| LCA CASE NUMBER | I-200-21106-230855 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-04-16 |
| DECISION DATE | 2021-04-23 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Resident Physician-Internal Medicine |
| SOC CODE | 29-1069.00 |
| SOC TITLE | Physicians and Surgeons, All Other |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-06-23 |
| END DATE | 2023-06-30 |
| 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 | Yale-New Haven Hospital |
| EMPLOYER ADDRESS1 | 20 York Street |
| EMPLOYER CITY | New Haven |
| EMPLOYER STATE | CT |
| EMPLOYER POSTAL CODE | 6510 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 12036884242 |
| NAICS CODE | 62211 |
| EMPLOYER POC LAST NAME | Russell Milici |
| EMPLOYER POC FIRST NAME | Heather |
| EMPLOYER POC JOB TITLE | Manager, Physician Residents |
| EMPLOYER POC ADDRESS 1 | 20 York Street |
| EMPLOYER POC ADDRESS 2 | Tompkins 209 |
| EMPLOYER POC CITY | New Haven |
| EMPLOYER POC STATE | CT |
| EMPLOYER POC POSTAL CODE | 06504 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12036881369 |
| EMPLOYER POC EMAIL | heather.russellmilici@ynhh.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Hopwood |
| AGENT ATTORNEY FIRST NAME | Lauren |
| AGENT ATTORNEY MIDDLE NAME | Meris |
| AGENT ATTORNEY ADDRESS1 | 195 Church Street, 18th Floor |
| AGENT ATTORNEY CITY | New Haven |
| AGENT ATTORNEY STATE | CT |
| AGENT ATTORNEY POSTAL CODE | 6510 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12037843104 |
| AGENT ATTORNEY EMAIL ADDRESS | jbuydos@carmodylaw.com |
| LAWFIRM NAME BUSINESS NAME | Carmody Torrance Sandak & Hennessey LLP |
| STATE OF HIGHEST COURT | CT |
|
| NAME OF HIGHEST STATE COURT | Connecticut Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | Yale-New Haven Hospital |
| WORKSITE ADDRESS2 | 20 York Street |
| LCA CASE WORKLOC1 CITY | New Haven |
| WORKSITE COUNTY | NEW HAVEN CITY |
| LCA CASE WORKLOC1 STATE | CT |
| WORKSITE POSTAL CODE | 6510 |
| LCA CASE WAGE RATE FROM | 74850 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 65423 |
| PW UNIT OF PAY | Year |
| PW OTHER SOURCE | Survey |
| PW OTHER YEAR | 2020 |
| PW SURVEY PUBLISHER | AAMC |
| PW SURVEY NAME | Survey of Resident/Fellow Stipends and Benefits Report |
| TOTAL WORKSITE LOCATIONS | 4 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Buydos |
| PREPARER FIRST NAME | Jill |
| PREPARER MIDDLE INITIAL | G |
| PREPARER BUSINESS NAME | Carmody Torrance Sandak & Hennessey LLP |
| PREPARER EMAIL | jbuydos@carmodylaw.com |
