| LCA CASE NUMBER | I-200-22251-460739 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2022-09-08 |
| DECISION DATE | 2022-09-15 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | FAMILY MEDICINE PHYSICIAN |
| SOC CODE | 29-1215.00 |
| SOC TITLE | Family Medicine Physicians |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2022-09-17 |
| END DATE | 2025-09-16 |
| 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 | CANTON-POTSDAM HOSPITAL |
| EMPLOYER ADDRESS1 | 50 LEROY STREET |
| EMPLOYER CITY | POTSDAM |
| EMPLOYER STATE | NY |
| EMPLOYER POSTAL CODE | 13676 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 13152615000 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | RACE |
| EMPLOYER POC FIRST NAME | JULIA |
| EMPLOYER POC JOB TITLE | Physician and APP Recruiter |
| EMPLOYER POC ADDRESS1 | 50 LEROY STREET |
| EMPLOYER POC CITY | POTSDAM |
| EMPLOYER POC STATE | NY |
| EMPLOYER POC POSTAL CODE | 13676 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 13152615000 |
| EMPLOYER POC EMAIL | jrace@cphospital.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | WILK |
| AGENT ATTORNEY FIRST NAME | MICHAEL |
| AGENT ATTORNEY MIDDLE NAME | THOMAS |
| AGENT ATTORNEY ADDRESS1 | 22 CENTURY HILL DRIVE |
| AGENT ATTORNEY ADDRESS2 | SUITE 101 |
| AGENT ATTORNEY CITY | LATHAM |
| AGENT ATTORNEY STATE | NY |
| AGENT ATTORNEY POSTAL CODE | 12110 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 15188861354 |
| AGENT ATTORNEY EMAIL ADDRESS | michael@wilklegal.com |
| LAWFIRM NAME BUSINESS NAME | WILK LEGAL PLLC |
| STATE OF HIGHEST COURT | DC |
| NAME OF HIGHEST STATE COURT | COURT OF APPEALS |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 80 EAST MAIN STREET |
| LCA CASE WORKLOC1 CITY | CANTON |
| WORKSITE COUNTY | ST LAWRENCE |
| LCA CASE WORKLOC1 STATE | NY |
| WORKSITE POSTAL CODE | 13617 |
| LCA CASE WAGE RATE FROM | 268263 |
| LCA CASE WAGE RATE TO | 298868 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 162885 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2022 - 6/30/2023 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | WILK |
| PREPARER FIRST NAME | MICHAEL |
| PREPARER MIDDLE INITIAL | T |
| PREPARER BUSINESS NAME | WILK LEGAL PLLC |
| PREPARER EMAIL | michael@wilklegal.com |
