| LCA CASE NUMBER | I-200-20119-523509 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-04-28 |
| DECISION DATE | 2020-05-05 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Physician |
| SOC CODE | 29-1066.00 |
| SOC TITLE | Psychiatrists |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-06-01 |
| END DATE | 2023-05-31 |
| 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 | 18453332616 |
| 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 | 18453332126 |
| EMPLOYER POC EMAIL | skolar@ghvhs.org |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Petriccione |
| AGENT ATTORNEY FIRST NAME | Thomas |
| AGENT ATTORNEY MIDDLE NAME | Louis |
| 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 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 19148726927.0 |
| AGENT ATTORNEY EMAIL ADDRESS | thomas.petriccione@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 |
| 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 | 280000.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 264222.0 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | IV |
| PW OES YEAR | 7/1/2019 - 6/30/2020 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business and Employment |
| PREPARER LAST NAME | Petriccione |
| PREPARER FIRST NAME | Thomas |
| PREPARER MIDDLE INITIAL | L |
| PREPARER BUSINESS NAME | Jackson Lewis P.C. |
| PREPARER EMAIL | thomas.petriccione@jacksonlewis.com |
