| LCA CASE NUMBER | I-200-20097-462793 |
| STATUS | Denied |
| LCA CASE SUBMIT | 2020-04-06 |
| DECISION DATE | 2020-04-09 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | FAMILY MEDICINE PHYSICIAN |
| SOC CODE | 29-1062.00 |
| SOC TITLE | Family and General Practitioners |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-04-13 |
| END DATE | 2023-04-12 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 1 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | GOUVERNEUR HOSPITAL |
| EMPLOYER ADDRESS1 | 77 WEST BARNEY STREET |
| EMPLOYER CITY | GOUVERNEUR |
| EMPLOYER STATE | NY |
| EMPLOYER POSTAL CODE | 13642 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 13152871000 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | ALBERTO |
| EMPLOYER POC FIRST NAME | CARLOS |
| EMPLOYER POC JOB TITLE | VICE PRESIDENT OF PHYSICIAN PRACTICE MANAGEMENT |
| EMPLOYER POC ADDRESS1 | 77 WEST BARNEY STREET |
| EMPLOYER POC CITY | GOUVERNEUR |
| EMPLOYER POC STATE | NY |
| EMPLOYER POC POSTAL CODE | 13642 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 13152871000 |
| EMPLOYER POC EMAIL | CALBERTO@CPHOSPITAL.ORG |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Wilk |
| AGENT ATTORNEY FIRST NAME | Michael |
| AGENT ATTORNEY MIDDLE NAME | Thomas |
| AGENT ATTORNEY ADDRESS1 | 1 Hemphill Place |
| AGENT ATTORNEY ADDRESS2 | Suite 202 |
| AGENT ATTORNEY CITY | Malta |
| AGENT ATTORNEY STATE | NY |
| AGENT ATTORNEY POSTAL CODE | 12020 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 15188861354.0 |
| AGENT ATTORNEY EMAIL ADDRESS | MWILK@TMGVISA.COM |
| LAWFIRM NAME BUSINESS NAME | TMG Visa LLC |
| STATE OF HIGHEST COURT | DC |
| NAME OF HIGHEST STATE COURT | COURT OF APPEALS |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 77 WEST BARNEY STREET |
| LCA CASE WORKLOC1 CITY | GOUVERNEUR |
| WORKSITE COUNTY | ST LAWRENCE |
| LCA CASE WORKLOC1 STATE | NY |
| WORKSITE POSTAL CODE | 13642 |
| LCA CASE WAGE RATE FROM | 173410.0 |
| LCA CASE WAGE RATE TO | 250432.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 173410.0 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2019 - 6/30/2020 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | WILK |
| PREPARER FIRST NAME | MICHAEL |
| PREPARER MIDDLE INITIAL | T |
| PREPARER BUSINESS NAME | TMG VISA LLC |
| PREPARER EMAIL | MWILK@TMGVISA.COM |
