\ H1B CASE NUMBER I-200-21005-995322



CASE NUNBER: I-200-21005-995322

LCA CASE NUMBERI-200-21005-995322
STATUSCertified - Withdrawn
LCA CASE SUBMIT2021-01-05
DECISION DATE2023-08-28
ORIGINAL CERT DATE2021-01-12
VISA CLASSH-1B
LCA CASE JOB TITLEPhysician, Pediatrics
SOC CODE29-1065.00
SOC TITLEPediatricians, General
FULL TIME POSITIONTrue
LCA CASE EMPLOYMENT START DATE2021-02-22
END DATE2024-02-21
TOTAL WORKER POSITIONS1
NEW EMPLOYMENT1
CONTINUED EMPLOYMENT0
CHANGE PREVIOUS EMPLOYMENT0
NEW CONCURRENT EMPLOYMENT0
CHANGE EMPLOYER0
AMENDED PETITION0
LCA CASE EMPLOYER NAMERochester General Hospital
EMPLOYER ADDRESS11425 PORTLAND AVENUE
EMPLOYER CITYROCHESTER
EMPLOYER STATENY
EMPLOYER POSTAL CODE14621
EMPLOYER COUNTRYUNITED STATES OF AMERICA
EMPLOYER PHONE15859224000
NAICS CODE622110
EMPLOYER POC LAST NAMESylvester
EMPLOYER POC FIRST NAMEMaria
EMPLOYER POC JOB TITLEHR Compliance Manager
EMPLOYER POC ADDRESS1100 Kings Highway
EMPLOYER POC CITYRochester
EMPLOYER POC STATENY
EMPLOYER POC POSTAL CODE14617
EMPLOYER POC COUNTRYUNITED STATES OF AMERICA
EMPLOYER POC PHONE15859225352
EMPLOYER POC EMAILMaria.Sylvester@rochesterregional.org
AGENT REPRESENTING EMPLOYERTrue
AGENT ATTORNEY LAST NAMEGodfread-Brown
AGENT ATTORNEY FIRST NAMEAndrea
AGENT ATTORNEY ADDRESS1333 West Washington Street Suite 200
AGENT ATTORNEY CITYSyracuse
AGENT ATTORNEY STATENY
AGENT ATTORNEY POSTAL CODE13202
AGENT ATTORNEY COUNTRYUNITED STATES OF AMERICA
AGENT ATTORNEY PROVINCENY
AGENT ATTORNEY PHONE13152142058
AGENT ATTORNEY EMAIL ADDRESSAGBROWN@HARRISBEACH.COM
LAWFIRM NAME BUSINESS NAMEHarris Beach PLLC
STATE OF HIGHEST COURTNY
NAME OF HIGHEST STATE COURT4th Department
WORKSITE WORKERS1
SECONDARY ENTITYFalse
WORKSITE ADDRESS12000 Empire Blvd.
LCA CASE WORKLOC1 CITYWebster
WORKSITE COUNTYMONROE
LCA CASE WORKLOC1 STATENY
WORKSITE POSTAL CODE14580
LCA CASE WAGE RATE FROM104437
LCA CASE WAGE RATE TO200000
LCA CASE WAGE RATE UNITYear
PREVAILING WAGE104437
PW UNIT OF PAYYear
PW WAGE LEVELI
PW OES YEAR7/1/2020 - 6/30/2021
TOTAL WORKSITE LOCATIONS1
AGREE TO LC STATEMENTTrue
H 1B DEPENDENTFalse
WILLFUL VIOLATORFalse
PUBLIC DISCLOSUREDisclose Business
PREPARER LAST NAMEPederson
PREPARER FIRST NAMENatasha
PREPARER BUSINESS NAMEHarris Beach PLLC
PREPARER EMAILnpederson@harrisbeach.com