| LCA CASE NUMBER | I-200-21222-512002 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-08-10 |
| DECISION DATE | 2021-08-16 |
| 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 | 2021-10-01 |
| END DATE | 2024-09-30 |
| 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 | Michael Li MD PLLC |
| EMPLOYER ADDRESS1 | 136-20 38th Ave. |
| EMPLOYER ADDRESS2 | Ste. 6F |
| EMPLOYER CITY | Flushing |
| EMPLOYER STATE | NY |
| EMPLOYER POSTAL CODE | 11354 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 17188889700 |
| NAICS CODE | 62111 |
| EMPLOYER POC LAST NAME | Chang |
| EMPLOYER POC FIRST NAME | Ping |
| EMPLOYER POC JOB TITLE | HR Manager |
| EMPLOYER POC ADDRESS1 | 136-20 38th Ave. |
| EMPLOYER POC ADDRESS2 | Ste. 6F |
| EMPLOYER POC CITY | Flushing |
| EMPLOYER POC STATE | NY |
| EMPLOYER POC POSTAL CODE | 11354 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 17188889700 |
| EMPLOYER POC EMAIL | mlmdlogs@gmail.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Hsiao |
| AGENT ATTORNEY FIRST NAME | Hung-Yi |
| AGENT ATTORNEY ADDRESS1 | 909 3rd Ave unit 1784 |
| AGENT ATTORNEY CITY | New York |
| AGENT ATTORNEY STATE | NY |
| AGENT ATTORNEY POSTAL CODE | 10150 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 17186184355 |
| AGENT ATTORNEY EMAIL ADDRESS | hyh@hyhnylaw.com |
| LAWFIRM NAME BUSINESS NAME | Law Office of HungYi Hsiao |
| STATE OF HIGHEST COURT | NY |
|
| NAME OF HIGHEST STATE COURT | NEW YORK 1ST APPELLATE DIVISION |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 136-20 38th Ave. |
| WORKSITE ADDRESS2 | Ste. 6F |
| LCA CASE WORKLOC1 CITY | Flushing |
| WORKSITE COUNTY | QUEENS |
| LCA CASE WORKLOC1 STATE | NY |
| WORKSITE POSTAL CODE | 11354 |
| LCA CASE WAGE RATE FROM | 130000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 101816 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2021 - 6/30/2022 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H-1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
