| LCA CASE NUMBER | I-200-20213-745844 |
| STATUS | Certified - Withdrawn |
| LCA CASE SUBMIT | 2020-07-31 |
| DECISION DATE | 2023-02-10 |
| ORIGINAL CERT DATE | 2020-08-07 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Physician, Geriatrics |
| SOC CODE | 29-1063.00 |
| SOC TITLE | Internists, General |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2020-09-14 |
| END DATE | 2023-09-13 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 1 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Rochester General Hospital |
| EMPLOYER ADDRESS1 | 1425 PORTLAND AVENUE |
| EMPLOYER CITY | ROCHESTER |
| EMPLOYER STATE | NY |
| EMPLOYER POSTAL CODE | 14621 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 15859224000 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Sylvester |
| EMPLOYER POC FIRST NAME | Maria |
| EMPLOYER POC JOB TITLE | HR Compliance Manager |
| EMPLOYER POC ADDRESS1 | 100 Kings Highway |
| EMPLOYER POC CITY | Rochester |
| EMPLOYER POC STATE | NY |
| EMPLOYER POC POSTAL CODE | 14617 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 15859225352 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| 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 |
| 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 | False |
| WORKSITE ADDRESS1 | 1415 Portland Avenue |
| WORKSITE ADDRESS2 | Medical Office Building, Suite 220 |
| LCA CASE WORKLOC1 CITY | Rochester |
| WORKSITE COUNTY | MONROE |
| LCA CASE WORKLOC1 STATE | NY |
| WORKSITE POSTAL CODE | 14621 |
| LCA CASE WAGE RATE FROM | 178360 |
| LCA CASE WAGE RATE TO | 250000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 178360 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Pederson |
| PREPARER FIRST NAME | Natasha |
| PREPARER BUSINESS NAME | Harris Beach PLLC |
| PREPARER EMAIL | [email protected] |
