| LCA CASE NUMBER | I-200-16165-983145 |
| STATUS | CERTIFIED |
| LCA CASE SUBMIT | 6/20/16 |
| DECISION DATE | 6/24/16 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 7/1/16 |
| EMPLOYMENT END DATE | 6/30/19 |
| LCA CASE EMPLOYER NAME | ELLIS HOSPITAL |
| EMPLOYER ADDRESS | 1101 NOTT STREET |
| EMPLOYER CITY | SCHENECTADY |
| EMPLOYER STATE | NY |
| EMPLOYER POSTAL CODE | 12308 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 5182434000 |
| AGENT ATTORNEY NAME | THIELE, LESLIE |
| AGENT ATTORNEY CITY | ALBANY |
| AGENT ATTORNEY STATE | NY |
| LCA CASE JOB TITLE | PRIMARY CARE PHYSICIAN/FACULTY MEMBER |
| SOC CODE | 29-1062 |
| SOC NAME | FAMILY AND GENERAL PRACTITIONERS |
| NAIC CODE | 622110 |
| TOTAL WORKERS | 1 |
| PREVAILING WAGE | 129,626.00 |
| PW UNIT OF PAY | Year |
| PW WAGE SOURCE | OES |
| PW SOURCE YEAR | 2015 |
| PW SOURCE OTHER | OFLC ONLINE DATA CENTER |
| LCA CASE WAGE RATE FROM | 189,293.00 |
| LCA CASE WAGE RATE TO | 0.00 |
| LCA CASE WAGE RATE UNIT | Year |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| LCA CASE WORKLOC1 CITY | NISKAYUNA |
| WORKSITE COUNTY | SCHENECTADY |
| LCA CASE WORKLOC1 STATE | NY |
| WORKSITE POSTAL CODE | 12309 |
