| LCA CASE NUMBER | I-200-22355-654885 |
| STATUS | Certified - Withdrawn |
| LCA CASE SUBMIT | 2022-12-21 |
| DECISION DATE | 2023-01-31 |
| ORIGINAL CERT DATE | 2022-12-29 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Hospitalist |
| SOC CODE | 29-1229.02 |
| SOC TITLE | Hospitalists |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2023-03-01 |
| END DATE | 2026-02-28 |
| 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 | Griffin Faculty Physicians, Inc. |
| EMPLOYER ADDRESS1 | 130 Division Street |
| EMPLOYER CITY | Derby |
| EMPLOYER STATE | CT |
| EMPLOYER POSTAL CODE | 06418 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 12037321330 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Dworkin, JD, MBA |
| EMPLOYER POC FIRST NAME | Adam |
| EMPLOYER POC JOB TITLE | Executive Director |
| EMPLOYER POC ADDRESS1 | 130 Division Street |
| EMPLOYER POC CITY | Derby |
| EMPLOYER POC STATE | CT |
| EMPLOYER POC POSTAL CODE | 06418 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12037321330 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Perlitsh |
| AGENT ATTORNEY FIRST NAME | Stephen |
| AGENT ATTORNEY MIDDLE NAME | M |
| AGENT ATTORNEY ADDRESS1 | 110 West 34th Street |
| AGENT ATTORNEY ADDRESS2 | Suite 300 |
| AGENT ATTORNEY CITY | New York |
| AGENT ATTORNEY STATE | NY |
| AGENT ATTORNEY POSTAL CODE | 10001 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12128403878 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | LAW OFFICE OF STEPHEN M PERLITSH |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | True |
| SECONDARY ENTITY BUSINESS NAME | Griffin Hospital |
| WORKSITE ADDRESS1 | 130 Division Street |
| LCA CASE WORKLOC1 CITY | Derby |
| WORKSITE COUNTY | NEW HAVEN CITY |
| LCA CASE WORKLOC1 STATE | CT |
| WORKSITE POSTAL CODE | 06418 |
| LCA CASE WAGE RATE FROM | 190000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 101358 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | IV |
| 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 Business |
| PREPARER LAST NAME | Neumann |
| PREPARER FIRST NAME | Rochelle |
| PREPARER BUSINESS NAME | Law Office of Stephen M. Perlitsh |
| PREPARER EMAIL | [email protected] |
