| LCA CASE NUMBER | I-200-19322-151648 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2019-11-18 |
| DECISION DATE | 2019-11-25 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | PHYSICIAN |
| SOC CODE | 29-1065.00 |
| SOC TITLE | Pediatricians, General |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2019-11-18 |
| END DATE | 2022-11-17 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 1 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | GHVHS MEDICAL GROUP P.C. |
| EMPLOYER ADDRESS1 | 707 EAST MAIN STREET |
| EMPLOYER CITY | MIDDLETOWN |
| EMPLOYER STATE | NY |
| EMPLOYER POSTAL CODE | 10940 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | +18453337174 |
| NAICS CODE | 6221 |
| EMPLOYER POC LAST NAME | KOLAR |
| EMPLOYER POC FIRST NAME | SOUMYA |
| EMPLOYER POC JOB TITLE | MANAGER, PHYSICIAN RECRUITMENT |
| EMPLOYER POC ADDRESS1 | 707 EAST MAIN STREET |
| EMPLOYER POC CITY | MIDDLETOWN |
| EMPLOYER POC STATE | NY |
| EMPLOYER POC POSTAL CODE | 10940 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | +18453332616 |
| EMPLOYER POC EMAIL | Skolar@ghvhs.org |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | HANAGAN |
| AGENT ATTORNEY FIRST NAME | SEAN |
| AGENT ATTORNEY MIDDLE NAME | G |
| AGENT ATTORNEY ADDRESS1 | 44 SOUTH BROADWAY |
| AGENT ATTORNEY ADDRESS2 | 14TH FLOOR |
| AGENT ATTORNEY CITY | WHITE PLAINS |
| AGENT ATTORNEY STATE | NY |
| AGENT ATTORNEY POSTAL CODE | 10601-2329 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 19148726879.0 |
| AGENT ATTORNEY EMAIL ADDRESS | SEAN.HANAGAN@JACKSONLEWIS.COM |
| LAWFIRM NAME BUSINESS NAME | JACKSON LEWIS P.C. |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | SUPREME COURT |
| WORKSITE WORKERS | 1.0 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 707 EAST MAIN STREET |
| LCA CASE WORKLOC1 CITY | MIDDLETOWN |
| WORKSITE COUNTY | ORANGE |
| LCA CASE WORKLOC1 STATE | NY |
| WORKSITE POSTAL CODE | 10940 |
| LCA CASE WAGE RATE FROM | 210000.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 184038.0 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | III |
| PW OES YEAR | 7/1/2019 - 6/30/2020 |
| TOTAL WORKSITE LOCATIONS | 1.0 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business and Employment |
| PREPARER LAST NAME | SAWYER |
| PREPARER FIRST NAME | KALISSA |
| PREPARER MIDDLE INITIAL | N |
| PREPARER BUSINESS NAME | JACKSON LEWIS P.C. |
| PREPARER EMAIL | KALISSA.SAWYER@JACKSONLEWIS.COM |
