| LCA CASE NUMBER | I-200-16270-353100 |
| STATUS | CERTIFIED |
| LCA CASE SUBMIT | 9/28/2016 |
| DECISION DATE | 10/4/2016 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 10/24/2016 |
| EMPLOYMENT END DATE | 10/23/2019 |
| LCA CASE EMPLOYER NAME | PHYSICIAN AFFILIATE GROUP OF NEW YORK, P.C. |
| EMPLOYER ADDRESS | 55 WEST 125TH STREET, SUITE 1001 |
| EMPLOYER CITY | NEW YORK |
| EMPLOYER STATE | NY |
| EMPLOYER POSTAL CODE | 10027 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 6466723657 |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY NAME | PERLITSH, STEPHEN |
| AGENT ATTORNEY CITY | NEW YORK |
| AGENT ATTORNEY STATE | NY |
| LCA CASE JOB TITLE | ATTENDING PHYSICIAN/PEDIATRICIAN |
| SOC CODE | 29-1065 |
| SOC NAME | PEDIATRICIANS, GENERAL |
| NAICS CODE | 622110 |
| TOTAL WORKERS | 1 |
| NEW EMPLOYMENT | 1 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| FULL TIME POSITION | Y |
| PREVAILING WAGE | 130,000.00 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | N/A |
| PW SOURCE | CBA |
| PW SOURCE YEAR | 2015 |
| PW SOURCE OTHER | COLLECTIVE BARGAINING AGREEMENT |
| LCA CASE WAGE RATE FROM | 130,000.00 |
| LCA CASE WAGE RATE TO | 0.00 |
| LCA CASE WAGE RATE UNIT | Year |
| H1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| SUPPORT H1B | NA |
| LCA CASE WORKLOC1 CITY | BRONX |
| WORKSITE COUNTY | BRONX |
| LCA CASE WORKLOC1 STATE | NY |
| WORKSITE POSTAL CODE | 10467 |
