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Case Number: A-21042-51199

Fiscal year: 2021

Fiscal Year

2021

Case Number

A-21042-51199

Case Status

Certified

Received Date

2021-03-04

Decision Date

2021-08-12

Refile

N

Original File Date

2021-01-01 09:58:58

Previous SWA Case Number State

Schedule A Sheepherder

N

Employer Name

Delphi Hospitalist, LLC

Employer Name Slug

delphi-hospitalist-llc

Employer Address 1

1160 Chili Ave Ste 200

Employer Address 2

Suite 200

Employer City

ROCHESTER

Employer City Slug

rochester

Employer State

NEW YORK

Employer State Slug

new-york

Employer Country

UNITED STATES OF AMERICA

Employer Postal Code

14624

Employer Phone

585-500-4814

Employer Number of Employees

53

Employer Year Commenced Business

2009

NAICS Code

62111

FW Ownership Interest

N

Employer Contact Name

Elissa Risolo

Employer Contact Address 1

1160 Chili Ave

Employer Contact Address 2

Suite 200

Employer Contact City

ROCHESTER

Employer Contact State/Province

NEW YORK

Employer Contact Country

UNITED STATES OF AMERICA

Employer Contact Postal Code

14624

Employer Contact Phone

5855004814

Employer Contact Email

elissa.risolo@delphihealthcare.com

Agent Attorney Name

Jeremy L Richards

Agent Attorney Firm Name

Richards and Jurusik

Agent Attorney Phone

7169704007

Agent Attorney Address 1

42 Delaware Avenue

Agent Attorney Address 2

Suite 710

Agent Attorney City

Buffalo

Agent Attorney State/Province

NEW YORK

Agent Attorney Country

UNITED STATES OF AMERICA

Agent Attorney Postal Code

14202

Agent Attorney Email

info@rjimmigrationlaw.com

PW Track Number

P10020111500806

PW SOC Code

29-1171

PW SOC Title

Advance Practice Provider

PW Skill Level

Level IV

PW Wage

116563.00

PW Unit of Pay

Year

PW Wage Source

OES

PW Determination Date

2020-08-05

PW Expiration Date

2021-06-30

Wage Offer From

116563.00

Wage Offer To

0.00

Average Salary

116563.00

Wage Unit of Pay

Year

Worksite Address 1

191 N Main Street

Worksite Address 2

Jones Memorial Hospital

Worksite City

Wellsville

Worksite City Slug

wellsville

Worksite State

NEW YORK

Worksite Postal Code

14895

Job Title

Advance Practice Provider

Job Title Slug

advance-practice-provider

Minimum Education

Bachelor's

Major Field of Study

Nursing

Required Training

N

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

CertificationLicensure Eligible for New York State certification as a Physicians Assistant or State of New York Certified Nurse Practitioner or certification pending, as documented by temporary certificate; CPR Certified; Advanced Cardiovascular Life Support Certificate; Advanced Trauma Life Support Certificate; Pediatric Advanced Life Support Certificate; ANCC Board Certified Nurse Practitioner American Nurses Credentialing Center; DEA registration; Must pass a preemployment criminal background check.

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

2020-10-02

SWA Job Order End Date

2020-11-06

Sunday Edition Newspaper

Y

First Newspaper Name

The Spectator

First Advertisement Start Date

2020-09-13

Second Newspaper Ad Name

The Spectator

Second Advertisement Type

Newspaper

Second Ad Start Date

2020-09-20

Employer Website From Date

2021-01-01 09:58:58

Employer Website To Date

2021-01-01 09:58:58

Professional Organization Ad From Date

2020-09-08

Professional Organization Advertisement To Date

2020-10-08

Job Search Website From Date

2020-09-08

Job Search Website To Date

2020-09-22

Employee Referral Program From Date

2021-01-01 09:58:58

Employee Referral Program To Date

2021-01-01 09:58:58

Local Ethnic Paper From Date

2020-09-16

Local Ethnic Paper To Date

2020-09-16

Radio/TV Ad From Date

2021-01-01 09:58:58

Radio/TV Ad To Date

2021-01-01 09:58:58

Employer Received Payment

N

Posted Notice at Worksite

Y

Layoff in Past Six Months

N

Country of Citizenship

CANADA

Foreign Worker Birth Country

CANADA

Class of Admission

H-1B

Foreign Worker Education

Other

Foreign Worker Information: Major

FAMILY NURSE PRACTITIONER

Foreign Worker Years of Education Completed

2016

Foreign Worker Institution of Education

DYOUVILLE COLLEGE

Foreign Worker Education Institution Address 1

320 PORTER AVENUE

Foreign Worker Education Institution Address 2

Foreign Worker Education Institution City

BUFFALO

Foreign Worker Education Institution State/Province

NY

Foreign Worker Education Institution Country

UNITED STATES OF AMERICA

Foreign Worker Education Institution Postal Code

14201

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

Jeremy L Richards

Preparer Title

Attorney

Preparer Email

info@rjimmigrationlaw.com

Employer Information Declaration Name

Elissa Risolo

Employer Information Declaration Title

Medical Staff Manager