of Appeals |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 22 Harrison Street |
| LCA CASE WORKLOC1 CITY | New York |
| WORKSITE COUNTY | NEW YORK |
| LCA CASE WORKLOC1 STATE | NY |
| WORKSITE POSTAL CODE | 10013 |
| LCA CASE WAGE RATE FROM | 150 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 90.78 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | III |
| 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 Employment |
| PREPARER LAST NAME | Diodato |
| PREPARER FIRST NAME | April |
| PREPARER MIDDLE INITIAL | L |
| PREPARER BUSINESS NAME | Harris Beach PLLC |
| PREPARER EMAIL | [email protected] |
