| LCA CASE NUMBER | I-200-20160-634680 |
| STATUS | Certified - Withdrawn |
| LCA CASE SUBMIT | 2020-06-08 |
| DECISION DATE | 2021-10-05 |
| ORIGINAL CERT DATE | 2020-06-15 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Pediatric Dentist |
| SOC CODE | 29-1021.00 |
| SOC TITLE | Dentists, General |
| FULL TIME POSITION | False |
| LCA CASE EMPLOYMENT START DATE | 2020-07-01 |
| END DATE | 2022-12-18 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 1 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Gelbart & Kesselman Dentistry, P.C. |
| EMPLOYER ADDRESS1 | 1591 Route 22 |
| EMPLOYER CITY | Brewster |
| EMPLOYER STATE | NY |
| EMPLOYER POSTAL CODE | 10509 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 18452794415 |
| NAICS CODE | 621210 |
| EMPLOYER POC LAST NAME | Rubio |
| EMPLOYER POC FIRST NAME | Claudia |
| EMPLOYER POC JOB TITLE | Legal Assitant |
| EMPLOYER POC ADDRESS1 | 6240 Lake Osprey Drive |
| EMPLOYER POC CITY | Sarasota |
| EMPLOYER POC STATE | FL |
| EMPLOYER POC POSTAL CODE | 34240 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 19419553150 |
| EMPLOYER POC EMAIL | CRubio@dentalcarealliance.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Perlitsh |
| AGENT ATTORNEY FIRST NAME | Stephen |
| AGENT ATTORNEY MIDDLE NAME | Murray |
| 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 | linette@perlitsh.com |
| LAWFIRM NAME BUSINESS NAME | Law Office of Stephen M. Perlitsh, PC |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 1591 Route 22 |
| LCA CASE WORKLOC1 CITY | Brewster |
| WORKSITE COUNTY | PUTNAM |
| LCA CASE WORKLOC1 STATE | NY |
| WORKSITE POSTAL CODE | 10509 |
| LCA CASE WAGE RATE FROM | 106.25 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 79.1 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | III |
| PW OES YEAR | 7/1/2019 - 6/30/2020 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Ubando |
| PREPARER FIRST NAME | Linette |
| PREPARER BUSINESS NAME | Law Office of Stephen M. Perlitsh |
| PREPARER EMAIL | linette@perlitsh.com |
