| LCA CASE NUMBER | I-200-17300-404107 |
| STATUS | CERTIFIED |
| LCA CASE SUBMIT | 10/30/17 |
| DECISION DATE | 11/3/17 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 12/1/17 |
| EMPLOYMENT END DATE | 11/30/20 |
| LCA CASE EMPLOYER NAME | BRONX-LEBANON HOSPITAL CENTER |
| EMPLOYER ADDRESS | 1650 GRAND CONCOURSE |
| EMPLOYER CITY | BRONX |
| EMPLOYER STATE | NY |
| EMPLOYER POSTAL CODE | 10457 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | N/A |
| EMPLOYER PHONE | 7189018110 |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY NAME | PERLITSH, STEPHEN |
| AGENT ATTORNEY CITY | NEW YORK |
| AGENT ATTORNEY STATE | NY |
| LCA CASE JOB TITLE | PEDIATRIC DENTAL ATTENDING |
| SOC CODE | 29-1021 |
| SOC NAME | DENTISTS, GENERAL |
| NAICS CODE | 622110 |
| TOTAL WORKERS | 1 |
| NEW EMPLOYMENT | 1 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMP | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| FULL TIME POSITION | N |
| PREVAILING WAGE | 50.89 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | N/A |
| PW SOURCE | Other |
| PW SOURCE YEAR | 2017 |
| PW SOURCE OTHER | MGMA: PROVIDER COMPENSATION REPORT |
| LCA CASE WAGE RATE FROM | 64.90 |
| LCA CASE WAGE RATE TO | 0.00 |
| LCA CASE WAGE RATE UNIT | Hour |
| H1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| SUPPORT H1B | NA |
| LCA CASE WORKLOC1 CITY | BRONX |
| WORKSITE COUNTY | BRONX |
| LCA CASE WORKLOC1 STATE | NY |
| WORKSITE POSTAL CODE | 10453 |
