| LCA CASE NUMBER | I-200-15314-298561 |
| STATUS | CERTIFIED |
| LCA CASE SUBMIT | 11/10/15 |
| DECISION DATE | 11/18/15 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 12/1/15 |
| EMPLOYMENT END DATE | 11/30/18 |
| LCA CASE EMPLOYER NAME | THE MARY IMOGENE BASSETT HOSPITAL |
| EMPLOYER ADDRESS | ONE ATWELL ROAD |
| EMPLOYER CITY | COOPERSTOWN |
| EMPLOYER STATE | NY |
| EMPLOYER POSTAL CODE | 13326 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 6075476982 |
| AGENT ATTORNEY NAME | BRIGSTED, ANNETTE |
| AGENT ATTORNEY CITY | HARTFORD |
| AGENT ATTORNEY STATE | CT |
| LCA CASE JOB TITLE | ATTENDING PHYSICIAN-DEPARTMENT OF FAMILY MEDICINE |
| SOC CODE | 29-1069 |
| SOC NAME | PHYSICIANS AND SURGEONS, ALL OTHER |
| NAIC CODE | 622110 |
| TOTAL WORKERS | 1 |
| PREVAILING WAGE | 172,661.00 |
| PW UNIT OF PAY | Year |
| PW WAGE SOURCE | OES |
| PW SOURCE YEAR | 2015 |
| PW SOURCE OTHER | OFLC ONLINE DATA CENTER |
| LCA CASE WAGE RATE FROM | 180,000.00 |
| LCA CASE WAGE RATE TO | 180,000.00 |
| LCA CASE WAGE RATE UNIT | Year |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| LCA CASE WORKLOC1 CITY | COBLESKILL |
| WORKSITE COUNTY | SCHOHARIE |
| LCA CASE WORKLOC1 STATE | NY |
| WORKSITE POSTAL CODE | 12043 |
