| LCA CASE NUMBER | I-200-20156-626179 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-06-04 |
| DECISION DATE | 2020-06-11 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Physician in a Post Graduate Training Program |
| SOC CODE | 29-1069.00 |
| SOC TITLE | Physicians and Surgeons, All Other |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-07-01 |
| END DATE | 2023-06-30 |
| TOTAL WORKER POSITIONS | 5 |
| NEW EMPLOYMENT | 1 |
| CONTINUED EMPLOYMENT | 3 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 1 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | BronxCare Health System |
| EMPLOYER ADDRESS1 | 1650 Selwyn Avenue |
| EMPLOYER CITY | Bronx |
| EMPLOYER STATE | NY |
| EMPLOYER POSTAL CODE | 10457 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 17189601216 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | VEGA |
| EMPLOYER POC FIRST NAME | GABRIELLE |
| EMPLOYER POC JOB TITLE | RESIDENT & MEDICAL STUDENT COORDINATOR |
| EMPLOYER POC ADDRESS1 | 1650 SELWYN AVENUE |
| EMPLOYER POC CITY | Bronx |
| EMPLOYER POC STATE | NY |
| EMPLOYER POC POSTAL CODE | 10457 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 17189601216 |
| EMPLOYER POC EMAIL | GVEGA@BRONXLEB.ORG |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | PERLITSH |
| AGENT ATTORNEY FIRST NAME | STEPHEN |
| AGENT ATTORNEY MIDDLE NAME | M |
| AGENT ATTORNEY ADDRESS1 | 110 West 34th Street |
| AGENT ATTORNEY ADDRESS2 | Suite 300 |
| AGENT ATTORNEY CITY | New York |
| AGENT ATTORNEY STATE | NY |
| AGENT ATTORNEY POSTAL CODE | 10001 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12128403878.0 |
| AGENT ATTORNEY EMAIL ADDRESS | DARRYL@PERLITSH.COM |
| LAWFIRM NAME BUSINESS NAME | LAW OFFICE OF STEPHEN M PERLITSH |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 5 |
| SECONDARY ENTITY | Y |
| SECONDARY ENTITY BUSINESS NAME | NYC-HHC QUEENS HOSPITAL CENTER |
| WORKSITE ADDRESS1 | 82-68 164TH STREET |
| LCA CASE WORKLOC1 CITY | JAMAICA |
| WORKSITE COUNTY | QUEENS |
| LCA CASE WORKLOC1 STATE | NY |
| WORKSITE POSTAL CODE | 11432 |
| LCA CASE WAGE RATE FROM | 70925.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 70925.0 |
| PW UNIT OF PAY | Year |
| PW OTHER SOURCE | CBA |
| PW OTHER YEAR | 2020.0 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | ALFRED |
| PREPARER FIRST NAME | DARRYL |
| PREPARER MIDDLE INITIAL | D.S |
| PREPARER BUSINESS NAME | LAW OFFICE OF STEPHEN M. PERLITSH |
| PREPARER EMAIL | DARRYL@PERLITSH.COM |