| LCA CASE NUMBER | I-200-21253-576099 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-09-10 |
| DECISION DATE | 2021-09-17 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Physician |
| SOC CODE | 29-1069.03 |
| SOC TITLE | Hospitalists |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-11-01 |
| END DATE | 2024-10-31 |
| 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 | Infinity Medical of WNY PC |
| EMPLOYER ADDRESS1 | 10 Meadowbrook Dr. |
| EMPLOYER CITY | Elma |
| EMPLOYER STATE | NY |
| EMPLOYER POSTAL CODE | 14059 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 17165683514 |
| NAICS CODE | 62111 |
| EMPLOYER POC LAST NAME | Patti |
| EMPLOYER POC FIRST NAME | John |
| EMPLOYER POC MIDDLE NAME | Paschal |
| EMPLOYER POC JOB TITLE | President/CEO |
| EMPLOYER POC ADDRESS1 | 10 Meadowbrook Dr. |
| EMPLOYER POC CITY | Elma |
| EMPLOYER POC STATE | NY |
| EMPLOYER POC POSTAL CODE | 14059 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 17165683514 |
| EMPLOYER POC EMAIL | jpatti@kaleidahealth.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Mooney, Esq. |
| AGENT ATTORNEY FIRST NAME | Ryan |
| AGENT ATTORNEY MIDDLE NAME | P |
| AGENT ATTORNEY ADDRESS1 | 7606 Transit Road, Suite 200 |
| AGENT ATTORNEY CITY | Buffalo |
| AGENT ATTORNEY STATE | NY |
| AGENT ATTORNEY POSTAL CODE | 14221 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 17166897770 |
| AGENT ATTORNEY PHONE EXT | 103 |
| AGENT ATTORNEY EMAIL ADDRESS | rmooney@malikpopiel.com |
| LAWFIRM NAME BUSINESS NAME | Malik & Popiel, P.C. |
|
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | True |
| SECONDARY ENTITY BUSINESS NAME | Buffalo General Hospital |
| WORKSITE ADDRESS1 | 100 High Street |
| LCA CASE WORKLOC1 CITY | Buffalo |
| WORKSITE COUNTY | ERIE |
| LCA CASE WORKLOC1 STATE | NY |
| WORKSITE POSTAL CODE | 14203 |
| LCA CASE WAGE RATE FROM | 250000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 171142 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | III |
| PW OES YEAR | 7/1/2021 - 6/30/2022 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | True |
| H-1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Mooney |
| PREPARER FIRST NAME | Ryan |
| PREPARER MIDDLE INITIAL | P |
| PREPARER BUSINESS NAME | Malik & Popiel, P.C. |
| PREPARER EMAIL | rmooney@malikpopiel.com |
