| LCA CASE NUMBER | I-200-21201-473504 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-07-20 |
| DECISION DATE | 2021-07-27 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Pediatrician |
| SOC CODE | 29-1065.00 |
| SOC TITLE | Pediatricians, General |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-09-11 |
| END DATE | 2024-09-10 |
| 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 | General Physician PC |
| EMPLOYER ADDRESS1 | 726 Exchange Street |
| EMPLOYER ADDRESS2 | Suite 200 |
| EMPLOYER CITY | Buffalo |
| EMPLOYER STATE | NY |
| EMPLOYER POSTAL CODE | 14210 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 17162644195 |
| NAICS CODE | 621111 |
| EMPLOYER POC LAST NAME | Ernst |
| EMPLOYER POC FIRST NAME | Darryl |
| EMPLOYER POC JOB TITLE | President |
| EMPLOYER POC ADDRESS1 | 726 Exchange Street |
| EMPLOYER POC CITY | Buffalo |
| EMPLOYER POC STATE | NY |
| EMPLOYER POC POSTAL CODE | 14210 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 17164225815 |
| EMPLOYER POC EMAIL | mcandella@gppconline.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Piasecki |
| AGENT ATTORNEY FIRST NAME | Kolette |
| AGENT ATTORNEY MIDDLE NAME | c |
| AGENT ATTORNEY ADDRESS1 | 908 Niagara Falls Blvd |
| AGENT ATTORNEY ADDRESS2 | Suite 252 |
| AGENT ATTORNEY CITY | North Tonawanda |
| AGENT ATTORNEY STATE | NY |
| AGENT ATTORNEY POSTAL CODE | 14120 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 17166934792 |
| AGENT ATTORNEY EMAIL ADDRESS | kolette@knpvisa.com |
| LAWFIRM NAME BUSINESS NAME | Kresses and Piasecki Legal, PC |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | US District Court of New York |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 3898 Vineyard Drive |
| LCA CASE WORKLOC1 CITY | Dunkirk |
| WORKSITE COUNTY | ERIE |
| LCA CASE WORKLOC1 STATE | NY |
| WORKSITE POSTAL CODE | 14048 |
| LCA CASE WAGE RATE FROM | 195000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 131581 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2021 - 6/30/2022 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H-1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Employment |
| PREPARER LAST NAME | Piasecki |
| PREPARER FIRST NAME | Kolette |
| PREPARER MIDDLE INITIAL | c |
| PREPARER BUSINESS NAME | Kresses and Piasecki Legal, PC |
| PREPARER EMAIL | kolette@knpvisa.com |
