| LCA CASE NUMBER | I-200-22011-822631 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2022-01-11 |
| DECISION DATE | 2022-01-19 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Pediatric Emergency Department Physician |
| SOC CODE | 29-1069.00 |
| SOC TITLE | Physicians and Surgeons, All Other |
| FULL TIME POSITION | False |
| LCA CASE EMPLOYMENT START DATE | 2022-05-01 |
| END DATE | 2025-04-30 |
| 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 | BRONXCARE HEALTH SYSTEM |
| EMPLOYER ADDRESS1 | 1650 GRAND CONCOURSE |
| EMPLOYER CITY | BRONX |
| EMPLOYER STATE | NY |
| EMPLOYER POSTAL CODE | 10457 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 17189601400 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Favelukes |
| EMPLOYER POC FIRST NAME | Robert |
| EMPLOYER POC JOB TITLE | Acting Chair, Department of Emergency Medicine |
| EMPLOYER POC ADDRESS1 | 1650 Grand Concourse |
| EMPLOYER POC CITY | BRONX |
| EMPLOYER POC STATE | NY |
| EMPLOYER POC POSTAL CODE | 10457 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 17189601400 |
| EMPLOYER POC EMAIL | rfaveluk@bronxleb.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Arias |
| AGENT ATTORNEY FIRST NAME | Betsy |
| AGENT ATTORNEY ADDRESS1 | 110 WEST 34TH STREET |
| AGENT ATTORNEY ADDRESS2 | SUITE 300 |
| AGENT ATTORNEY CITY | NEW YORK |
| AGENT ATTORNEY STATE | NY |
| AGENT ATTORNEY POSTAL CODE | 10001 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12128403878 |
| AGENT ATTORNEY EMAIL ADDRESS | marla@perlitsh.com |
| LAWFIRM NAME BUSINESS NAME | LAW OFFICE OF STEPHEN M. PERLITSH |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | Supreme |
|
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 1650 Grand Concourse |
| LCA CASE WORKLOC1 CITY | Bronx |
| WORKSITE COUNTY | BRONX |
| LCA CASE WORKLOC1 STATE | NY |
| WORKSITE POSTAL CODE | 10457 |
| LCA CASE WAGE RATE FROM | 110.58 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 43.07 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2021 - 6/30/2022 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Bart |
| PREPARER FIRST NAME | Marla |
| PREPARER MIDDLE INITIAL | P |
| PREPARER BUSINESS NAME | Law Office of Stephen M. Perlitsh |
| PREPARER EMAIL | marla@perlitsh.com |
