| CASE NUMBER | I-200-24100-867505 |
| CASE STATUS | Certified |
| RECEIVED DATE | 4/9/2024 |
| DECISION DATE | 4/16/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Psychiatrist |
| SOC CODE | 29-1223.00 |
| SOC TITLE | Psychiatrists |
| FULL TIME POSITION | Y |
| BEGIN DATE | 9/13/2024 |
| END DATE | 9/12/2027 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 1 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| EMPLOYER NAME | CORNELL SCOTT HILL HEALTH CORPORATION |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 400 COLUMBUS AVENUE |
| EMPLOYER ADDRESS2 | |
| EMPLOYER CITY | NEW HAVEN |
| EMPLOYER STATE | CT |
| EMPLOYER POSTAL CODE | 6519 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | Connecticut |
| EMPLOYER PHONE | 12035033261 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Lobo |
| EMPLOYER POC FIRST NAME | Andrea |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | Human Resources Chief |
| EMPLOYER POC ADDRESS1 | 400 COLUMBUS AVENUE |
| EMPLOYER POC ADDRESS2 | |
| EMPLOYER POC CITY | NEW HAVEN |
| EMPLOYER POC STATE | CT |
| EMPLOYER POC POSTAL CODE | 6519 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 12035033261 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | alobo@cornellscott.com |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Seltzer |
| AGENT ATTORNEY FIRST NAME | Suzanne |
| AGENT ATTORNEY MIDDLE NAME | B. |
| AGENT ATTORNEY ADDRESS1 | 37 West 20th Street |
| AGENT ATTORNEY ADDRESS2 | Suite 901 |
| AGENT ATTORNEY CITY | New York |
| AGENT ATTORNEY STATE | NY |
| AGENT ATTORNEY POSTAL CODE | 10011 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | 12127968844 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | tsf.followup@theseltzerfirm.com |
| LAWFIRM NAME BUSINESS NAME | The Seltzer Firm PLLC |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 400 Columbus Avenue |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | New Haven |
| WORKSITE COUNTY | NEW HAVEN CITY |
| WORKSITE STATE | CT |
| WORKSITE POSTAL CODE | 6519 |
| WAGE RATE OF PAY FROM | 240000 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $59,717.00 |
| PW UNIT OF PAY | Year |
| PW TRACKING NUMBER | |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2023 - 6/30/2024 |
| PW OTHER SOURCE | |
| PW OTHER YEAR | |
| PW SURVEY PUBLISHER | |
| PW SURVEY NAME | |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | Yes |
| H 1B DEPENDENT | No |
| WILLFUL VIOLATOR | No |
| SUPPORT H1B | N/A |
| STATUTORY BASIS | |
| APPENDIX A ATTACHED | N/A |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | |
| PREPARER FIRST NAME | |
| PREPARER MIDDLE INITIAL | |
| PREPARER BUSINESS NAME | |
| PREPARER EMAIL | |
| BEGIN DATE CONVERTED | 2025-01-09 |
