Fiscal Year

2020

Case Number

A-19315-81738

Case Status

Certified

Received Date

2019-11-20

Decision Date

2020-04-16

Refile

N

Original File Date

2020-01-01 08:16:36

Previous SWA Case Number State

Schedule A Sheepherder

N

Employer Name

Griffin Faculty Physicians, Inc.

Employer Name Slug

griffin-faculty-physicians-inc

Employer Address 1

130 Division Street

Employer Address 2

Employer City

Derby

Employer City Slug

derby

Employer State

CONNECTICUT

Employer State Slug

connecticut

Employer Country

UNITED STATES OF AMERICA

Employer Postal Code

6418

Employer Phone

2037321330

Employer Number of Employees

66

Employer Year Commenced Business

1996

NAICS Code

62111

FW Ownership Interest

N

Employer Contact Name

Adam Dworkin

Employer Contact Address 1

130 Division Street

Employer Contact Address 2

Employer Contact City

Derby

Employer Contact State/Province

CONNECTICUT

Employer Contact Country

UNITED STATES OF AMERICA

Employer Contact Postal Code

6418

Employer Contact Phone

2037321330

Employer Contact Email

adworkin@griffinhealth.org

Agent Attorney Name

Stephen M Perlitsh

Agent Attorney Firm Name

Law Office of Stephen M. Perlitsh

Agent Attorney Phone

2128403878

Agent Attorney Address 1

Law Office of Stephen M Perlitsh PC

Agent Attorney Address 2

110 West 34th Street, Suite 300

Agent Attorney City

New York

Agent Attorney State/Province

NEW YORK

Agent Attorney Country

UNITED STATES OF AMERICA

Agent Attorney Postal Code

10001

Agent Attorney Email

conrado@perlitsh.com

PW Track Number

P10018331946623

PW SOC Code

29-1062

PW SOC Title

Family and General Practitioners

PW Skill Level

Level I

PW Wage

66144.00

PW Unit of Pay

Year

PW Wage Source

OES

PW Determination Date

2019-04-01

PW Expiration Date

2019-06-30

Wage Offer From

220000.00

Wage Offer To

0.00

Average Salary

220000.00

Wage Unit of Pay

Year

Worksite Address 1

330 Bridgeport Avenue

Worksite Address 2

Worksite City

Shelton

Worksite City Slug

shelton

Worksite State

CONNECTICUT

Worksite Postal Code

6484

Job Title

Family Medicine Physician

Job Title Slug

family-medicine-physician

Minimum Education

Other

Major Field of Study

Medicine MD or DO

Required Training

Y

Required Experience

N

Required Experience Months

Accept Alternative Field of Study

N

Accept Alternative Major Field of Study

Accept Alternative Combination

N

Accept Alternative Combination Education

Accept Alternative Combination Education Years

Accept Foreign Education

Y

Accept Alternative Occupation

N

Accept Alternative Occupation Months

Accept Alternative Job Title

Job Opportunity Requirements Normal

Y

Foreign Language Required

N

Specific Skills

Board Certified BC in Family Medicine or completion of Family Medicine Residency Program. Degree Required Medical Degree MD or Osteopathic Medicine DO. Must qualify for Connecticut medical license.

Combination Occupation

N

Offered to Applicant Foreign Worker

Y

Foreign Worker Live on Premises

N

Foreign Worker Live in Domestic Service

N

Foreign Worker Live in Domestic Service Count

Professional Occupation

Y

Application for College/University Teacher

N

SWA Job Order Start Date

2019-06-27

SWA Job Order End Date

2019-08-01

Sunday Edition Newspaper

Y

First Newspaper Name

Connecticut Post

First Advertisement Start Date

2019-06-30

Second Newspaper Ad Name

Connecticut Post

Second Advertisement Type

Newspaper

Second Ad Start Date

2019-07-07

Employer Website From Date

2019-06-27

Employer Website To Date

2019-07-17

Professional Organization Ad From Date

2020-01-01 08:16:36

Professional Organization Advertisement To Date

2020-01-01 08:16:36

Job Search Website From Date

2019-06-26

Job Search Website To Date

2019-07-26

Employee Referral Program From Date

2020-01-01 08:16:36

Employee Referral Program To Date

2020-01-01 08:16:36

Local Ethnic Paper From Date

2020-01-01 08:16:36

Local Ethnic Paper To Date

2020-01-01 08:16:36

Radio/TV Ad From Date

2019-06-27

Radio/TV Ad To Date

2019-06-27

Employer Received Payment

N

Posted Notice at Worksite

Y

Layoff in Past Six Months

N

Country of Citizenship

CANADA

Foreign Worker Birth Country

RUSSIA

Class of Admission

H-1B

Foreign Worker Education

Other

Foreign Worker Information: Major

MEDICINE DO

Foreign Worker Years of Education Completed

2015

Foreign Worker Institution of Education

TOURO COLLEGE OF OSTEOPATHIC MEDICINE

Foreign Worker Education Institution Address 1

230 W. 125TH STREET

Foreign Worker Education Institution Address 2

Foreign Worker Education Institution City

NEW YORK

Foreign Worker Education Institution State/Province

NY

Foreign Worker Education Institution Country

UNITED STATES OF AMERICA

Foreign Worker Education Institution Postal Code

10027

Foreign Worker Experience with Employer

N/A

Foreign Worker Employer Pays for Education

N

Foreign Worker Currently Employed

Y

Employer Completed Application

N

Preparer Name

Stephen M Perlitsh

Preparer Title

Attorney

Preparer Email

conrado@perlitsh.com

Employer Information Declaration Name

Adam Dworkin

Employer Information Declaration Title

Executive Director