Fiscal Year

2021

Case Number

A-21112-77066

Case Status

Withdrawn

Received Date

2021-04-26

Decision Date

2021-04-27

Refile

N

Original File Date

2021-01-01 09:17:16

Previous SWA Case Number State

Schedule A Sheepherder

N

Employer Name

THE MARY IMOGENE BASSETT HOSPITAL DBA BASSETT HE

Employer Name Slug

the-mary-imogene-bassett-hospital-dba-bassett-he

Employer Address 1

ONE ATWELL ROAD

Employer Address 2

Employer City

COOPERSTOWN

Employer City Slug

cooperstown

Employer State

NEW YORK

Employer State Slug

new-york

Employer Country

UNITED STATES OF AMERICA

Employer Postal Code

13326

Employer Phone

607-547-6982

Employer Number of Employees

3183

Employer Year Commenced Business

1927

NAICS Code

622110

FW Ownership Interest

N

Employer Contact Name

Debra L Ferrari

Employer Contact Address 1

One Atwell Road

Employer Contact Address 2

Cooperstown, NY 13326

Employer Contact City

Cooperstown

Employer Contact State/Province

NEW YORK

Employer Contact Country

UNITED STATES OF AMERICA

Employer Contact Postal Code

13326

Employer Contact Phone

607-547-6982

Employer Contact Email

debra.ferrari@bassett.org

Agent Attorney Name

Sandra Bruno

Agent Attorney Firm Name

Miller Mayer, LLP

Agent Attorney Phone

6072734200

Agent Attorney Address 1

PO Box 6435

Agent Attorney Address 2

Agent Attorney City

Ithaca

Agent Attorney State/Province

NEW YORK

Agent Attorney Country

UNITED STATES OF AMERICA

Agent Attorney Postal Code

14851

Agent Attorney Email

sb@millermayer.com

PW Track Number

P10020212743102

PW SOC Code

29-1063

PW SOC Title

Internists, General

PW Skill Level

Level I

PW Wage

67163.00

PW Unit of Pay

Year

PW Wage Source

OES

PW Determination Date

2021-01-07

PW Expiration Date

2021-06-30

Wage Offer From

67163.00

Wage Offer To

0.00

Average Salary

67163.00

Wage Unit of Pay

Year

Worksite Address 1

55 Calvary Dr.

Worksite Address 2

Worksite City

Norwich

Worksite City Slug

norwich

Worksite State

NEW YORK

Worksite Postal Code

13815

Job Title

Internal Medicine Physician

Job Title Slug

internal-medicine-physician

Minimum Education

Other

Major Field of Study

Medicine

Required Training

Y

Required Experience

N

Required Experience Months

Accept Alternative Field of Study

N

Accept Alternative Major Field of Study

Accept Alternative Combination

N

Accept Alternative Combination Education

Accept Alternative Combination Education Years

Accept Foreign Education

Y

Accept Alternative Occupation

N

Accept Alternative Occupation Months

Accept Alternative Job Title

Job Opportunity Requirements Normal

Y

Foreign Language Required

N

Specific Skills

MD First Professional Medical Degree, completed residency training in Internal Medicine, and to have a New York Medical License or be license eligible.

Combination Occupation

N

Offered to Applicant Foreign Worker

Y

Foreign Worker Live on Premises

N

Foreign Worker Live in Domestic Service

N

Foreign Worker Live in Domestic Service Count

Professional Occupation

Y

Application for College/University Teacher

N

SWA Job Order Start Date

2021-02-08

SWA Job Order End Date

2021-03-10

Sunday Edition Newspaper

Y

First Newspaper Name

The Daily Star

First Advertisement Start Date

2021-02-28

Second Newspaper Ad Name

The Daily Star

Second Advertisement Type

Newspaper

Second Ad Start Date

2021-03-07

Employer Website From Date

2021-02-16

Employer Website To Date

2021-03-08

Professional Organization Ad From Date

2021-01-01 09:17:16

Professional Organization Advertisement To Date

2021-01-01 09:17:16

Job Search Website From Date

2021-02-15

Job Search Website To Date

2021-03-08

Employee Referral Program From Date

2021-01-01 09:17:16

Employee Referral Program To Date

2021-01-01 09:17:16

Local Ethnic Paper From Date

2021-03-03

Local Ethnic Paper To Date

2021-03-03

Radio/TV Ad From Date

2021-01-01 09:17:16

Radio/TV Ad To Date

2021-01-01 09:17:16

Employer Received Payment

N

Posted Notice at Worksite

Y

Layoff in Past Six Months

N

Country of Citizenship

INDIA

Foreign Worker Birth Country

INDIA

Class of Admission

H-1B

Foreign Worker Education

Other

Foreign Worker Information: Major

MEDICINE

Foreign Worker Years of Education Completed

2013

Foreign Worker Institution of Education

KASTURBA MEDICAL COLLEGE

Foreign Worker Education Institution Address 1

MANIPAL, MADHAV NAGAR

Foreign Worker Education Institution Address 2

Foreign Worker Education Institution City

MANIPAL

Foreign Worker Education Institution State/Province

KARNATAKA

Foreign Worker Education Institution Country

INDIA

Foreign Worker Education Institution Postal Code

576104

Foreign Worker Experience with Employer

N

Foreign Worker Employer Pays for Education

N

Foreign Worker Currently Employed

Y

Employer Completed Application

N

Preparer Name

Sandra Bruno

Preparer Title

Attorney

Preparer Email

sb@millermayer.com

Employer Information Declaration Name

Tommy Ibrahim

Employer Information Declaration Title

President CEO