| LCA CASE NUMBER | I-200-20035-296054 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-02-04 |
| DECISION DATE | 2020-02-11 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Nurse Practitioner, Pediatrics |
| SOC CODE | 29-1171.00 |
| SOC TITLE | Nurse Practitioners |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-03-01 |
| END DATE | 2023-02-28 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 1 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Wyckoff Heights Medical Center |
| EMPLOYER ADDRESS1 | 374 Stockholm Street |
| EMPLOYER CITY | Brooklyn |
| EMPLOYER STATE | NY |
| EMPLOYER POSTAL CODE | 11237 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 17189637741 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | SUSI |
| EMPLOYER POC FIRST NAME | TINA |
| EMPLOYER POC JOB TITLE | CLINICAL COORDINATOR, DEPARTMENT OF PEDIATRICS |
| EMPLOYER POC ADDRESS1 | 374 Stockholm Street |
| EMPLOYER POC CITY | Brooklyn |
| EMPLOYER POC STATE | NY |
| EMPLOYER POC POSTAL CODE | 11237 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 17189637708 |
| EMPLOYER POC EMAIL | TSUSI@WYCKOFFHOSPITAL.ORG |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | ARIAS |
| AGENT ATTORNEY FIRST NAME | BETSY |
| 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 | 12128403878.0 |
| AGENT ATTORNEY EMAIL ADDRESS | marla@perlitsh.com |
| LAWFIRM NAME BUSINESS NAME | LAW OFFICE OF STEPHEN M PERLITSH |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1.0 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 1411 MYRTLE AVENUE |
| LCA CASE WORKLOC1 CITY | BROOKLYN |
| WORKSITE COUNTY | KINGS |
| LCA CASE WORKLOC1 STATE | NY |
| WORKSITE POSTAL CODE | 11237 |
| LCA CASE WAGE RATE FROM | 120000.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 120000.0 |
| PW UNIT OF PAY | Year |
| PW OTHER SOURCE | CBA |
| PW OTHER YEAR | 2019.0 |
| TOTAL WORKSITE LOCATIONS | 1.0 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | BART |
| PREPARER FIRST NAME | MARLA |
| PREPARER MIDDLE INITIAL | P |
| PREPARER BUSINESS NAME | LAW OFFICE OF STEPHEN M. PERLITSH |
| PREPARER EMAIL | MARLA@PERLITSH.COM |
