| LCA CASE NUMBER | I-200-19301-112516 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2019-10-28 |
| DECISION DATE | 2019-11-04 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Pediatrician |
| SOC CODE | 29-1065.00 |
| SOC TITLE | Pediatricians, General |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2019-12-01 |
| END DATE | 2022-11-30 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 1 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Family Health Network of Central New York, Inc. |
| EMPLOYER ADDRESS1 | 85 South West Street |
| EMPLOYER CITY | Homer |
| EMPLOYER STATE | NY |
| EMPLOYER POSTAL CODE | 13077 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | +16077533797 |
| NAICS CODE | 62111 |
| EMPLOYER POC LAST NAME | Osborne |
| EMPLOYER POC FIRST NAME | Kimberly |
| EMPLOYER POC MIDDLE NAME | Marie |
| EMPLOYER POC JOB TITLE | Chief Executive Officer / President |
| EMPLOYER POC ADDRESS1 | 85 South West Street |
| EMPLOYER POC CITY | Homer |
| EMPLOYER POC STATE | NY |
| EMPLOYER POC POSTAL CODE | 13077 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | +16077533797 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Westover |
| AGENT ATTORNEY FIRST NAME | Caroline |
| AGENT ATTORNEY MIDDLE NAME | Mary |
| AGENT ATTORNEY ADDRESS1 | One Lincoln Center |
| AGENT ATTORNEY ADDRESS2 | 18th Floor |
| AGENT ATTORNEY CITY | Syracuse |
| AGENT ATTORNEY STATE | NY |
| AGENT ATTORNEY POSTAL CODE | 13202 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 13152188636.0 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Bond, Schoeneck & King, PLLC |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | Court of Appeals |
| WORKSITE WORKERS | 1.0 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 24 Groton Avenue |
| LCA CASE WORKLOC1 CITY | Cortland |
| WORKSITE COUNTY | CORTLAND |
| LCA CASE WORKLOC1 STATE | NY |
| WORKSITE POSTAL CODE | 13045 |
| LCA CASE WAGE RATE FROM | 208062.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 114005.0 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2019 - 6/30/2020 |
| TOTAL WORKSITE LOCATIONS | 1.0 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
