| CASE NUMBER | I-200-24082-823940 |
| CASE STATUS | Certified |
| RECEIVED DATE | 3/22/2024 |
| DECISION DATE | 3/29/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Psychiatrist 1 |
| SOC CODE | 29-1223.00 |
| SOC TITLE | Psychiatrists |
| FULL TIME POSITION | N |
| BEGIN DATE | 7/1/2024 |
| END DATE | 6/30/2025 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 1 |
| AMENDED PETITION | 0 |
| EMPLOYER NAME | New York State Office of Mental Health |
| TRADE NAME DBA | South Beach Psychiatric Center |
| EMPLOYER ADDRESS1 | 777 Seaview Ave. |
| EMPLOYER ADDRESS2 | |
| EMPLOYER CITY | Staten Island |
| EMPLOYER STATE | NY |
| EMPLOYER POSTAL CODE | 10305 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | +17186672726 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 622210 |
| EMPLOYER POC LAST NAME | Rizzo |
| EMPLOYER POC FIRST NAME | Claire |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | Director of Human Resources |
| EMPLOYER POC ADDRESS1 | 777 Seaview Ave. |
| EMPLOYER POC ADDRESS2 | |
| EMPLOYER POC CITY | Staten Island |
| EMPLOYER POC STATE | NY |
| EMPLOYER POC POSTAL CODE | 10305 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | +17186672726 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | Claire.Rizzo@omh.ny.gov |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | D'Arrigo |
| AGENT ATTORNEY FIRST NAME | Leonard |
| AGENT ATTORNEY MIDDLE NAME | John |
| AGENT ATTORNEY ADDRESS1 | 677 Broadway |
| AGENT ATTORNEY ADDRESS2 | Suite 1101 |
| AGENT ATTORNEY CITY | Albany |
| AGENT ATTORNEY STATE | NY |
| AGENT ATTORNEY POSTAL CODE | 12207 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | +15187012770 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | immigrationhb@harrisbeach.com |
| LAWFIRM NAME BUSINESS NAME | Harris Beach PLLC |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | Court of Appeals |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 8620 18th Ave. |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | Brooklyn |
| WORKSITE COUNTY | KINGS |
| WORKSITE STATE | NY |
| WORKSITE POSTAL CODE | 11214 |
| WAGE RATE OF PAY FROM | 112.92 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Hour |
| PREVAILING WAGE | $112.92 |
| PW UNIT OF PAY | Hour |
| PW TRACKING NUMBER | |
| PW WAGE LEVEL | |
| PW OES YEAR | |
| PW OTHER SOURCE | CBA |
| PW OTHER YEAR | 2022 |
| PW SURVEY PUBLISHER | |
| PW SURVEY NAME | |
| TOTAL WORKSITE LOCATIONS | 1 |
| 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 | Asala |
| PREPARER FIRST NAME | Mary |
| PREPARER MIDDLE INITIAL | R |
| PREPARER BUSINESS NAME | Harris Beach PLLC |
| PREPARER EMAIL | masala@harrisbeach.com |
| BEGIN DATE CONVERTED | 2024-01-07 |
