| LCA CASE NUMBER | I-200-23228-267941 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2023-08-16 |
| DECISION DATE | 2023-08-23 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | PHYSICIAN |
| SOC CODE | 29-1229.00 |
| SOC TITLE | Physicians, All Other |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2023-10-22 |
| END DATE | 2026-10-21 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 1 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | NORTHWELL HEALTH |
| EMPLOYER ADDRESS1 | 2000 MARCUS AVENUE |
| EMPLOYER CITY | NEW HYDE PARK |
| EMPLOYER STATE | NY |
| EMPLOYER POSTAL CODE | 11042 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 15165175015 |
| NAICS CODE | 62211 |
| EMPLOYER POC LAST NAME | MELBOURNE |
| EMPLOYER POC FIRST NAME | KALA |
| EMPLOYER POC JOB TITLE | ADVISOR, HR |
| EMPLOYER POC ADDRESS1 | 1991 MARCUS AVENUE |
| EMPLOYER POC ADDRESS2 | SUITE 310 |
| EMPLOYER POC CITY | LAKE SUCCESS |
| EMPLOYER POC STATE | NY |
| EMPLOYER POC POSTAL CODE | 11042 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 15165175015 |
| EMPLOYER POC EMAIL | KMELBOURNE@NORTHWELL.EDU |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | FISHER |
| AGENT ATTORNEY FIRST NAME | THEDA |
| AGENT ATTORNEY ADDRESS1 | 430 PARK AVENUE |
| AGENT ATTORNEY ADDRESS2 | 10TH FLOOR |
| AGENT ATTORNEY CITY | NEW YORK |
| AGENT ATTORNEY STATE | NY |
| AGENT ATTORNEY POSTAL CODE | 10022 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12128489886 |
| AGENT ATTORNEY EMAIL ADDRESS | Theda.Fisher@withersworldwide.com |
| LAWFIRM NAME BUSINESS NAME | WITHERS BERGMAN LLP |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | COURT OF APPEALS |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 1 HEROES WAY |
| LCA CASE WORKLOC1 CITY | RIVERHEAD |
| WORKSITE COUNTY | SUFFOLK |
| LCA CASE WORKLOC1 STATE | NY |
| WORKSITE POSTAL CODE | 11901 |
| LCA CASE WAGE RATE FROM | 330000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 174304 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2023 - 6/30/2024 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | FISHER |
| PREPARER FIRST NAME | THEDA |
| PREPARER BUSINESS NAME | WITHERS BERGMAN LLP |
| PREPARER EMAIL | THEDA.FISHER@WITHERSWORLDWIDE.COM |
