| CASE NUMBER | I-200-24219-246980 |
| CASE STATUS | Certified |
| RECEIVED DATE | 8/6/2024 |
| DECISION DATE | 8/13/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Physician in a Post Graduate Training Program |
| SOC CODE | 29-1229.00 |
| SOC TITLE | Physicians, All Other |
| FULL TIME POSITION | Y |
| BEGIN DATE | 9/1/2024 |
| END DATE | 8/31/2025 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 1 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| EMPLOYER NAME | MONTEFIORE MEDICAL CENTER |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 111 EAST 210TH STREET |
| EMPLOYER ADDRESS2 | |
| EMPLOYER CITY | BRONX |
| EMPLOYER STATE | NY |
| EMPLOYER POSTAL CODE | 10467 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | +17189205994 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Gaba |
| EMPLOYER POC FIRST NAME | Justice |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | Associate Director, House Staff Office |
| EMPLOYER POC ADDRESS1 | 111 East 210th Street |
| EMPLOYER POC ADDRESS2 | |
| EMPLOYER POC CITY | BRONX |
| EMPLOYER POC STATE | NY |
| EMPLOYER POC POSTAL CODE | 10467 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | +17189204093 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | jgaba@montefiore.org |
| AGENT REPRESENTING EMPLOYER | Yes |
| 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 PROVINCE | |
| AGENT ATTORNEY PHONE | +12128403878 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | rochellen@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 | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 111 East 210th Street |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | Bronx |
| WORKSITE COUNTY | BRONX |
| WORKSITE STATE | NY |
| WORKSITE POSTAL CODE | 10467 |
| WAGE RATE OF PAY FROM | 86,569.44 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $69,430.00 |
| PW UNIT OF PAY | Year |
| PW TRACKING NUMBER | |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2024 - 6/30/2025 |
| PW OTHER SOURCE | |
| PW OTHER YEAR | |
| PW SURVEY PUBLISHER | |
| PW SURVEY NAME | |
| TOTAL WORKSITE LOCATIONS | 3 |
| 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 | Neumann |
| PREPARER FIRST NAME | Rochelle |
| PREPARER MIDDLE INITIAL | |
| PREPARER BUSINESS NAME | Law Office of Stephen M. Perlitsh |
| PREPARER EMAIL | rochellen@perlitsh.com |
| BEGIN DATE CONVERTED | 2024-01-09 |
