| LCA CASE NUMBER | I-200-20159-633102 |
| STATUS | Certified - Withdrawn |
| LCA CASE SUBMIT | 2020-06-07 |
| DECISION DATE | 2021-07-19 |
| ORIGINAL CERT DATE | 2020-06-12 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Physician Specialist (Emergency Medicine) |
| SOC CODE | 29-1069.00 |
| SOC TITLE | Physicians and Surgeons, All Other |
| FULL TIME POSITION | True |
| 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 | PHYSICIAN AFFILIATE GROUP OF NY, PC |
| EMPLOYER ADDRESS1 | 55 WEST 125TH STREET |
| EMPLOYER ADDRESS2 | SUITE 1001 |
| EMPLOYER CITY | NEW YORK |
| EMPLOYER STATE | NY |
| EMPLOYER POSTAL CODE | 10027 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 16466723650 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | MORALES |
| EMPLOYER POC FIRST NAME | LISA |
| EMPLOYER POC MIDDLE NAME | MARIE |
| EMPLOYER POC JOB TITLE | HR COORDINATOR |
| EMPLOYER POC ADDRESS1 | 55 WEST 155TH STREET |
| EMPLOYER POC ADDRESS2 | SUITE 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 | 16467142109 |
| EMPLOYER POC EMAIL | moralesl@pagny.org |
| AGENT REPRESENTING EMPLOYER | True |
| 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 |
| 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 | True |
| SECONDARY ENTITY BUSINESS NAME | NYC H+H, KINGS COUNTY HOSPITAL |
| WORKSITE ADDRESS1 | 451 CLARKSON AVENUE |
| LCA CASE WORKLOC1 CITY | BROOKLYN |
| WORKSITE COUNTY | KINGS |
| LCA CASE WORKLOC1 STATE | NY |
| WORKSITE POSTAL CODE | 11203 |
| LCA CASE WAGE RATE FROM | 230000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 176030 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | III |
| PW OES YEAR | 7/1/2019 - 6/30/2020 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H-1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| 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 |
