| LCA CASE NUMBER | I-200-21095-196859 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-04-05 |
| DECISION DATE | 2021-04-12 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Attending Physician |
| SOC CODE | 29-1063.00 |
| SOC TITLE | Internists, General |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-04-13 |
| END DATE | 2023-07-27 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 1 |
| 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 ADDRESS 1 | 55 West 155th Street |
| EMPLOYER POC ADDRESS 2 | 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 | rochellen@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/Gotham Health Brownsville |
| WORKSITE ADDRESS1 | 259 Bristol Street |
| LCA CASE WORKLOC1 CITY | Brooklyn |
| WORKSITE COUNTY | KINGS |
| LCA CASE WORKLOC1 STATE | NY |
| WORKSITE POSTAL CODE | 11212 |
| LCA CASE WAGE RATE FROM | 165000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 165000 |
| PW UNIT OF PAY | Year |
| PW OTHER SOURCE | CBA |
| PW OTHER YEAR | 2020 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Neumann |
| PREPARER FIRST NAME | Rochelle |
| PREPARER BUSINESS NAME | Law Office of Stephen M. Perlitsh |
| PREPARER EMAIL | rochellen@perlitsh.com |
