| LCA CASE NUMBER | I-200-20304-893474 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-10-30 |
| DECISION DATE | 2020-11-06 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Nurse Practitioner |
| SOC CODE | 29-1171.00 |
| SOC TITLE | Nurse Practitioners |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2020-11-10 |
| END DATE | 2023-11-09 |
| 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 | Weiyan Tan Physician, P.C. |
| EMPLOYER ADDRESS1 | 5618 7th Avenue |
| EMPLOYER CITY | Brooklyn |
| EMPLOYER STATE | NY |
| EMPLOYER POSTAL CODE | 11220 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 17184393284 |
| NAICS CODE | 62111 |
| EMPLOYER POC LAST NAME | Tan |
| EMPLOYER POC FIRST NAME | Weiyan |
| EMPLOYER POC JOB TITLE | Medical Doctor |
| EMPLOYER POC ADDRESS 1 | 5618 7th Avenue |
| EMPLOYER POC CITY | Brooklyn |
| EMPLOYER POC STATE | NY |
| EMPLOYER POC POSTAL CODE | 11220 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 17184393284 |
| EMPLOYER POC EMAIL | weiyan5618@gmail.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Kapoor |
| AGENT ATTORNEY FIRST NAME | Ashish |
| AGENT ATTORNEY ADDRESS1 | 400 Garden City Plaza |
| AGENT ATTORNEY ADDRESS2 | Suite 432 |
| AGENT ATTORNEY CITY | Garden City |
| AGENT ATTORNEY STATE | NY |
| AGENT ATTORNEY POSTAL CODE | 11530 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 15163078380 |
| AGENT ATTORNEY EMAIL ADDRESS | Akapoor@Kapoorfirm.com |
| LAWFIRM NAME BUSINESS NAME | Kapoor Law Firm, PLLC |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | NYS Supreme Court, App. Div. 2nd Dept. |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 5618 7th Avenue |
| LCA CASE WORKLOC1 CITY | Brooklyn |
| WORKSITE COUNTY | KINGS |
| LCA CASE WORKLOC1 STATE | NY |
| WORKSITE POSTAL CODE | 11220 |
| LCA CASE WAGE RATE FROM | 117200 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 117104 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| PW OES YEAR | 10/08/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business and Employment |
| PREPARER LAST NAME | Kapoor |
| PREPARER FIRST NAME | Ashish |
| PREPARER BUSINESS NAME | Kapoor Law Firm PLLC |
| PREPARER EMAIL | Akapoor@Kapoorfirm.com |
