| LCA CASE NUMBER | I-200-23171-127906 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2023-06-20 |
| DECISION DATE | 2023-06-27 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Physician |
| SOC CODE | 29-1229.02 |
| SOC TITLE | Hospitalists |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2023-07-01 |
| END DATE | 2026-06-30 |
| 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 | Upstate Community Medical, PC |
| EMPLOYER ADDRESS1 | 4900 Broad Road |
| EMPLOYER ADDRESS2 | Room 1507 |
| EMPLOYER CITY | Syracuse |
| EMPLOYER STATE | NY |
| EMPLOYER POSTAL CODE | 13215 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 13154925825 |
| NAICS CODE | 621111 |
| EMPLOYER POC LAST NAME | Corona |
| EMPLOYER POC FIRST NAME | Kimberly |
| EMPLOYER POC JOB TITLE | Operations Director |
| EMPLOYER POC ADDRESS1 | 4900 Broad Road |
| EMPLOYER POC ADDRESS2 | Room 1507 |
| EMPLOYER POC CITY | Syracuse |
| EMPLOYER POC STATE | NY |
| EMPLOYER POC POSTAL CODE | 13215 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 13153803542 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Venter |
| AGENT ATTORNEY FIRST NAME | Brendan |
| AGENT ATTORNEY MIDDLE NAME | J |
| AGENT ATTORNEY ADDRESS1 | 677 Broadway |
| AGENT ATTORNEY ADDRESS2 | Suite 1101 |
| AGENT ATTORNEY CITY | Albany |
| AGENT ATTORNEY STATE | NY |
| AGENT ATTORNEY POSTAL CODE | 12207 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 15187012773 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Harris Beach PLLC |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | Court of Appeals |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | True |
| SECONDARY ENTITY BUSINESS NAME | SUNY Upstate Medical University |
| WORKSITE ADDRESS1 | 4900 Broad Road |
| WORKSITE ADDRESS2 | University Hospital, Community Campus |
| LCA CASE WORKLOC1 CITY | Syracuse |
| WORKSITE COUNTY | ONONDAGA |
| LCA CASE WORKLOC1 STATE | NY |
| WORKSITE POSTAL CODE | 13215 |
| LCA CASE WAGE RATE FROM | 255000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 67870 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | IV |
| PW OES YEAR | 7/1/2022 - 6/30/2023 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Hofstetter |
| PREPARER FIRST NAME | Joshua |
| PREPARER MIDDLE INITIAL | D. |
| PREPARER BUSINESS NAME | Harris Beach PLLC |
| PREPARER EMAIL | [email protected] |
