| LCA CASE NUMBER | I-200-18135-601510 |
| STATUS | CERTIFIED |
| LCA CASE SUBMIT | 5/15/18 |
| DECISION DATE | 5/21/18 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 7/26/18 |
| EMPLOYMENT END DATE | 7/25/21 |
| LCA CASE EMPLOYER NAME | HUDSON HEADWATERS HEALTH NETWORK |
| EMPLOYER ADDRESS | 9 CAREY ROAD |
| EMPLOYER CITY | QUEENSBURY |
| EMPLOYER STATE | NY |
| EMPLOYER POSTAL CODE | 12804 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 5157610300 |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY NAME | KRESSES-PIASECKI, KOLETTE |
| AGENT ATTORNEY CITY | NORTH TONAWANDA |
| AGENT ATTORNEY STATE | NY |
| LCA CASE JOB TITLE | PRIMARY CARE PHYSICIAN |
| SOC CODE | 29-1062 |
| SOC NAME | FAMILY AND GENERAL PRACTITIONERS |
| NAICS CODE | 622110 |
| TOTAL WORKERS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 1 |
| NEW CONCURRENT EMP | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| FULL TIME POSITION | N |
| PREVAILING WAGE | 96.10 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | Level II |
| PW SOURCE | Other |
| PW SOURCE YEAR | 2018 |
| PW SOURCE OTHER | OFLC ONLINE DATA CENTER |
| LCA CASE WAGE RATE FROM | 96.50 |
| LCA CASE WAGE RATE TO | 0.00 |
| LCA CASE WAGE RATE UNIT | Hour |
| H1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| LABOR CON AGREE | Y |
| LCA CASE WORKLOC1 CITY | SCHROON LAKE |
| WORKSITE COUNTY | ESSEX |
| LCA CASE WORKLOC1 STATE | NY |
| WORKSITE POSTAL CODE | 12870 |
