| CASE NUMBER | I-200-24176-143657 |
| CASE STATUS | Certified |
| RECEIVED DATE | 6/24/2024 |
| DECISION DATE | 7/1/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Attending Anesthesiologist |
| SOC CODE | 29-1229.00 |
| SOC TITLE | Physicians, All Other |
| FULL TIME POSITION | Y |
| BEGIN DATE | 7/1/2024 |
| END DATE | 6/30/2027 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 1 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| EMPLOYER NAME | MAPLE-GATE ANESTHESIOLOGISTS, P.C. |
| TRADE NAME DBA | Buffalo Niagara Anesthesia |
| EMPLOYER ADDRESS1 | 30 SOUTH CAYUGA ROAD |
| EMPLOYER ADDRESS2 | |
| EMPLOYER CITY | WILLIAMSVILLE |
| EMPLOYER STATE | NY |
| EMPLOYER POSTAL CODE | 14221 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | NEW YORK |
| EMPLOYER PHONE | +17166321088 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 621493 |
| EMPLOYER POC LAST NAME | Campling |
| EMPLOYER POC FIRST NAME | David |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | Director Of Operations |
| EMPLOYER POC ADDRESS1 | 30 SOUTH CAYUGA ROAD |
| EMPLOYER POC ADDRESS2 | |
| EMPLOYER POC CITY | WILLIAMSVILLE |
| EMPLOYER POC STATE | NY |
| EMPLOYER POC POSTAL CODE | 14221 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | +17166321088 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | dcampling@bnanesthesia.com |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Sobieski |
| AGENT ATTORNEY FIRST NAME | Lee |
| AGENT ATTORNEY MIDDLE NAME | Michael |
| AGENT ATTORNEY ADDRESS1 | 5530 Sheridan drive |
| AGENT ATTORNEY ADDRESS2 | suite 1 |
| AGENT ATTORNEY CITY | Buffalo |
| AGENT ATTORNEY STATE | NY |
| AGENT ATTORNEY POSTAL CODE | 14221 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | New York |
| AGENT ATTORNEY PHONE | +17166346500 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | lsobieski@usavisa.net |
| LAWFIRM NAME BUSINESS NAME | Berger Berger & Sobieski |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | Appellate Division, Fourth Department |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | Buffalo General Medical Center |
| WORKSITE ADDRESS2 | 100 High Street |
| WORKSITE CITY | Buffalo |
| WORKSITE COUNTY | ERIE |
| WORKSITE STATE | NY |
| WORKSITE POSTAL CODE | 14203 |
| WAGE RATE OF PAY FROM | 400,000.00 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Bi-Weekly |
| PREVAILING WAGE | $176,238.00 |
| PW UNIT OF PAY | Year |
| PW TRACKING NUMBER | |
| PW WAGE LEVEL | IV |
| PW OES YEAR | 7/1/2023 - 6/30/2024 |
| PW OTHER SOURCE | |
| PW OTHER YEAR | |
| PW SURVEY PUBLISHER | |
| PW SURVEY NAME | |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | Yes |
| H 1B DEPENDENT | No |
| WILLFUL VIOLATOR | No |
| SUPPORT H1B | N/A |
| STATUTORY BASIS | |
| APPENDIX A ATTACHED | N/A |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Sobieski |
| PREPARER FIRST NAME | Lee |
| PREPARER MIDDLE INITIAL | M |
| PREPARER BUSINESS NAME | Berger Berger and Sobieski |
| PREPARER EMAIL | lsobieski@usavisa.net |
| BEGIN DATE CONVERTED | 2024-01-07 |
