| LCA CASE NUMBER | I-200-22210-385166 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2022-07-29 |
| DECISION DATE | 2022-08-05 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Family Medicine Physician |
| SOC CODE | 29-1215.00 |
| SOC TITLE | Family Medicine Physicians |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2022-09-12 |
| END DATE | 2023-09-11 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 1 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Crystal Run Healthcare Physicians LLP |
| EMPLOYER ADDRESS1 | 95 Crystal Run Road |
| EMPLOYER CITY | Middletown |
| EMPLOYER STATE | NY |
| EMPLOYER POSTAL CODE | 10941 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 18457036101 |
| NAICS CODE | 62211 |
| EMPLOYER POC LAST NAME | Spencer |
| EMPLOYER POC FIRST NAME | Gregory |
| EMPLOYER POC MIDDLE NAME | A. |
| EMPLOYER POC JOB TITLE | MD, Chief Medical Officer |
| EMPLOYER POC ADDRESS1 | 95 Crystal Run Rd |
| EMPLOYER POC CITY | Middletown |
| EMPLOYER POC STATE | NY |
| EMPLOYER POC POSTAL CODE | 10941 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 18457036101 |
| EMPLOYER POC EMAIL | gspencer@crystalrunhealthcare.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Caze |
| AGENT ATTORNEY FIRST NAME | Sarah |
| AGENT ATTORNEY MIDDLE NAME | P. |
| AGENT ATTORNEY ADDRESS1 | 44 South Broadway |
| AGENT ATTORNEY ADDRESS2 | 14th Floor |
| AGENT ATTORNEY CITY | White Plains |
| AGENT ATTORNEY STATE | NY |
| AGENT ATTORNEY POSTAL CODE | 10601 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 19148728022 |
| AGENT ATTORNEY EMAIL ADDRESS | sarah.caze@jacksonlewis.com |
| LAWFIRM NAME BUSINESS NAME | Jackson Lewis P.C. |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 1200 Route 300 |
| LCA CASE WORKLOC1 CITY | Newburgh |
| WORKSITE COUNTY | ORANGE |
| LCA CASE WORKLOC1 STATE | NY |
| WORKSITE POSTAL CODE | 12550 |
| LCA CASE WAGE RATE FROM | 245000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 220272 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | III |
| 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 |
