| LCA CASE NUMBER | I-200-20136-575427 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-05-15 |
| DECISION DATE | 2020-05-22 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Nurse Practitioner |
| SOC CODE | 29-1171.00 |
| SOC TITLE | Nurse Practitioners |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-09-26 |
| END DATE | 2023-09-25 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 1 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Delphi Hospitalist Services LLC |
| EMPLOYER ADDRESS1 | 1160 Chili Avenue |
| EMPLOYER ADDRESS2 | Suite 200 |
| EMPLOYER CITY | Rochester |
| EMPLOYER STATE | NY |
| EMPLOYER POSTAL CODE | 14624 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 15855004814 |
| NAICS CODE | 62111 |
| EMPLOYER POC LAST NAME | Banas |
| EMPLOYER POC FIRST NAME | Brian |
| EMPLOYER POC JOB TITLE | Chief Operating Officer |
| EMPLOYER POC ADDRESS1 | 1160 N Chili Avenue |
| EMPLOYER POC CITY | Rochester |
| EMPLOYER POC STATE | NY |
| EMPLOYER POC POSTAL CODE | 14624 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 15855004814 |
| EMPLOYER POC EMAIL | Brian.Banas@DelphiHealthcare.com |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Richards |
| AGENT ATTORNEY FIRST NAME | Jeremy |
| AGENT ATTORNEY MIDDLE NAME | L |
| AGENT ATTORNEY ADDRESS1 | 2731 South Park Avenue |
| AGENT ATTORNEY CITY | Lackawanna |
| AGENT ATTORNEY STATE | NY |
| AGENT ATTORNEY POSTAL CODE | 14218 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 17169704007.0 |
| AGENT ATTORNEY EMAIL ADDRESS | jr@rjimmigrationlaw.com |
| LAWFIRM NAME BUSINESS NAME | Richards and Jurusik |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | New York State Court of Appeals |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | Y |
| SECONDARY ENTITY BUSINESS NAME | Jones Memorial Hospital |
| WORKSITE ADDRESS1 | 191 N Main Street |
| LCA CASE WORKLOC1 CITY | Wellsville |
| WORKSITE COUNTY | ALLEGANY |
| LCA CASE WORKLOC1 STATE | NY |
| WORKSITE POSTAL CODE | 14895 |
| LCA CASE WAGE RATE FROM | 112320.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 107016.0 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2019 - 6/30/2020 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
