| LCA CASE NUMBER | I-200-20290-879887 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-10-15 |
| DECISION DATE | 2020-10-22 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | nurse practitioner |
| SOC CODE | 29-1171.00 |
| SOC TITLE | Nurse Practitioners |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2020-11-01 |
| END DATE | 2023-10-31 |
| 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 | Weiyan Tan Physician PC |
| EMPLOYER ADDRESS1 | 5618 7th Ave, Brooklyn |
| EMPLOYER CITY | New York |
| EMPLOYER STATE | NY |
| EMPLOYER POSTAL CODE | 11220 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 17184393284 |
| NAICS CODE | 62111 |
| EMPLOYER POC LAST NAME | Tan |
| EMPLOYER POC FIRST NAME | Weiyan |
| EMPLOYER POC JOB TITLE | Medical Doctor |
| EMPLOYER POC ADDRESS 1 | 5618 7th Ave, Brooklyn |
| EMPLOYER POC CITY | New York |
| EMPLOYER POC STATE | NY |
| EMPLOYER POC POSTAL CODE | 11220 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 17184393284 |
| EMPLOYER POC EMAIL | weiyan5618@gmail.com |
| AGENT REPRESENTING EMPLOYER | False |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 5618 7th Ave Brooklyn |
| LCA CASE WORKLOC1 CITY | New York |
| WORKSITE COUNTY | KINGS |
| LCA CASE WORKLOC1 STATE | NY |
| WORKSITE POSTAL CODE | 11220 |
| LCA CASE WAGE RATE FROM | 117200 |
| LCA CASE WAGE RATE TO | 130000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 117104 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| PW OES YEAR | 10/08/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Employment |
| PREPARER LAST NAME | Tan |
| PREPARER FIRST NAME | Weiyan |
| PREPARER BUSINESS NAME | Weiyan Tan Physician PC |
| PREPARER EMAIL | weiyan5618@gmail.com |
