| LCA CASE NUMBER | I-200-21168-407625 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-06-17 |
| DECISION DATE | 2021-06-25 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Endocrinologist |
| SOC CODE | 29-1069.00 |
| SOC TITLE | Physicians and Surgeons, All Other |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-08-30 |
| END DATE | 2024-08-29 |
| 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 | Crouse Medical Practice, PLLC |
| EMPLOYER ADDRESS1 | 739 Irving Avenue |
| EMPLOYER ADDRESS2 | Suite 200 |
| EMPLOYER CITY | Syracuse |
| EMPLOYER STATE | NY |
| EMPLOYER POSTAL CODE | 13210 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 13154795070 |
| NAICS CODE | 621111 |
| EMPLOYER POC LAST NAME | Varre |
| EMPLOYER POC FIRST NAME | Stacy |
| EMPLOYER POC JOB TITLE | Recruitment & Retention Coordinator, Human Resources |
| EMPLOYER POC ADDRESS 1 | 739 Irving Avenue |
| EMPLOYER POC CITY | Syracuse |
| EMPLOYER POC STATE | NY |
| EMPLOYER POC POSTAL CODE | 13210 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 13154708796 |
| EMPLOYER POC EMAIL | StacyVarre@crouse.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Godfread-Brown |
| AGENT ATTORNEY FIRST NAME | Andrea |
| AGENT ATTORNEY ADDRESS1 | 333 West Washington Street |
| AGENT ATTORNEY ADDRESS2 | Suite 200 |
| AGENT ATTORNEY CITY | Syracuse |
| AGENT ATTORNEY STATE | NY |
| AGENT ATTORNEY POSTAL CODE | 13202 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 13152142058 |
| AGENT ATTORNEY EMAIL ADDRESS | syrimmigration@harrisbeach.com |
| LAWFIRM NAME BUSINESS NAME | Harris Beach, PLLC |
| STATE OF HIGHEST COURT | NY |
|
| NAME OF HIGHEST STATE COURT | 4th Department |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | True |
| SECONDARY ENTITY BUSINESS NAME | Crouse Medical Practice |
| WORKSITE ADDRESS1 | 5417 W Genesee St |
| LCA CASE WORKLOC1 CITY | Camillus |
| WORKSITE COUNTY | ONONDAGA |
| LCA CASE WORKLOC1 STATE | NY |
| WORKSITE POSTAL CODE | 13031 |
| LCA CASE WAGE RATE FROM | 164133 |
| LCA CASE WAGE RATE TO | 215000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 164133 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| 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 | Ferraro |
| PREPARER FIRST NAME | Carrina |
| PREPARER BUSINESS NAME | Harris Beach, PLLC |
| PREPARER EMAIL | syrimmigration@harrisbeach.com |
