| LCA CASE NUMBER | I-200-21029-041945 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-01-29 |
| DECISION DATE | 2021-02-05 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Medical Physician |
| SOC CODE | 29-1065.00 |
| SOC TITLE | Pediatricians, General |
| FULL TIME POSITION | False |
| LCA CASE EMPLOYMENT START DATE | 2021-02-15 |
| END DATE | 2022-06-30 |
| 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 | Pediatric and Adolescent Urgent Care of WNY |
| EMPLOYER ADDRESS1 | 1800 Maple Rd. |
| EMPLOYER ADDRESS2 | Suite 100 |
| EMPLOYER CITY | Williamsville |
| EMPLOYER STATE | NY |
| EMPLOYER POSTAL CODE | 14221 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 17166365437 |
| NAICS CODE | 621111 |
| EMPLOYER POC LAST NAME | Grisanti |
| EMPLOYER POC FIRST NAME | Kathleen |
| EMPLOYER POC JOB TITLE | President, Medical Director |
| EMPLOYER POC ADDRESS 1 | 1800 Maple Rd. |
| EMPLOYER POC ADDRESS 2 | Suite 100 |
| EMPLOYER POC CITY | Williamsville |
| EMPLOYER POC STATE | NY |
| EMPLOYER POC POSTAL CODE | 14221 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 17166365437 |
| EMPLOYER POC EMAIL | kgrisanti@pedsurgentcare.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | D'Arrigo |
| AGENT ATTORNEY FIRST NAME | Leonard |
| AGENT ATTORNEY MIDDLE NAME | John |
| AGENT ATTORNEY ADDRESS1 | 677 Broadway |
| AGENT ATTORNEY ADDRESS2 | Suite 1101 |
| AGENT ATTORNEY CITY | Albany |
| AGENT ATTORNEY STATE | NY |
| AGENT ATTORNEY POSTAL CODE | 12207 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 15187012770 |
| AGENT ATTORNEY EMAIL ADDRESS | immigrationhb@harrisbeach.com |
| LAWFIRM NAME BUSINESS NAME | Harris Beach PLLC |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | Court of Appeals |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 1800 Maple Rd. |
| WORKSITE ADDRESS2 | Suite 100 |
| LCA CASE WORKLOC1 CITY | Williamsville |
| WORKSITE COUNTY | ERIE |
| LCA CASE WORKLOC1 STATE | NY |
| WORKSITE POSTAL CODE | 14221 |
| LCA CASE WAGE RATE FROM | 100 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 63.49 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Asala |
| PREPARER FIRST NAME | Mary |
| PREPARER MIDDLE INITIAL | R |
| PREPARER BUSINESS NAME | Harris Beach PLLC |
| PREPARER EMAIL | immigrationhb@harrisbeach.com |
