| LCA CASE NUMBER | I-200-22080-995642 |
| STATUS | Certified - Withdrawn |
| LCA CASE SUBMIT | 2022-03-21 |
| DECISION DATE | 2022-11-17 |
| ORIGINAL CERT DATE | 2022-03-28 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Physician in a Post Graduate Training Program |
| SOC CODE | 29-1069.00 |
| SOC TITLE | Physicians and Surgeons, All Other |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2022-07-01 |
| END DATE | 2023-06-30 |
| TOTAL WORKER POSITIONS | 2 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 2 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Griffin Hospital |
| EMPLOYER ADDRESS1 | 130 Division Street |
| EMPLOYER CITY | Derby |
| EMPLOYER STATE | CT |
| EMPLOYER POSTAL CODE | 06418 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 12037327327 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Sanchez |
| EMPLOYER POC FIRST NAME | Monica |
| EMPLOYER POC JOB TITLE | Graduate Medical Education Coordinator |
| EMPLOYER POC ADDRESS1 | 130 Division Street |
| EMPLOYER POC CITY | Derby |
| EMPLOYER POC STATE | CT |
| EMPLOYER POC POSTAL CODE | 06418 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12037327512 |
| EMPLOYER POC EMAIL | msanchez@griffinhealth.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Perlitsh |
| AGENT ATTORNEY FIRST NAME | Stephen |
| AGENT ATTORNEY MIDDLE NAME | M |
| 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 | rochellen@perlitsh.com |
| LAWFIRM NAME BUSINESS NAME | Law Office of Stephen M. Perlitsh |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 2 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 130 Division Street |
| LCA CASE WORKLOC1 CITY | Derby |
| WORKSITE COUNTY | NEW HAVEN CITY |
| LCA CASE WORKLOC1 STATE | CT |
| WORKSITE POSTAL CODE | 06418 |
| LCA CASE WAGE RATE FROM | 72520 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 49067 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2021 - 6/30/2022 |
| TOTAL WORKSITE LOCATIONS | 3 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Neumann |
| PREPARER FIRST NAME | Rochelle |
| PREPARER BUSINESS NAME | Law Office of Stephen M. Perlitsh |
| PREPARER EMAIL | rochellen@perlitsh.com |
