| LCA CASE NUMBER | I-200-20099-470513 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-04-08 |
| DECISION DATE | 2020-04-15 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Family Medicine Physician |
| SOC CODE | 29-1062.00 |
| SOC TITLE | Family and General Practitioners |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-04-27 |
| END DATE | 2023-04-26 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 1 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Schuyler Hospital |
| EMPLOYER ADDRESS1 | 220 Steuben Street |
| EMPLOYER CITY | Montour Falls |
| EMPLOYER STATE | NY |
| EMPLOYER POSTAL CODE | 14865 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 16075358639 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Rouff |
| EMPLOYER POC FIRST NAME | Matthew |
| EMPLOYER POC JOB TITLE | Executive Director Outpatient and Support Svcs |
| EMPLOYER POC ADDRESS1 | 222 Steuben Street |
| EMPLOYER POC CITY | Montour Falls |
| EMPLOYER POC STATE | NY |
| EMPLOYER POC POSTAL CODE | 14865 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 16075358639 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Godfread-Brown |
| AGENT ATTORNEY FIRST NAME | Andrea |
| AGENT ATTORNEY ADDRESS1 | 333 West Washington Street Suite 200 |
| AGENT ATTORNEY CITY | Syracuse |
| AGENT ATTORNEY STATE | NY |
| AGENT ATTORNEY POSTAL CODE | 13202 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | NY |
| AGENT ATTORNEY PHONE | 13152142058.0 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Harris Beach PLLC |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | 4th Department |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 222 Steuben Street |
| LCA CASE WORKLOC1 CITY | Montour Falls |
| WORKSITE COUNTY | SCHUYLER |
| LCA CASE WORKLOC1 STATE | NY |
| WORKSITE POSTAL CODE | 14865 |
| LCA CASE WAGE RATE FROM | 180000.0 |
| LCA CASE WAGE RATE TO | 190000.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 121118.0 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2019 - 6/30/2020 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business and Employment |
