| LCA CASE NUMBER | I-200-17255-245403 |
| STATUS | CERTIFIED |
| LCA CASE SUBMIT | 9/12/2017 |
| DECISION DATE | 9/18/2017 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 9/25/2017 |
| EMPLOYMENT END DATE | 6/30/2019 |
| LCA CASE EMPLOYER NAME | THE MARY IMOGENE BASSETT HOSPITAL |
| EMPLOYER ADDRESS | ONE ATWELL ROAD |
| EMPLOYER CITY | COOPERSTOWN |
| EMPLOYER STATE | NY |
| EMPLOYER POSTAL CODE | 13326 |
| AGENT ATTORNEY NAME | , |
| LCA CASE JOB TITLE | ATTENDING HOSPITALIST |
| SOC CODE | 29-1069 |
| SOC NAME | PHYSICIANS AND SURGEONS, ALL OTHER |
| NAICS CODE | 622110 |
| TOTAL WORKERS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 1 |
| FULL TIME POSITION | Y |
| PREVAILING WAGE | 198,598.00 |
| PW UNIT OF PAY | Year |
| PW SOURCE | OES |
| PW SOURCE YEAR | 2017 |
| PW SOURCE OTHER | OFLC ONLINE DATA CENTER |
| LCA CASE WAGE RATE FROM | 230,000.00 |
| LCA CASE WAGE RATE TO | 0.00 |
| LCA CASE WAGE RATE UNIT | Year |
| H1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| LCA CASE WORKLOC1 CITY | COOPERSTOWN |
| WORKSITE COUNTY | OTSEGO |
| LCA CASE WORKLOC1 STATE | NY |
| WORKSITE POSTAL CODE | 13326 |
