| CASE NUMBER | I-200-24341-523977 |
| CASE STATUS | Certified |
| RECEIVED DATE | 12/6/2024 |
| DECISION DATE | 12/13/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Orthopedic Surgeon |
| SOC CODE | 29-1242.00 |
| SOC TITLE | Orthopedic Surgeons, Except Pediatric |
| FULL TIME POSITION | Y |
| BEGIN DATE | 1/1/2025 |
| END DATE | 12/31/2027 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 1 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| EMPLOYER NAME | University at Buffalo Neurosurgery, Inc. |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 40 George Karl Blvd. |
| EMPLOYER ADDRESS2 | Suite 200 |
| EMPLOYER CITY | Williamsville |
| EMPLOYER STATE | NY |
| EMPLOYER POSTAL CODE | 14221 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | 17162181000 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 54171 |
| EMPLOYER POC LAST NAME | Cournyea |
| EMPLOYER POC FIRST NAME | Michael |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | Chief Executive Officer |
| EMPLOYER POC ADDRESS1 | 40 George Karl Blvd |
| EMPLOYER POC ADDRESS2 | Suite 200 |
| 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 | 17169299502 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | mcournyea@ubns.com |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Sobieski |
| AGENT ATTORNEY FIRST NAME | Lee |
| AGENT ATTORNEY MIDDLE NAME | |
| AGENT ATTORNEY ADDRESS1 | 5530 Sheridan Dr |
| 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 | |
| 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 | Yes |
| SECONDARY ENTITY BUSINESS NAME | Olean General Hospital |
| WORKSITE ADDRESS1 | 515 Main St. |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | Olean |
| WORKSITE COUNTY | CATTARAUGUS |
| WORKSITE STATE | NY |
| WORKSITE POSTAL CODE | 14760 |
| WAGE RATE OF PAY FROM | $675,000.00 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $549,869.00 |
| PW UNIT OF PAY | Year |
| PW TRACKING NUMBER | |
| PW WAGE LEVEL | IV |
| PW OES YEAR | 7/1/2024 - 6/30/2025 |
| 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 | |
| PREPARER FIRST NAME | |
| PREPARER MIDDLE INITIAL | |
| PREPARER BUSINESS NAME | |
| PREPARER EMAIL | |
| BEGIN DATE CONVERTED | 2025-01-01 |
