| LCA CASE NUMBER | I-200-19255-435164 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2019-09-25 |
| DECISION DATE | 2019-10-01 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | ATTENDING PHYSICIAN/PEDIATRICIAN |
| SOC CODE | 29-1065 |
| SOC TITLE | PEDIATRICIANS, GENERAL |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2019-10-24 |
| END DATE | 2022-10-23 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 1 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | PHYSICIAN AFFILIATE GROUP OF NEW YORK, P.C. |
| EMPLOYER ADDRESS1 | 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 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | MORALES |
| EMPLOYER POC FIRST NAME | LISA |
| EMPLOYER POC MIDDLE NAME | MARIE |
| EMPLOYER POC JOB TITLE | HUMAN RESOURCES COORDINATOR |
| EMPLOYER POC ADDRESS1 | 55 WEST 125TH STREET, #1001 |
| EMPLOYER POC CITY | NEW YORK |
| EMPLOYER POC STATE | NY |
| EMPLOYER POC POSTAL CODE | 10027 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 6467142109 |
| EMPLOYER POC EMAIL | MORALESL@PAGNY.ORG |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | STEPHEN |
| AGENT ATTORNEY FIRST NAME | STEPHEN |
| AGENT ATTORNEY MIDDLE NAME | M |
| AGENT ATTORNEY ADDRESS1 | 110 WEST 34TH STREET |
| AGENT ATTORNEY ADDRESS2 | SUITE 300 |
| AGENT ATTORNEY CITY | NEW YORK |
| AGENT ATTORNEY STATE | NY |
| AGENT ATTORNEY POSTAL CODE | 10001 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 2128403878.0 |
| AGENT ATTORNEY EMAIL ADDRESS | ROCHELLEN@PERLITSH.COM |
| LAWFIRM NAME BUSINESS NAME | THE LAW OFFICE OF STEPHEN M. PERLITSH |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | SUPREME COURT |
| SECONDARY ENTITY | Y |
| SECONDARY ENTITY BUSINESS NAME | NYC H+H Jacobi Medical Center |
| WORKSITE ADDRESS1 | 1400 PELHAM PARKWAY SOUTH |
| LCA CASE WORKLOC1 CITY | BRONX |
| WORKSITE COUNTY | Bronx |
| LCA CASE WORKLOC1 STATE | NY |
| WORKSITE POSTAL CODE | 10461 |
| LCA CASE WAGE RATE FROM | 139880.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 139880.0 |
| PW UNIT OF PAY | Year |
| PW OTHER SOURCE | CBA |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | NEUMANN |
| PREPARER FIRST NAME | ROCHELLE |
| PREPARER BUSINESS NAME | LAW OFFICE OF STEPHEN M PERLITSH |
| PREPARER EMAIL | ROCHELLEN@PERLITSH.COM |
