| LCA CASE NUMBER | I-200-20168-656099 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-06-16 |
| DECISION DATE | 2020-06-23 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Physician |
| SOC CODE | 29-1062.00 |
| SOC TITLE | Family and General Practitioners |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-08-17 |
| END DATE | 2023-08-16 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 1 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Northwest Community Health Care Center |
| TRADE NAME DBA | NEIGHBORHOOD HEALTH CENTER |
| EMPLOYER ADDRESS1 | 155 LAWN AVENUE |
| EMPLOYER CITY | BUFFALO |
| EMPLOYER STATE | NY |
| EMPLOYER POSTAL CODE | 14207 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 17168752904 |
| NAICS CODE | 621999 |
| EMPLOYER POC LAST NAME | HAEFNER |
| EMPLOYER POC FIRST NAME | JOANNE |
| EMPLOYER POC MIDDLE NAME | E |
| EMPLOYER POC JOB TITLE | CHIEF EXECUTIVE OFFICER |
| EMPLOYER POC ADDRESS1 | 155 LAWN AVENUE |
| EMPLOYER POC CITY | BUFFALO |
| EMPLOYER POC STATE | NY |
| EMPLOYER POC POSTAL CODE | 14207 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 17168752904 |
| EMPLOYER POC EMAIL | J.HAEFNER@NWBCHCC.ORG |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Juncewicz |
| AGENT ATTORNEY FIRST NAME | Nina |
| AGENT ATTORNEY MIDDLE NAME | FRANCES |
| AGENT ATTORNEY ADDRESS1 | 50 Fountain Plaza |
| AGENT ATTORNEY ADDRESS2 | Suite 1400 |
| AGENT ATTORNEY CITY | Buffalo |
| AGENT ATTORNEY STATE | NY |
| AGENT ATTORNEY POSTAL CODE | 14202 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 17168756500.0 |
| AGENT ATTORNEY EMAIL ADDRESS | njuncewicz@nfjlawoffice.com |
| LAWFIRM NAME BUSINESS NAME | The Law Office of Nina F. Juncewicz, P.C. |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | NEW YORK STATE COURT OF APPEALS |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 155 LAWN AVENUE |
| LCA CASE WORKLOC1 CITY | BUFFALO |
| WORKSITE COUNTY | ERIE |
| LCA CASE WORKLOC1 STATE | NY |
| WORKSITE POSTAL CODE | 14207 |
| LCA CASE WAGE RATE FROM | 185359.62 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 139152.0 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2019 - 6/30/2020 |
| TOTAL WORKSITE LOCATIONS | 4 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
