| LCA CASE NUMBER | I-200-21015-017028 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-01-15 |
| DECISION DATE | 2021-01-25 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Certified Registered Nurse Anesthetist |
| SOC CODE | 29-1151.00 |
| SOC TITLE | Nurse Anesthetists |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-07-01 |
| END DATE | 2024-06-30 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 1 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | MAPLE-GATE ANESTHESIOLOGISTS, P.C. |
| TRADE NAME DBA | Buffalo Niagara Anesthesia |
| EMPLOYER ADDRESS1 | 30 SOUTH CAYUGA ROAD |
| EMPLOYER CITY | WILLIAMSVILLE |
| EMPLOYER STATE | NY |
| EMPLOYER POSTAL CODE | 14221 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | NEW YORK |
| EMPLOYER PHONE | 17166321088 |
| NAICS CODE | 621493 |
| EMPLOYER POC LAST NAME | Leszak |
| EMPLOYER POC FIRST NAME | Philip |
| EMPLOYER POC JOB TITLE | Chief Operating Officer |
| EMPLOYER POC ADDRESS 1 | 30 SOUTH CAYUGA ROAD |
| EMPLOYER POC CITY | WILLIAMSVILLE |
| EMPLOYER POC STATE | NY |
| EMPLOYER POC POSTAL CODE | 14221 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 17166321088 |
| EMPLOYER POC EMAIL | pleszak@bnanesthesia.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 | Buffalo General Medical Center |
| WORKSITE ADDRESS2 | 100 High Street |
| LCA CASE WORKLOC1 CITY | Buffalo |
| WORKSITE COUNTY | ERIE |
| LCA CASE WORKLOC1 STATE | NY |
| WORKSITE POSTAL CODE | 14203 |
| LCA CASE WAGE RATE FROM | 170000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 159078 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | III |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 2 |
| 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 |
