| LCA CASE NUMBER | I-200-23101-921545 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2023-04-11 |
| DECISION DATE | 2023-04-18 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Physician |
| SOC CODE | 29-1222.00 |
| SOC TITLE | Physicians, Pathologists |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2023-06-05 |
| END DATE | 2026-06-04 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 1 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | New Windsor Pediatrics LLC |
| EMPLOYER ADDRESS1 | 448 Temple Hill Road |
| EMPLOYER CITY | New Windsor |
| EMPLOYER STATE | NY |
| EMPLOYER POSTAL CODE | 12553 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 18455622191 |
| NAICS CODE | 621111 |
| EMPLOYER POC LAST NAME | Pedoem-Shapiro |
| EMPLOYER POC FIRST NAME | Minoo |
| EMPLOYER POC JOB TITLE | Director |
| EMPLOYER POC ADDRESS1 | 448 Temple Hill Road |
| EMPLOYER POC CITY | New Windsor |
| EMPLOYER POC STATE | NY |
| EMPLOYER POC POSTAL CODE | 12553 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 18455622191 |
| EMPLOYER POC EMAIL | immigrationquestion@yahoo.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Villarin |
| AGENT ATTORNEY FIRST NAME | J. Richard |
| AGENT ATTORNEY ADDRESS1 | 5947 Amboy Road |
| AGENT ATTORNEY CITY | STATEN ISLAND |
| AGENT ATTORNEY STATE | NY |
| AGENT ATTORNEY POSTAL CODE | 10309 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 17186057050 |
| AGENT ATTORNEY EMAIL ADDRESS | JRVILLARIN@YAHOO.COM |
| LAWFIRM NAME BUSINESS NAME | J. Richard Villarin, Esq. |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | NY |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 448 Temple Hill Road |
| LCA CASE WORKLOC1 CITY | New Windsor |
| WORKSITE COUNTY | ORANGE |
| LCA CASE WORKLOC1 STATE | NY |
| WORKSITE POSTAL CODE | 12553 |
| LCA CASE WAGE RATE FROM | 230000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 148200 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | IV |
| PW OES YEAR | 7/1/2022 - 6/30/2023 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | VILLARIN |
| PREPARER FIRST NAME | J. RICHARD |
| PREPARER BUSINESS NAME | J. RICHARD VILLARIN, ESQ. |
| PREPARER EMAIL | jrvillarin@yahoo.com |
