Search → SUSAN L. PROVOST

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE
SUSAN L. PROVOST
PRODUCER NON-RESIDENT
License Number:
PRN519861
Status:
First Licensure:
07/02/2025
Cancel Date:
None
Mailing:
KINGSTON, NY 12401
Phone:
+1 (845) 901-4178
Fax:
+1 (845) 853-8232
Email:
sprovost@nxginsurance.com
| License Type | Start Date | End Date |
|---|---|---|
| PRODUCER NON-RESIDENT | 07/02/2025 |
| Name | Issue Date | License Number | Expiration Date | Cancel Date |
|---|---|---|---|---|
| PATRIOT GROWTH INSURANCE SERVICES, LLC |
07/03/2025 | AGN313383 |
Employer
None.
| Description | Issue Date | Termination Date | Status |
|---|---|---|---|
| CASUALTY | 07/02/2025 | Active | |
| PROPERTY | 07/02/2025 | Active |
License/Disciplinary Action
None.
GENERAL INFORMATION
NAIC Information
National Producer Number (NPN):
4511490
| Address | Type |
|---|---|
| 159 GREEN ST KINGSTON, NY 12401-3736 |
Office |
An active license/permit may still be subject to limitations and restrictions as a result of disciplinary action imposed. Please contact the specific licensing board about specific disciplinary actions.
Date: 04/27/2026 05:34:46 AM