| LCA CASE NUMBER | I-200-16307-990615 |
| STATUS | CERTIFIED |
| LCA CASE SUBMIT | 11/18/2016 |
| DECISION DATE | 11/25/2016 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 12/1/2016 |
| EMPLOYMENT END DATE | 11/30/2019 |
| LCA CASE EMPLOYER NAME | FAMILY HEALTH NETWORK OF CENTRAL NEW YORK, INC. |
| EMPLOYER ADDRESS | 17 MAIN STREET |
| EMPLOYER CITY | CORTLAND |
| EMPLOYER STATE | NY |
| EMPLOYER POSTAL CODE | 13045 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 6077533797 |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY NAME | WESTOVER, CAROLINE |
| AGENT ATTORNEY CITY | SYRACUSE |
| AGENT ATTORNEY STATE | NY |
| LCA CASE JOB TITLE | PEDIATRICIAN |
| SOC CODE | 29-1065 |
| SOC NAME | PEDIATRICIANS, GENERAL |
| NAICS CODE | 621111 |
| TOTAL WORKERS | 1 |
| NEW EMPLOYMENT | 1 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| FULL TIME POSITION | Y |
| PREVAILING WAGE | 104,166.00 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | Level I |
| PW SOURCE | OES |
| PW SOURCE YEAR | 2016 |
| PW SOURCE OTHER | OFLC ONLINE DATA CENTER |
| LCA CASE WAGE RATE FROM | 200,000.00 |
| LCA CASE WAGE RATE TO | 0.00 |
| LCA CASE WAGE RATE UNIT | Year |
| H1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| SUPPORT H1B | NA |
| LCA CASE WORKLOC1 CITY | CORTLAND |
| WORKSITE COUNTY | CORTLAND |
| LCA CASE WORKLOC1 STATE | NY |
| WORKSITE POSTAL CODE | 13045 |
