| CASE NUMBER | I-200-24270-367963 |
| CASE STATUS | Certified |
| RECEIVED DATE | 9/26/2024 |
| DECISION DATE | 10/3/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Clinical Assistant Professor |
| SOC CODE | 29-1216.00 |
| SOC TITLE | General Internal Medicine Physicians |
| FULL TIME POSITION | Y |
| BEGIN DATE | 3/1/2025 |
| END DATE | 2/28/2028 |
| 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 | Academic Medicine Services, Inc. |
| TRADE NAME DBA | UBMD INTERNAL MEDICINE |
| EMPLOYER ADDRESS1 | 4498 MAIN STREET |
| EMPLOYER ADDRESS2 | Suite 23 |
| EMPLOYER CITY | Amherst |
| EMPLOYER STATE | NY |
| EMPLOYER POSTAL CODE | 14226 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | NEW YORK |
| EMPLOYER PHONE | 17169619917 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 621111 |
| EMPLOYER POC LAST NAME | Prouty |
| EMPLOYER POC FIRST NAME | Dory |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | Senior HR Generalist |
| EMPLOYER POC ADDRESS1 | 4498 MAIN STREET |
| EMPLOYER POC ADDRESS2 | Suite 23 |
| EMPLOYER POC CITY | Amherst |
| EMPLOYER POC STATE | NY |
| EMPLOYER POC POSTAL CODE | 14226 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 17169619914 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | dc62@buffalo.edu |
| 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 | $430,000.00 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $378,581.00 |
| 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 | 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 | Sobieski |
| PREPARER FIRST NAME | Lee |
| PREPARER MIDDLE INITIAL | M |
| PREPARER BUSINESS NAME | Berger Berger and Sobieski |
| PREPARER EMAIL | lsobieski@usavisa.net |
| BEGIN DATE CONVERTED | 2025-03-01 |
