| LCA CASE NUMBER | I-200-21096-201106 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-04-06 |
| DECISION DATE | 2021-04-13 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Resident Physician |
| SOC CODE | 29-1069.00 |
| SOC TITLE | Physicians and Surgeons, All Other |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-07-01 |
| 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 | New York State Office of Mental Health |
| TRADE NAME DBA | Central New York Psychiatric Center |
| EMPLOYER ADDRESS1 | 9005 Old River Road |
| EMPLOYER CITY | Marcy |
| EMPLOYER STATE | NY |
| EMPLOYER POSTAL CODE | 13403 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 13157653600 |
| NAICS CODE | 622210 |
| EMPLOYER POC LAST NAME | Wildey |
| EMPLOYER POC FIRST NAME | Jessica |
| EMPLOYER POC JOB TITLE | Human Resources Specialist 1 |
| EMPLOYER POC ADDRESS 1 | 9005 Old River Road |
| EMPLOYER POC CITY | Marcy |
| EMPLOYER POC STATE | NY |
| EMPLOYER POC POSTAL CODE | 13403 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 13157653359 |
| EMPLOYER POC EMAIL | jessica.wildey@omh.ny.gov |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Ketcher |
| AGENT ATTORNEY FIRST NAME | Adam |
| AGENT ATTORNEY MIDDLE NAME | J. |
| AGENT ATTORNEY ADDRESS1 | 1400 Broadway |
| AGENT ATTORNEY CITY | New York |
| AGENT ATTORNEY STATE | NY |
| AGENT ATTORNEY POSTAL CODE | 10018 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12126888555 |
| AGENT ATTORNEY EMAIL ADDRESS | AKetcher@Fragomen.com |
| LAWFIRM NAME BUSINESS NAME | Fragomen, Del Rey, Bernsen & Loewy LLP |
| STATE OF HIGHEST COURT | NY |
|
| NAME OF HIGHEST STATE COURT | COURT OF APPEALS |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 9005 Old River Road |
| LCA CASE WORKLOC1 CITY | Marcy |
| WORKSITE COUNTY | ONEIDA |
| LCA CASE WORKLOC1 STATE | NY |
| WORKSITE POSTAL CODE | 13403 |
| LCA CASE WAGE RATE FROM | 96775 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 96775 |
| PW UNIT OF PAY | Year |
| PW OTHER SOURCE | CBA |
| PW OTHER YEAR | 2019 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | WEINBERG (c5569089) |
| PREPARER FIRST NAME | Jordan |
| PREPARER MIDDLE INITIAL | P |
| PREPARER BUSINESS NAME | Fragomen, Del Rey, Bernsen & Loewy LLP |
| PREPARER EMAIL | jweinberg@fragomen.com |
