| LCA CASE NUMBER | I-200-19330-167604 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2019-11-26 |
| DECISION DATE | 2019-12-04 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Physician (Internal Medicine/Primary Care) |
| SOC CODE | 29-1069.00 |
| SOC TITLE | Physicians and Surgeons, All Other |
| FULL TIME POSITION | N |
| LCA CASE EMPLOYMENT START DATE | 2019-12-09 |
| END DATE | 2022-12-08 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 1 |
| LCA CASE EMPLOYER NAME | The Mary Imogene Bassett Hospital |
| EMPLOYER ADDRESS1 | One Atwell Road |
| EMPLOYER CITY | Cooperstown |
| EMPLOYER STATE | NY |
| EMPLOYER POSTAL CODE | 13326 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | +16075477804 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Ferrari |
| EMPLOYER POC FIRST NAME | Debra |
| EMPLOYER POC JOB TITLE | Manager, Medical Staff Recruitment |
| EMPLOYER POC ADDRESS1 | One Atwell Road |
| EMPLOYER POC CITY | Cooperstown |
| EMPLOYER POC STATE | NY |
| EMPLOYER POC POSTAL CODE | 13326 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | +16075476982 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | New |
| AGENT ATTORNEY FIRST NAME | Courtney |
| AGENT ATTORNEY MIDDLE NAME | Harrison |
| AGENT ATTORNEY ADDRESS1 | 1300 Clinton Square |
| AGENT ATTORNEY CITY | Rochester |
| AGENT ATTORNEY STATE | NY |
| AGENT ATTORNEY POSTAL CODE | 14604 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 14014541116.0 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Nixon Peabody LLP |
| STATE OF HIGHEST COURT | MA |
| NAME OF HIGHEST STATE COURT | Supreme Judicial Court |
|
| WORKSITE WORKERS | 1.0 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | One Atwell Road |
| LCA CASE WORKLOC1 CITY | Cooperstown |
| WORKSITE COUNTY | OTSEGO |
| LCA CASE WORKLOC1 STATE | NY |
| WORKSITE POSTAL CODE | 13326 |
| LCA CASE WAGE RATE FROM | 100.75 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 100.0 |
| PW UNIT OF PAY | Hour |
| 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 |
