| LCA CASE NUMBER | I-200-21090-187870 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-03-31 |
| DECISION DATE | 2021-04-07 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Medical Resident Physician |
| SOC CODE | 29-1069.00 |
| SOC TITLE | Physicians and Surgeons, All Other |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-06-17 |
| END DATE | 2024-06-16 |
| 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 | Rochester General Hospital |
| EMPLOYER ADDRESS1 | 1425 Portland Avenue |
| EMPLOYER CITY | Rochester |
| EMPLOYER STATE | NY |
| EMPLOYER POSTAL CODE | 14621 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 15859223845 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Havens |
| EMPLOYER POC FIRST NAME | Kelly |
| EMPLOYER POC MIDDLE NAME | A |
| EMPLOYER POC JOB TITLE | GME Paralegal |
| EMPLOYER POC ADDRESS 1 | 100 Kings Highway South |
| EMPLOYER POC ADDRESS 2 | Suite 2300 |
| EMPLOYER POC CITY | Rochester |
| EMPLOYER POC STATE | NY |
| EMPLOYER POC POSTAL CODE | 14617 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 15852054350 |
| EMPLOYER POC EMAIL | kelly.havens@rochesterregional.org |
| AGENT REPRESENTING EMPLOYER | False |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 1425 Portland Avenue |
| LCA CASE WORKLOC1 CITY | Rochester |
| WORKSITE COUNTY | MONROE |
| LCA CASE WORKLOC1 STATE | NY |
| WORKSITE POSTAL CODE | 14621 |
| LCA CASE WAGE RATE FROM | 61500 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 57242 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| 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 Employment |
