| LCA CASE NUMBER | I-200-16264-810509 |
| STATUS | CERTIFIED |
| LCA CASE SUBMIT | 9/20/16 |
| DECISION DATE | 9/26/16 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 11/1/16 |
| EMPLOYMENT END DATE | 10/31/19 |
| 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 | 6075474769 |
| AGENT ATTORNEY NAME | BRIGSTED, ANNETTE |
| AGENT ATTORNEY CITY | ROCKY HILL |
| AGENT ATTORNEY STATE | CT |
| LCA CASE JOB TITLE | PHYSICIAN (DEPARTMENT OF MEDICINE) |
| SOC CODE | 29-1063 |
| SOC NAME | INTERNISTS, GENERAL |
| NAIC CODE | 622110 |
| TOTAL WORKERS | 1 |
| PREVAILING WAGE | 191,922.00 |
| PW UNIT OF PAY | Year |
| PW WAGE SOURCE | OES |
| PW SOURCE YEAR | 2016 |
| PW SOURCE OTHER | OFLC ONLINE DATA CENTER |
| LCA CASE WAGE RATE FROM | 200,000.00 |
| LCA CASE WAGE RATE TO | 0.00 |
| LCA CASE WAGE RATE UNIT | Year |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| LCA CASE WORKLOC1 CITY | ONEONTA |
| WORKSITE COUNTY | OTSEGO |
| LCA CASE WORKLOC1 STATE | NY |
| WORKSITE POSTAL CODE | 13820 |
