| LCA CASE NUMBER | I-200-18075-054601 |
| STATUS | CERTIFIED |
| LCA CASE SUBMIT | 3/16/18 |
| DECISION DATE | 3/22/18 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 9/1/18 |
| EMPLOYMENT END DATE | 8/31/21 |
| LCA CASE EMPLOYER NAME | EXCELSIOR INTEGRATED MEDICAL GROUP,PLLC |
| EMPLOYER ADDRESS | 217 GRAND STREET |
| EMPLOYER CITY | NEW YORK |
| EMPLOYER STATE | NY |
| EMPLOYER POSTAL CODE | 10013 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 2129651380 |
| AGENT REPRESENTING EMPLOYER | N |
| AGENT ATTORNEY NAME | , |
| LCA CASE JOB TITLE | NURSE PRACTITIONER |
| SOC CODE | 29-1171 |
| SOC NAME | NURSE PRACTITIONERS |
| NAICS CODE | 62111 |
| TOTAL WORKERS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 1 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMP | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| FULL TIME POSITION | N |
| PREVAILING WAGE | 42.64 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | Level I |
| PW SOURCE | Other |
| PW SOURCE YEAR | 2017 |
| PW SOURCE OTHER | OFLC ONLINE DATA CENTER |
| LCA CASE WAGE RATE FROM | 48.07 |
| LCA CASE WAGE RATE TO | 0.00 |
| LCA CASE WAGE RATE UNIT | Hour |
| H1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| SUPPORT H1B | NA |
| LABOR CON AGREE | Y |
| LCA CASE WORKLOC1 CITY | NEW YORK |
| WORKSITE COUNTY | NEW YORK |
| LCA CASE WORKLOC1 STATE | NY |
| WORKSITE POSTAL CODE | 10013 |
