| LCA CASE NUMBER | I-200-20128-550937 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-05-07 |
| DECISION DATE | 2020-05-14 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Primary Care Physician |
| SOC CODE | 29-1063.00 |
| SOC TITLE | Internists, General |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-09-04 |
| END DATE | 2023-09-03 |
| 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 | The Mary Imogene Bassett Hospital |
| EMPLOYER ADDRESS1 | 1 ATWELL RD. |
| EMPLOYER CITY | Cooperstown |
| EMPLOYER STATE | NY |
| EMPLOYER POSTAL CODE | 13326 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 16075476982 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | FERRARI |
| EMPLOYER POC FIRST NAME | DEBRA |
| EMPLOYER POC JOB TITLE | MANAGER, MEDICAL STAFF RECRUITMENT |
| EMPLOYER POC ADDRESS1 | 1 ATWELL RD |
| 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 | Fraser |
| AGENT ATTORNEY FIRST NAME | Hilary |
| AGENT ATTORNEY MIDDLE NAME | T. |
| AGENT ATTORNEY ADDRESS1 | P.O. Box 6435 |
| AGENT ATTORNEY CITY | Ithaca |
| AGENT ATTORNEY STATE | NY |
| AGENT ATTORNEY POSTAL CODE | 14851 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16072734200.0 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Miller Mayer, LLP |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | NY Court of Appeals |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 1 Atwell Road |
| LCA CASE WORKLOC1 CITY | Cooperstown |
| WORKSITE COUNTY | OTSEGO |
| LCA CASE WORKLOC1 STATE | NY |
| WORKSITE POSTAL CODE | 13326-1301 |
| LCA CASE WAGE RATE FROM | 117707.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 101171.0 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| 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 |
