| LCA CASE NUMBER | I-200-16115-713870 |
| STATUS | CERTIFIED |
| LCA CASE SUBMIT | 4/25/16 |
| DECISION DATE | 4/29/16 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 7/1/16 |
| EMPLOYMENT END DATE | 6/30/19 |
| LCA CASE EMPLOYER NAME | NORTHWELL HEALTH |
| EMPLOYER ADDRESS | 125 COMMUNITY DRIVE |
| EMPLOYER CITY | GREAT NECK |
| EMPLOYER STATE | NY |
| EMPLOYER POSTAL CODE | 11021 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | N/A |
| EMPLOYER PHONE | 5164653178 |
| AGENT ATTORNEY NAME | , |
| LCA CASE JOB TITLE | PGY4 |
| SOC CODE | 29-1069 |
| SOC NAME | PHYSICIANS AND SURGEONS, ALL OTHER |
| NAIC CODE | 6221 |
| TOTAL WORKERS | 1 |
| PREVAILING WAGE | 61,634.00 |
| 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 | 74,000.00 |
| LCA CASE WAGE RATE TO | 0.00 |
| LCA CASE WAGE RATE UNIT | Year |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| LCA CASE WORKLOC1 CITY | STATEN ISLAND |
| WORKSITE COUNTY | RICHMOND |
| LCA CASE WORKLOC1 STATE | NY |
| WORKSITE POSTAL CODE | 10305 |
