| CASE NUMBER | I-200-25030-653184 |
| CASE STATUS | Certified |
| RECEIVED DATE | 1/30/2025 |
| DECISION DATE | 2/6/2025 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Physician (Family Medicine) |
| SOC CODE | 29-1215.00 |
| SOC TITLE | Family Medicine Physicians |
| FULL TIME POSITION | Y |
| BEGIN DATE | 8/1/2025 |
| END DATE | 7/31/2028 |
| 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 | United Heath Services Hospitals, Inc. |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 10-42 Mitchell Avenue |
| EMPLOYER ADDRESS2 | |
| EMPLOYER CITY | Binghamton |
| EMPLOYER STATE | NY |
| EMPLOYER POSTAL CODE | 13903 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | 16077622200 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Romero |
| EMPLOYER POC FIRST NAME | Conrad |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | System Director, Staff & Provider Talent Acquisition |
| EMPLOYER POC ADDRESS1 | 10-42 Mitchell Ave. |
| EMPLOYER POC ADDRESS2 | |
| EMPLOYER POC CITY | Binghamton |
| EMPLOYER POC STATE | NY |
| EMPLOYER POC POSTAL CODE | 13903 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 16074225609 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | N/A |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Schieck |
| AGENT ATTORNEY FIRST NAME | Glenn |
| AGENT ATTORNEY MIDDLE NAME | R |
| AGENT ATTORNEY ADDRESS1 | 1600 Bausch & Lomb Place |
| AGENT ATTORNEY ADDRESS2 | |
| AGENT ATTORNEY CITY | Rochester |
| AGENT ATTORNEY STATE | NY |
| AGENT ATTORNEY POSTAL CODE | 14604 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | 15852311326 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | gschieck@hselaw.com |
| LAWFIRM NAME BUSINESS NAME | Harter Secrest Emery LLP |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | New York Court of Appeals |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 160 Robinson St. |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | Binghamton |
| WORKSITE COUNTY | BROOME |
| WORKSITE STATE | NY |
| WORKSITE POSTAL CODE | 13904 |
| WAGE RATE OF PAY FROM | $64,376.00 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | $300,000.00 |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $64,376.00 |
| PW UNIT OF PAY | Year |
| PW TRACKING NUMBER | |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2024 - 6/30/2025 |
| PW OTHER SOURCE | |
| PW OTHER YEAR | |
| PW SURVEY PUBLISHER | |
| PW SURVEY NAME | |
| TOTAL WORKSITE LOCATIONS | 1 |
| 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 | N/A |
| PREPARER FIRST NAME | N/A |
| PREPARER MIDDLE INITIAL | |
| PREPARER BUSINESS NAME | Not applicable |
| PREPARER EMAIL | N/A |
| BEGIN DATE CONVERTED | 2025-08-01 |
