black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

C R S INSURANCE AGENCY INC

NON-RESIDENT PRODUCER AGENCY

License Number:
AGN498921
Status:
First Licensure:
10/19/2024
Cancel Date:
None
Renewal Date:
04/01/2025

Street Location:
91 MYERS AVE
HICKSVILLE, NY 11801-2424
Mailing:
91 MYERS AVE
HICKSVILLE, NY 11801-2424
Phone:
+1 (516) 232-7579
Fax:
+1 (516) 441-6763
Email:
crsinsurance@gmail.com

History

License Type Start Date End Date
NON-RESIDENT PRODUCER AGENCY 10/19/2024 04/01/2025

Employer

Name Issue Date License Number Expiration Date Cancel Date
AMTRUST INSURANCE COMPANY
10/21/2024 PCF260762
SECURITY NATIONAL INSURANCE COMPANY
10/21/2024 PCF189490
SEQUOIA INSURANCE COMPANY
10/21/2024 PCF128467
TECHNOLOGY INSURANCE COMPANY INC
10/21/2024 PCF136874
WESCO INSURANCE COMPANY
10/21/2024 PCF49735

Affiliated Agent

Name Issue Date License Number Expiration Date Cancel Date
CHANDRAKANT R. SHAH
10/19/2024 PRN498839

Branch Office

None.

Supervised Entity

None.

Responsible Individual

Name License Number
CHANDRAKANT R. SHAH PRN498839

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
7487565

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: 05/18/2025 11:33:52 PM