| LCA CASE NUMBER | I-200-21298-665847 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-10-25 |
| DECISION DATE | 2021-11-01 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Dentist/Oral Surgeon |
| SOC CODE | 29-1022.00 |
| SOC TITLE | Oral and Maxillofacial Surgeons |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-11-01 |
| END DATE | 2023-09-30 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 1 |
| LCA CASE EMPLOYER NAME | Manhattan Oral Facial Surgery LLC |
| EMPLOYER ADDRESS1 | 6118 Riverdale Avenue |
| EMPLOYER CITY | Bronx |
| EMPLOYER STATE | NY |
| EMPLOYER POSTAL CODE | 10471 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 19292223070 |
| NAICS CODE | 621210 |
| EMPLOYER POC LAST NAME | Deardoff |
| EMPLOYER POC FIRST NAME | Christopher |
| EMPLOYER POC JOB TITLE | COO/Compliance Officer |
| EMPLOYER POC ADDRESS1 | 6118 Riverdale Avenue |
| EMPLOYER POC CITY | Bronx |
| EMPLOYER POC STATE | NY |
| EMPLOYER POC POSTAL CODE | 10471 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12039987470 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Weiss |
| AGENT ATTORNEY FIRST NAME | Brian |
| AGENT ATTORNEY MIDDLE NAME | Scott |
| AGENT ATTORNEY ADDRESS1 | 14 Penn Plaza |
| AGENT ATTORNEY ADDRESS2 | Suite 1020 |
| AGENT ATTORNEY CITY | New York |
| AGENT ATTORNEY STATE | NY |
| AGENT ATTORNEY POSTAL CODE | 10122 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12126436400 |
| AGENT ATTORNEY PHONE EXT | 121 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Garganigo, Goldsmith & Weiss |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | Appellate Division |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 3915 Broadway |
| LCA CASE WORKLOC1 CITY | New York |
| WORKSITE COUNTY | NEW YORK |
| LCA CASE WORKLOC1 STATE | NY |
| WORKSITE POSTAL CODE | 10032 |
| LCA CASE WAGE RATE FROM | 250000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 228176 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | III |
| PW OES YEAR | 7/1/2021 - 6/30/2022 |
| TOTAL WORKSITE LOCATIONS | 10 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Bramson |
| PREPARER FIRST NAME | Marta |
| PREPARER MIDDLE INITIAL | A. |
| PREPARER BUSINESS NAME | Garganigo, Goldsmith & Weiss |
| PREPARER EMAIL | [email protected] |
