| LCA CASE NUMBER | I-200-17081-167070 |
| STATUS | CERTIFIED |
| LCA CASE SUBMIT | 3/22/2017 |
| DECISION DATE | 3/29/2017 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 6/19/2017 |
| EMPLOYMENT END DATE | 6/18/2020 |
| LCA CASE EMPLOYER NAME | GOOD SAMARITAN HOSPITAL MEDICAL CENTER |
| EMPLOYER BUSINESS DBA | N/A |
| EMPLOYER ADDRESS | 1000 MONTAUK HIGHWAY |
| EMPLOYER CITY | WEST ISLIP |
| EMPLOYER STATE | NY |
| EMPLOYER POSTAL CODE | 11795 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | N/A |
| EMPLOYER PHONE | 6313763427 |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY NAME | O'BRIEN, JAMES |
| AGENT ATTORNEY CITY | ROCKVILLE CENTRE |
| AGENT ATTORNEY STATE | NY |
| LCA CASE JOB TITLE | MEDICAL RESIDENT (EMERGENCY MEDICINE) |
| SOC CODE | 29-1069 |
| SOC NAME | PHYSICIANS AND SURGEONS, ALL OTHER |
| NAICS CODE | 6221 |
| 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 | 57,611.00 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | N/A |
| PW SOURCE | Other |
| PW SOURCE YEAR | 2016 |
| PW SOURCE OTHER | AAMC SURVEY OF RESIDENT/FELLOW BENEFITS AND STIPENDS REPORTS 2016-2017 |
| LCA CASE WAGE RATE FROM | 58,860.00 |
| LCA CASE WAGE RATE TO | 0.00 |
| LCA CASE WAGE RATE UNIT | Year |
| H1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| SUPPORT H1B | NA |
| LABOR CON AGREE | Y |
| LCA CASE WORKLOC1 CITY | ELMHURST |
| WORKSITE COUNTY | QUEENS |
| LCA CASE WORKLOC1 STATE | NY |
| WORKSITE POSTAL CODE | 11373 |
