Fiscal Year

2021

Case Number

A-21020-43980

Case Status

Certified

Received Date

2021-03-05

Decision Date

2021-08-12

Refile

N

Original File Date

2021-01-01 09:58:55

Previous SWA Case Number State

Schedule A Sheepherder

N

Employer Name

THE MARY IMOGENE BASSETT HOSPITAL

Employer Name Slug

the-mary-imogene-bassett-hospital

Employer Address 1

BASSETT MEDICAL CENTER

Employer Address 2

ONE ATWELL ROAD

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 3120

Employer Number of Employees

3000

Employer Year Commenced Business

1922

NAICS Code

622110

FW Ownership Interest

N

Employer Contact Name

Melanie Craig

Employer Contact Address 1

Bassett Medical Center

Employer Contact Address 2

One Atwell Road

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 4937

Employer Contact Email

melanie.craig@bassett.org

Agent Attorney Name

Courtney H New

Agent Attorney Firm Name

Nixon Peabody LLP

Agent Attorney Phone

6173456056

Agent Attorney Address 1

1300 Clinton Square

Agent Attorney Address 2

Agent Attorney City

Rochester

Agent Attorney State/Province

NEW YORK

Agent Attorney Country

UNITED STATES OF AMERICA

Agent Attorney Postal Code

14604

Agent Attorney Email

cnew@nixonpeabody.com

PW Track Number

P10020163644778

PW SOC Code

29-1064

PW SOC Title

Obstetricians and Gynecologists

PW Skill Level

Level II

PW Wage

109762.00

PW Unit of Pay

Year

PW Wage Source

OES

PW Determination Date

2020-10-06

PW Expiration Date

2021-06-30

Wage Offer From

300000.00

Wage Offer To

0.00

Average Salary

300000.00

Wage Unit of Pay

Year

Worksite Address 1

One Atwell Road

Worksite Address 2

Worksite City

Cooperstown

Worksite City Slug

cooperstown

Worksite State

NEW YORK

Worksite Postal Code

13326

Job Title

Senior Attending Physician, OBGYN

Job Title Slug

senior-attending-physician-obgyn

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 or DO or equivalent degree.br Completion of residency training program in Obstetrics and Gynecology.br American Board of Obstetrics and Gynecology Certified or Eligible.br Valid New York State medical license.br BLS certification.br Valid DEA registration and Controlled Substance Certification.br 40 travel to regional Bassett Healthcare Network locations to provide OBGYN medical services.

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

2020-11-13

SWA Job Order End Date

2020-12-14

Sunday Edition Newspaper

Y

First Newspaper Name

Times Union

First Advertisement Start Date

2020-11-29

Second Newspaper Ad Name

Times Union

Second Advertisement Type

Newspaper

Second Ad Start Date

2020-12-06

Employer Website From Date

2020-12-02

Employer Website To Date

2021-01-04

Professional Organization Ad From Date

2021-01-01 09:58:55

Professional Organization Advertisement To Date

2021-01-01 09:58:55

Job Search Website From Date

2020-12-03

Job Search Website To Date

2021-01-04

Employee Referral Program From Date

2021-01-01 09:58:55

Employee Referral Program To Date

2021-01-01 09:58:55

Local Ethnic Paper From Date

2020-12-09

Local Ethnic Paper To Date

2020-12-09

Radio/TV Ad From Date

2021-01-01 09:58:55

Radio/TV Ad To Date

2021-01-01 09:58:55

Employer Received Payment

N

Posted Notice at Worksite

Y

Layoff in Past Six Months

N

Country of Citizenship

CANADA

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

2003

Foreign Worker Institution of Education

NTR UNIVERSITY OF HEALTH SCIENCES

Foreign Worker Education Institution Address 1

NTR UHS, NH5 FRONTAGE ROAD

Foreign Worker Education Institution Address 2

Foreign Worker Education Institution City

VIJAYAWADA

Foreign Worker Education Institution State/Province

ANDHRA PRADESH

Foreign Worker Education Institution Country

INDIA

Foreign Worker Education Institution Postal Code

520008

Foreign Worker Experience with Employer

N/A

Foreign Worker Employer Pays for Education

N

Foreign Worker Currently Employed

Y

Employer Completed Application

N

Preparer Name

Courtney H New

Preparer Title

Counsel

Preparer Email

cnew@nixonpeabody.com

Employer Information Declaration Name

Tommy Ibrahim

Employer Information Declaration Title

President CEO