| LCA CASE NUMBER | I-200-22202-367816 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2022-07-21 |
| DECISION DATE | 2022-07-28 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Physician |
| SOC CODE | 29-1229.00 |
| SOC TITLE | Physicians, All Other |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2022-09-23 |
| END DATE | 2025-09-22 |
| 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 | Broadway Pediatrics MDPC |
| EMPLOYER ADDRESS1 | 4250 Broadway |
| EMPLOYER ADDRESS2 | Suite 1C |
| EMPLOYER CITY | New York |
| EMPLOYER STATE | NY |
| EMPLOYER POSTAL CODE | 10033 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 12127403900 |
| NAICS CODE | 62111 |
| EMPLOYER POC LAST NAME | Perez |
| EMPLOYER POC FIRST NAME | Maritza |
| EMPLOYER POC JOB TITLE | Administrator |
| EMPLOYER POC ADDRESS1 | 4250 Broadway |
| EMPLOYER POC ADDRESS2 | Suite 1C |
| EMPLOYER POC CITY | New York |
| EMPLOYER POC STATE | NY |
| EMPLOYER POC POSTAL CODE | 10033 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12127403900 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Corigliano |
| AGENT ATTORNEY FIRST NAME | Dina |
| AGENT ATTORNEY ADDRESS1 | 1560 Broadway |
| AGENT ATTORNEY ADDRESS2 | Suite 914 |
| AGENT ATTORNEY CITY | New York |
| AGENT ATTORNEY STATE | NY |
| AGENT ATTORNEY POSTAL CODE | 10036 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12127644222 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Jeffries and Corigliano LLP |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | Court of Appeals |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 4250 Broadway |
| WORKSITE ADDRESS2 | Suite 1C |
| LCA CASE WORKLOC1 CITY | New York |
| WORKSITE COUNTY | NEW YORK |
| LCA CASE WORKLOC1 STATE | NY |
| WORKSITE POSTAL CODE | 10033 |
| LCA CASE WAGE RATE FROM | 140000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 76877 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2022 - 6/30/2023 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Employment |
| PREPARER LAST NAME | Corigliano |
| PREPARER FIRST NAME | Dina |
| PREPARER BUSINESS NAME | Jeffries and Corigliano LLP |
| PREPARER EMAIL | [email protected] |
