| LCA CASE NUMBER | I-200-22123-129311 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2022-05-03 |
| DECISION DATE | 2022-05-10 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | PUBLIC HEALTH PREVENTATIVE MEDICINE FELLOW |
| SOC CODE | 29-1069.08 |
| SOC TITLE | Physical Medicine and Rehabilitation Physicians |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2022-07-01 |
| END DATE | 2025-06-30 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 1 |
| CHANGE EMPLOYER | 1 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | NYC Deparmtent of Health & Mental Hygiene |
| EMPLOYER ADDRESS1 | 42-09 28th Street |
| EMPLOYER ADDRESS2 | 3rd Floor, Rm. 3-24 |
| EMPLOYER CITY | Queens |
| EMPLOYER STATE | NY |
| EMPLOYER POSTAL CODE | 11101 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 13473962163 |
| NAICS CODE | 92312 |
| EMPLOYER POC LAST NAME | Nieves |
| EMPLOYER POC FIRST NAME | Rose |
| EMPLOYER POC MIDDLE NAME | Mary |
| EMPLOYER POC JOB TITLE | Sr Director Compliance/Human Resources |
| EMPLOYER POC ADDRESS1 | 42-09 28th Street |
| EMPLOYER POC ADDRESS2 | 3rd Floor, Rm. 3-24 |
| EMPLOYER POC CITY | Queens |
| EMPLOYER POC STATE | OH |
| EMPLOYER POC POSTAL CODE | 11101 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 13473962163 |
| EMPLOYER POC EMAIL | rnieves@health.nyc.gov |
| AGENT REPRESENTING EMPLOYER | False |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 42-09 28TH STREET |
| WORKSITE ADDRESS2 | 3RD FLOOR |
| LCA CASE WORKLOC1 CITY | QUEENS |
| WORKSITE COUNTY | QUEENS |
| LCA CASE WORKLOC1 STATE | NY |
| WORKSITE POSTAL CODE | 11101 |
| LCA CASE WAGE RATE FROM | 80196 |
| LCA CASE WAGE RATE TO | 80197 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 78770 |
| 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 |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business and Employment |