| LCA CASE NUMBER | I-200-21146-344784 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-05-26 |
| DECISION DATE | 2021-06-03 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Nurse Practitioner |
| SOC CODE | 29-1171.00 |
| SOC TITLE | Nurse Practitioners |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-10-05 |
| END DATE | 2024-10-04 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 1 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | The Mary Imogene Bassett Hospital |
| TRADE NAME DBA | Bassett Healthcare Network |
| EMPLOYER ADDRESS1 | 1 Atwell Rd. |
| EMPLOYER CITY | Cooperstown |
| EMPLOYER STATE | NY |
| EMPLOYER POSTAL CODE | 13326 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 16075476982 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Ferrari |
| EMPLOYER POC FIRST NAME | Debra |
| EMPLOYER POC JOB TITLE | Manager, Medical Staff Recruitment |
| EMPLOYER POC ADDRESS 1 | 1 Atwell Rd. |
| EMPLOYER POC CITY | Cooperstown |
| EMPLOYER POC STATE | NY |
| EMPLOYER POC POSTAL CODE | 13326 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 16075476982 |
| EMPLOYER POC EMAIL | debra.ferrari@bassett.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Bruno |
| AGENT ATTORNEY FIRST NAME | Sandra |
| AGENT ATTORNEY ADDRESS1 | P.O. Box 6435 |
| AGENT ATTORNEY CITY | Ithaca |
| AGENT ATTORNEY STATE | NY |
| AGENT ATTORNEY POSTAL CODE | 14851 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16072734200 |
| AGENT ATTORNEY EMAIL ADDRESS | sb@millermayer.com |
| LAWFIRM NAME BUSINESS NAME | Miller Mayer, LLP |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | NY Court of Appeals |
|
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 140 Burwell St. |
| LCA CASE WORKLOC1 CITY | Little Falls |
| WORKSITE COUNTY | HERKIMER |
| LCA CASE WORKLOC1 STATE | NY |
| WORKSITE POSTAL CODE | 13365 |
| LCA CASE WAGE RATE FROM | 118150 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 107245 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | IV |
| 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 |
