| LCA CASE NUMBER | I-200-20156-625910 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-06-04 |
| DECISION DATE | 2020-06-11 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Attending Physician - ICU |
| SOC CODE | 29-1069.00 |
| SOC TITLE | Physicians and Surgeons, All Other |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-07-01 |
| END DATE | 2023-06-30 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 1 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | ST. BARNABAS HOSPITAL |
| EMPLOYER ADDRESS1 | 4422 THIRD AVENUE, MILLS BLDG |
| EMPLOYER ADDRESS2 | 4TH FLOOR |
| EMPLOYER CITY | BRONX |
| EMPLOYER STATE | NY |
| EMPLOYER POSTAL CODE | 10457 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 17189606205 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | IANNACCIO |
| EMPLOYER POC FIRST NAME | BETTY |
| EMPLOYER POC JOB TITLE | ADMINISTRATIVE MANAGER |
| EMPLOYER POC ADDRESS1 | 4422 THIRD AVENUE, MILLS BLDG |
| EMPLOYER POC ADDRESS2 | 4TH FLOOR |
| EMPLOYER POC CITY | BRONX |
| EMPLOYER POC STATE | NY |
| EMPLOYER POC POSTAL CODE | 10457 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 17189606205 |
| EMPLOYER POC EMAIL | BIANNACCIO@SBHNY.ORG |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | PERLITSH |
| 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 | 12128403878.0 |
| AGENT ATTORNEY EMAIL ADDRESS | DARRYL@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 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 4422 THIRD AVENUE |
| LCA CASE WORKLOC1 CITY | BRONX |
| WORKSITE COUNTY | BRONX |
| LCA CASE WORKLOC1 STATE | NY |
| WORKSITE POSTAL CODE | 10457 |
| LCA CASE WAGE RATE FROM | 260000.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 230672.0 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | IV |
| 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 | ALFRED |
| PREPARER FIRST NAME | DARRYL |
| PREPARER MIDDLE INITIAL | D.S |
| PREPARER BUSINESS NAME | LAW OFFICE OF STEPHEN M. PERLITSH |
| PREPARER EMAIL | DARRYL@PERLITSH.COM |