| LCA CASE NUMBER | I-200-20029-282810 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-01-29 |
| DECISION DATE | 2020-02-05 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | House Staff, Resident |
| SOC CODE | 29-9099.00 |
| SOC TITLE | Healthcare Practitioners and Technical Workers, All Other |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-07-01 |
| END DATE | 2021-06-30 |
| 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 | Icahn School of Medicine at Mount Sinai |
| EMPLOYER ADDRESS1 | One Gustave Levy Place |
| EMPLOYER ADDRESS2 | Box 1514 |
| EMPLOYER CITY | New York |
| EMPLOYER STATE | NY |
| EMPLOYER POSTAL CODE | 10029 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | New York |
| EMPLOYER PHONE | 12122418300 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Harmon-Donovan |
| EMPLOYER POC FIRST NAME | Dylan |
| EMPLOYER POC JOB TITLE | Immigration Specialist |
| EMPLOYER POC ADDRESS1 | One Gustave Levy Place |
| EMPLOYER POC ADDRESS2 | BOX 1514 |
| EMPLOYER POC CITY | New York |
| EMPLOYER POC STATE | NY |
| EMPLOYER POC POSTAL CODE | 10029 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12122418300 |
| EMPLOYER POC PHONE EXT | 8184.0 |
| EMPLOYER POC EMAIL | Dylan.Harmon-donovan@mountsinai.org |
| AGENT REPRESENTING EMPLOYER | N |
| WORKSITE WORKERS | 1.0 |
| SECONDARY ENTITY | Y |
| SECONDARY ENTITY BUSINESS NAME | James J. Peters VA Medical Center |
| WORKSITE ADDRESS1 | 130 W. Kingsbridge Road |
| LCA CASE WORKLOC1 CITY | Bronx |
| WORKSITE COUNTY | BRONX |
| LCA CASE WORKLOC1 STATE | NY |
| WORKSITE POSTAL CODE | 10468 |
| LCA CASE WAGE RATE FROM | 76660.0 |
|
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 69451.0 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2019 - 6/30/2020 |
| TOTAL WORKSITE LOCATIONS | 2.0 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
