| CASE NUMBER | I-200-24271-372068 |
| CASE STATUS | Certified |
| RECEIVED DATE | 9/27/2024 |
| DECISION DATE | 10/4/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Clinical Assistant Instructor (Nephrology Fellow) |
| SOC CODE | 29-1229.00 |
| SOC TITLE | Physicians, All Other |
| FULL TIME POSITION | Y |
| BEGIN DATE | 11/1/2024 |
| END DATE | 10/31/2026 |
| TOTAL WORKER POSITIONS | 2 |
| NEW EMPLOYMENT | 2 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| EMPLOYER NAME | State University of New York Upstate Medical University |
| TRADE NAME DBA | SUNY Upstate Medical University |
| EMPLOYER ADDRESS1 | 750 East Adams St. |
| EMPLOYER ADDRESS2 | |
| EMPLOYER CITY | Syracuse |
| EMPLOYER STATE | NY |
| EMPLOYER POSTAL CODE | 13210 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | 13154645136 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 611310 |
| EMPLOYER POC LAST NAME | Goodwin |
| EMPLOYER POC FIRST NAME | Eva |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | Assistant Director, Graduate Medical Education |
| EMPLOYER POC ADDRESS1 | 750 E. Adams St. |
| EMPLOYER POC ADDRESS2 | |
| EMPLOYER POC CITY | Syracuse |
| EMPLOYER POC STATE | NY |
| EMPLOYER POC POSTAL CODE | 13210 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 13154647617 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | GoodwinE@upstate.edu |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Venter |
| AGENT ATTORNEY FIRST NAME | Brendan |
| AGENT ATTORNEY MIDDLE NAME | J |
| AGENT ATTORNEY ADDRESS1 | 677 Broadway |
| AGENT ATTORNEY ADDRESS2 | Suite 1101 |
| AGENT ATTORNEY CITY | Albany |
| AGENT ATTORNEY STATE | NY |
| AGENT ATTORNEY POSTAL CODE | 12207 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | 15187012773 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | immigrationhb@harrisbeach.com |
| LAWFIRM NAME BUSINESS NAME | Harris Beach PLLC |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | Court of Appeals |
| WORKSITE WORKERS | 2 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 750 E. Adams Street |
| WORKSITE ADDRESS2 | SUNY Upstate Medical University |
| WORKSITE CITY | Syracuse |
| WORKSITE COUNTY | ONONDAGA |
| WORKSITE STATE | NY |
| WORKSITE POSTAL CODE | 13210 |
| WAGE RATE OF PAY FROM | $75,303.00 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $75,303.00 |
| PW UNIT OF PAY | Year |
| PW TRACKING NUMBER | |
| PW WAGE LEVEL | |
| PW OES YEAR | |
| PW OTHER SOURCE | CBA |
| PW OTHER YEAR | 2022 |
| PW SURVEY PUBLISHER | |
| PW SURVEY NAME | |
| TOTAL WORKSITE LOCATIONS | 3 |
| 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 | Hofstetter |
| PREPARER FIRST NAME | Joshua |
| PREPARER MIDDLE INITIAL | D. |
| PREPARER BUSINESS NAME | Harris Beach PLLC |
| PREPARER EMAIL | jhofstetter@harrisbeach.com |
| BEGIN DATE CONVERTED | 2024-11-01 |
