| LCA CASE NUMBER | I-200-22063-951650 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2022-03-04 |
| DECISION DATE | 2022-03-11 |
| 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 | True |
| LCA CASE EMPLOYMENT START DATE | 2022-07-01 |
| END DATE | 2023-06-30 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 1 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | BronxCare Health System |
| EMPLOYER ADDRESS1 | 1650 Grand Concourse |
| EMPLOYER CITY | Bronx |
| EMPLOYER STATE | NY |
| EMPLOYER POSTAL CODE | 10457 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 17185901800 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Edwards |
| EMPLOYER POC FIRST NAME | Noemi |
| EMPLOYER POC MIDDLE NAME | Dorothy |
| EMPLOYER POC JOB TITLE | Residency & Fellowship Coordinator |
| EMPLOYER POC ADDRESS1 | 1276 Fulton Avenue |
| EMPLOYER POC ADDRESS2 | 5 South |
| EMPLOYER POC CITY | Bronx |
| EMPLOYER POC STATE | NY |
| EMPLOYER POC POSTAL CODE | 10456 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 17189018653 |
| EMPLOYER POC EMAIL | nedwards@bronxcare.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Eliot |
| AGENT ATTORNEY FIRST NAME | Anita |
| AGENT ATTORNEY ADDRESS1 | 10-27 46th Avenue |
| AGENT ATTORNEY ADDRESS2 | Suite 300-2 |
| AGENT ATTORNEY CITY | Long Island City |
| AGENT ATTORNEY STATE | NY |
| AGENT ATTORNEY POSTAL CODE | 11101 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12123568195 |
| AGENT ATTORNEY EMAIL ADDRESS | aeliot@cirseiu.org |
| LAWFIRM NAME BUSINESS NAME | Voluntary Hospitals House Staff Benefits Plan |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | Appellate Division, Second Department |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 1650 Grand Concourse |
| LCA CASE WORKLOC1 CITY | Bronx |
| WORKSITE COUNTY | BRONX |
| LCA CASE WORKLOC1 STATE | NY |
| WORKSITE POSTAL CODE | 10457 |
| LCA CASE WAGE RATE FROM | 87548 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 87548 |
| PW UNIT OF PAY | Year |
| PW OTHER SOURCE | CBA |
| PW OTHER YEAR | 2020 |
| TOTAL WORKSITE LOCATIONS | 6 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Ramirez |
| PREPARER FIRST NAME | Sarah |
| PREPARER MIDDLE INITIAL | M |
| PREPARER BUSINESS NAME | Voluntary Hospitals House Staff Benefits Plan |
| PREPARER EMAIL | sramirez@cirseiu.org |