| LCA CASE NUMBER | I-200-16057-638054 |
| STATUS | CERTIFIED |
| LCA CASE SUBMIT | 4/13/16 |
| DECISION DATE | 4/19/16 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 6/30/16 |
| EMPLOYMENT END DATE | 6/29/19 |
| LCA CASE EMPLOYER NAME | GOOD SAMARITAN HOSPITAL MEDICAL CENTER |
| EMPLOYER ADDRESS | 1000 MONTAUK HIGHWAY |
| EMPLOYER CITY | WEST ISLIP |
| EMPLOYER STATE | NY |
| EMPLOYER POSTAL CODE | 11795 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 5167052766 |
| AGENT ATTORNEY NAME | NEW, COURTNEY |
| AGENT ATTORNEY CITY | BOSTON |
| AGENT ATTORNEY STATE | MA |
| LCA CASE JOB TITLE | CLINICAL FELLOW/ATTENDING PHYSICIAN |
| SOC CODE | 29-1069 |
| SOC NAME | PHYSICIANS AND SURGEONS, ALL OTHER |
| NAIC CODE | 622110 |
| TOTAL WORKERS | 1 |
| PREVAILING WAGE | 64,425.00 |
| PW UNIT OF PAY | Year |
| PW WAGE SOURCE | Other |
| PW SOURCE YEAR | 2014 |
| PW SOURCE OTHER | AAMC SURVEY OF RESIDENT/FELLOW STIPENDS AND BENEFITS |
| LCA CASE WAGE RATE FROM | 66,378.00 |
| LCA CASE WAGE RATE TO | 0.00 |
| LCA CASE WAGE RATE UNIT | Year |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| LCA CASE WORKLOC1 CITY | WEST ISLIP |
| WORKSITE COUNTY | SUFFOLK |
| LCA CASE WORKLOC1 STATE | NY |
| WORKSITE POSTAL CODE | 11795 |
