| LCA CASE NUMBER | I-200-21012-009064 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-01-12 |
| DECISION DATE | 2021-01-20 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Primary Care Physician |
| SOC CODE | 29-1062.00 |
| SOC TITLE | Family and General Practitioners |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-01-19 |
| END DATE | 2024-01-18 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 1 |
| LCA CASE EMPLOYER NAME | General Physician, P.C. |
| EMPLOYER ADDRESS1 | 726 Exchange Street |
| EMPLOYER ADDRESS2 | Suite 710 |
| EMPLOYER CITY | Buffalo |
| EMPLOYER STATE | NY |
| EMPLOYER POSTAL CODE | 14210 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 17164225815 |
| NAICS CODE | 621111 |
| EMPLOYER POC LAST NAME | Candella |
| EMPLOYER POC FIRST NAME | Mary Lynn |
| EMPLOYER POC JOB TITLE | Recruitment Manager |
| EMPLOYER POC ADDRESS 1 | 726 EXCHANGE STREET |
| EMPLOYER POC ADDRESS 2 | Suite 710 |
| EMPLOYER POC CITY | BUFFALO |
| EMPLOYER POC STATE | NY |
| EMPLOYER POC POSTAL CODE | 14210 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 17164225815 |
| EMPLOYER POC EMAIL | mcandella@gppconline.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Sobieski |
| AGENT ATTORNEY FIRST NAME | Lee |
| AGENT ATTORNEY MIDDLE NAME | Michael |
| AGENT ATTORNEY ADDRESS1 | 5530 Sheridan drive |
| AGENT ATTORNEY ADDRESS2 | suite 1 |
| AGENT ATTORNEY CITY | Buffalo |
| AGENT ATTORNEY STATE | NY |
| AGENT ATTORNEY POSTAL CODE | 14221 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | New York |
| AGENT ATTORNEY PHONE | 17166346500 |
|
| AGENT ATTORNEY EMAIL ADDRESS | lsobieski@usavisa.net |
| LAWFIRM NAME BUSINESS NAME | Berger Berger & Sobieski |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | Appellate Division, Fourth Department |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 3898 Vineyard Avenue |
| WORKSITE ADDRESS2 | Suite 1 |
| LCA CASE WORKLOC1 CITY | Dunkirk |
| WORKSITE COUNTY | CHAUTAUQUA |
| LCA CASE WORKLOC1 STATE | NY |
| WORKSITE POSTAL CODE | 14048 |
| LCA CASE WAGE RATE FROM | 240000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 166795 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | III |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 4 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Sobieski |
| PREPARER FIRST NAME | Lee |
| PREPARER MIDDLE INITIAL | M |
| PREPARER BUSINESS NAME | Berger Berger and Sobieski |
| PREPARER EMAIL | lsobieski@usavisa.net |
