| LCA CASE NUMBER | I-200-20021-265499 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-01-21 |
| DECISION DATE | 2020-01-28 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | CHILD & ADOLESCENT PSYCHIATRY FELLOW |
| SOC CODE | 29-1066.00 |
| SOC TITLE | Psychiatrists |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-07-01 |
| END DATE | 2021-06-30 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 1 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | NEW YORK STATE OFFICE OF MENTAL HEALTH |
| TRADE NAME DBA | NEW YORK CITY CHILDREN'S CENTER |
| EMPLOYER ADDRESS1 | 74-03 COMMONWEALTH BLVD. |
| EMPLOYER CITY | BELLEROSE |
| EMPLOYER STATE | NY |
| EMPLOYER POSTAL CODE | 11426 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 17182644510 |
| NAICS CODE | 622210 |
| EMPLOYER POC LAST NAME | NADIRA |
| EMPLOYER POC FIRST NAME | SINGH |
| EMPLOYER POC JOB TITLE | HUMAN RESOURCES |
| EMPLOYER POC ADDRESS1 | 74-03 COMMONWEALTH BLVD. |
| EMPLOYER POC CITY | BELLEROSE |
| EMPLOYER POC STATE | NY |
| EMPLOYER POC POSTAL CODE | 11426 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 17182644510 |
| EMPLOYER POC EMAIL | NADIRA.SINGH@OMH.NY.GOV |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | KETCHER |
| AGENT ATTORNEY FIRST NAME | ADAM |
| AGENT ATTORNEY MIDDLE NAME | J. |
| AGENT ATTORNEY ADDRESS1 | 1400 BROADWAY |
| AGENT ATTORNEY CITY | NEW YORK |
| AGENT ATTORNEY STATE | NY |
| AGENT ATTORNEY POSTAL CODE | 10018 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12126888555.0 |
| AGENT ATTORNEY EMAIL ADDRESS | AKETCHER@FRAGOMEN.COM |
| LAWFIRM NAME BUSINESS NAME | FRAGOMEN, DEL REY, BERNSEN & LOEWY, LLP |
| STATE OF HIGHEST COURT | NY |
|
| NAME OF HIGHEST STATE COURT | NEW YORK COURT OF APPEALS |
| WORKSITE WORKERS | 1.0 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 74-03 COMMONWEALTH BLVD |
| LCA CASE WORKLOC1 CITY | BELLEROSE |
| WORKSITE COUNTY | NASSAU |
| LCA CASE WORKLOC1 STATE | NY |
| WORKSITE POSTAL CODE | 11426 |
| LCA CASE WAGE RATE FROM | 104067.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 104067.0 |
| PW UNIT OF PAY | Year |
| PW OTHER SOURCE | CBA |
| PW OTHER YEAR | 2020.0 |
| TOTAL WORKSITE LOCATIONS | 3.0 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | KADRIU |
| PREPARER FIRST NAME | ENKELEDA |
| PREPARER BUSINESS NAME | FRAGOMEN, DEL REY, BERNSEN & LOEWY, LLP |
| PREPARER EMAIL | EKADRIU@FRAGOMEN.COM |
