| LCA CASE NUMBER | I-200-21307-684591 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-11-03 |
| DECISION DATE | 2021-11-10 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Clinical Instructor |
| SOC CODE | 29-1069.00 |
| SOC TITLE | Physicians and Surgeons, All Other |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-12-11 |
| END DATE | 2024-12-10 |
| 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 | UB Family Medicine, Inc. |
| TRADE NAME DBA | UBMD Family Medicine |
| EMPLOYER ADDRESS1 | 4498 Main Street, Suite 23 |
| EMPLOYER CITY | Amherst |
| EMPLOYER STATE | NY |
| EMPLOYER POSTAL CODE | 14226 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 17169619914 |
| NAICS CODE | 62111 |
| EMPLOYER POC LAST NAME | Prouty |
| EMPLOYER POC FIRST NAME | Dory |
| EMPLOYER POC MIDDLE NAME | Sue |
| EMPLOYER POC JOB TITLE | HR Onboarding Liaison |
| EMPLOYER POC ADDRESS1 | 4498 Main Street, Suite 23 |
| EMPLOYER POC CITY | Amherst |
| EMPLOYER POC STATE | NY |
| EMPLOYER POC POSTAL CODE | 14226 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 17169619914 |
| EMPLOYER POC EMAIL | dc62@buffalo.edu |
| 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 | False |
| WORKSITE ADDRESS1 | 1001 Main St. |
| LCA CASE WORKLOC1 CITY | Buffalo |
| WORKSITE COUNTY | ERIE |
| LCA CASE WORKLOC1 STATE | NY |
| WORKSITE POSTAL CODE | 14203 |
| LCA CASE WAGE RATE FROM | 165000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 114962 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2021 - 6/30/2022 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | True |
| H1B 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 |
