| LCA CASE NUMBER | I-200-20255-817426 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-09-11 |
| DECISION DATE | 2020-09-18 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Family Practice Physician |
| SOC CODE | 29-1062.00 |
| SOC TITLE | Family and General Practitioners |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-09-28 |
| END DATE | 2023-09-27 |
| 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 | Nathan Littauer Hospital and Nursing Home |
| EMPLOYER ADDRESS1 | 99 East State Street |
| EMPLOYER CITY | Gloversville |
| EMPLOYER STATE | NY |
| EMPLOYER POSTAL CODE | 12078 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 15187258621 |
| NAICS CODE | 62111 |
| EMPLOYER POC LAST NAME | McMahon |
| EMPLOYER POC FIRST NAME | Patrice |
| EMPLOYER POC MIDDLE NAME | A |
| EMPLOYER POC JOB TITLE | Vice President |
| EMPLOYER POC ADDRESS1 | 99 East State Street |
| EMPLOYER POC CITY | Gloversville |
| EMPLOYER POC STATE | NY |
| EMPLOYER POC POSTAL CODE | 12078 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 15187735728 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Jeffries |
| AGENT ATTORNEY FIRST NAME | Stephen |
| AGENT ATTORNEY MIDDLE NAME | D |
| AGENT ATTORNEY ADDRESS1 | 1560 Broadway |
| AGENT ATTORNEY ADDRESS2 | Suite 914 |
| AGENT ATTORNEY CITY | New York |
| AGENT ATTORNEY STATE | NY |
| AGENT ATTORNEY POSTAL CODE | 10036 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12127644222.0 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Jeffries & Corigliano LLP |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | Court of Appeals |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 99 East State Street |
| LCA CASE WORKLOC1 CITY | Gloversville |
| WORKSITE COUNTY | FULTON |
| LCA CASE WORKLOC1 STATE | NY |
| WORKSITE POSTAL CODE | 12078 |
| LCA CASE WAGE RATE FROM | 229000.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 186285.0 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | III |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Corigliano |
| PREPARER FIRST NAME | Dina |
| PREPARER MIDDLE INITIAL | M |
| PREPARER BUSINESS NAME | Jeffries & Corigliano, LLP |
| PREPARER EMAIL | [email protected] |
