| LCA CASE NUMBER | I-200-20260-827287 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-09-16 |
| DECISION DATE | 2020-09-23 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Pediatrician |
| SOC CODE | 29-1065.00 |
| SOC TITLE | Pediatricians, General |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2021-01-31 |
| END DATE | 2024-01-30 |
| 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 | Wyoming County Community Health System |
| EMPLOYER ADDRESS1 | 400 N Main Street |
| EMPLOYER CITY | Warsaw |
| EMPLOYER STATE | NY |
| EMPLOYER POSTAL CODE | 14569 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 15857862233 |
| NAICS CODE | 621111 |
| EMPLOYER POC LAST NAME | McTernan |
| EMPLOYER POC FIRST NAME | Joseph |
| EMPLOYER POC JOB TITLE | Chief Executive Officer |
| EMPLOYER POC ADDRESS1 | 400 N Main Street |
| EMPLOYER POC CITY | Warsaw |
| EMPLOYER POC STATE | NY |
| EMPLOYER POC POSTAL CODE | 14569 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 15857868940 |
| EMPLOYER POC PHONE EXT | 4401.0 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Sobieski |
| AGENT ATTORNEY FIRST NAME | Lee |
| AGENT ATTORNEY MIDDLE NAME | Michael |
| AGENT ATTORNEY ADDRESS1 | 5530 Sheridan drive |
| AGENT ATTORNEY ADDRESS2 | suite 1 |
| AGENT ATTORNEY CITY | Buffalo |
| AGENT ATTORNEY STATE | NY |
| AGENT ATTORNEY POSTAL CODE | 14221 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | New York |
| AGENT ATTORNEY PHONE | 17166346500.0 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Berger Berger & Sobieski |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | Appellate Division, Fourth Department |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | Wyoming County Community Health System |
| WORKSITE ADDRESS2 | 400 N Main Street |
| LCA CASE WORKLOC1 CITY | Warsaw |
| WORKSITE COUNTY | WYOMING |
| LCA CASE WORKLOC1 STATE | NY |
| WORKSITE POSTAL CODE | 14569 |
| LCA CASE WAGE RATE FROM | 235000.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 195187.0 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | IV |
| 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 | Sobieski |
| PREPARER FIRST NAME | Lee |
| PREPARER MIDDLE INITIAL | M |
| PREPARER BUSINESS NAME | Berger Berger and Sobieski |
| PREPARER EMAIL | [email protected] |
