| LCA CASE NUMBER | I-200-22195-352905 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2022-07-14 |
| DECISION DATE | 2022-07-21 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Pediatrician |
| SOC CODE | 29-1221 |
| SOC TITLE | Pediatricians, General |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2022-09-30 |
| END DATE | 2025-09-29 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 1 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Lrefuah Medical & Rehabilitation Center Inc. |
| TRADE NAME DBA | Ezra Medical Center |
| EMPLOYER ADDRESS1 | 1312 38th Street |
| EMPLOYER CITY | Brooklyn |
| EMPLOYER STATE | NY |
| EMPLOYER POSTAL CODE | 11218 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 17186867600 |
| NAICS CODE | 621111 |
| EMPLOYER POC LAST NAME | Teitelbaum |
| EMPLOYER POC FIRST NAME | Jeffrey |
| EMPLOYER POC JOB TITLE | Medical Director |
| EMPLOYER POC ADDRESS1 | 1312 38th Street |
| EMPLOYER POC CITY | Brooklyn |
| EMPLOYER POC STATE | NY |
| EMPLOYER POC POSTAL CODE | 11218 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 17186867600 |
| EMPLOYER POC EMAIL | Bungar@EzraMedical.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Hitz |
| AGENT ATTORNEY FIRST NAME | Alison |
| AGENT ATTORNEY MIDDLE NAME | P. |
| AGENT ATTORNEY ADDRESS1 | 505 Montgomery Street |
| AGENT ATTORNEY ADDRESS2 | Flr. 13th |
| AGENT ATTORNEY CITY | San Francisco |
| AGENT ATTORNEY STATE | CA |
| AGENT ATTORNEY POSTAL CODE | 94111 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 14159848563 |
| AGENT ATTORNEY EMAIL ADDRESS | ahitz@ClarkHill.com |
| LAWFIRM NAME BUSINESS NAME | Clark Hill PLC |
|
| STATE OF HIGHEST COURT | CA |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 1312 38th Street |
| LCA CASE WORKLOC1 CITY | Brooklyn |
| WORKSITE COUNTY | KINGS |
| LCA CASE WORKLOC1 STATE | NY |
| WORKSITE POSTAL CODE | 11218 |
| LCA CASE WAGE RATE FROM | 207000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 134077 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2022 - 6/30/2023 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Hitz |
| PREPARER FIRST NAME | Alison |
| PREPARER MIDDLE INITIAL | P. |
| PREPARER BUSINESS NAME | Clark Hill PLC |
| PREPARER EMAIL | ahitz@ClarkHill.com |
