| LCA CASE NUMBER | I-200-20140-586280 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-05-19 |
| DECISION DATE | 2020-05-27 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Dentist/Oral Surgeon |
| SOC CODE | 29-1022.00 |
| SOC TITLE | Oral and Maxillofacial Surgeons |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-10-01 |
| END DATE | 2023-09-30 |
| 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 | Manhattan Oral Facial Surgery LLC |
| EMPLOYER ADDRESS1 | 6118 Riverdale Avenue |
| EMPLOYER CITY | Bronx |
| EMPLOYER STATE | NY |
| EMPLOYER POSTAL CODE | 10471 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 19292223070 |
| NAICS CODE | 621210 |
| EMPLOYER POC LAST NAME | Deardoff |
| EMPLOYER POC FIRST NAME | Christopher |
| EMPLOYER POC JOB TITLE | COO/Compliance Officer |
| EMPLOYER POC ADDRESS1 | 6118 Riverdale Avenue |
| EMPLOYER POC CITY | Bronx |
| EMPLOYER POC STATE | NY |
| EMPLOYER POC POSTAL CODE | 10471 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12039987470 |
| EMPLOYER POC EMAIL | Chris.deardoff@MOFSNY.COM |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Weiss |
| AGENT ATTORNEY FIRST NAME | Brian |
| AGENT ATTORNEY MIDDLE NAME | Scott |
| AGENT ATTORNEY ADDRESS1 | 14 Penn Plaza |
| AGENT ATTORNEY ADDRESS2 | Suite 1020 |
| AGENT ATTORNEY CITY | New York |
| AGENT ATTORNEY STATE | NY |
| AGENT ATTORNEY POSTAL CODE | 10122 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12126436400.0 |
| AGENT ATTORNEY PHONE EXT | 121.0 |
| AGENT ATTORNEY EMAIL ADDRESS | bweiss@ggw.com |
| LAWFIRM NAME BUSINESS NAME | Garganigo, Goldsmith & Weiss |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | Appellate Division |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 1336 East Putnam Avenue |
| LCA CASE WORKLOC1 CITY | Old Greenwich |
| WORKSITE COUNTY | FAIRFIELD |
| LCA CASE WORKLOC1 STATE | CT |
| WORKSITE POSTAL CODE | 6870 |
| LCA CASE WAGE RATE FROM | 250000.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 208000.0 |
| PW UNIT OF PAY | Year |
| PW OES YEAR | 7/1/2019 - 6/30/2020 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Bramson |
| PREPARER FIRST NAME | Marta |
| PREPARER MIDDLE INITIAL | A. |
| PREPARER BUSINESS NAME | Garganigo, Goldsmith & Weiss |
| PREPARER EMAIL | mbramson@ggw.com |
