black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

DAVID A. GOLDSTEIN

PRODUCER NON-RESIDENT

License Number:
PRN126984
Status:
First Licensure:
05/04/2006
Cancel Date:
None

Mailing:
SMITHTOWN, NY 11787
Phone:
+1 (516) 474-6819
Fax:
+1 (631) 434-7605
Email:
david@omni-risk.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 05/04/2006

Agency

Name Issue Date License Number Expiration Date Cancel Date
ALLIED NORTH AMERICA INS BROKERAGE OF NEW YORK LLC
05/04/2006 AGN105774 07/01/2011
AON RISK SERVICES NORTHEAST INC
04/27/2010 AGN60204 06/03/2010

Employer

Name Issue Date License Number Expiration Date Cancel Date
ALLEGHENY CASUALTY COMPANY
11/22/2010 PCF156083 05/06/2021
ARCH INSURANCE COMPANY
07/14/2010 PCF62719 07/26/2018
BERKLEY INSURANCE COMPANY
11/13/2017 PCF166289
HARCO NATIONAL INSURANCE COMPANY
03/13/2019 PCF325
INTERNATIONAL FIDELITY INSURANCE COMPANY
01/19/2012 PCF46340 05/20/2023
IRONSHORE INDEMNITY INC
09/25/2014 PCF163969 05/08/2025
LEXON INSURANCE COMPANY
09/18/2014 PCF109668
PHILADELPHIA INDEMNITY INSURANCE COMPANY
10/31/2013 PCF46041

Authority

Description Issue Date Termination Date Status
CASUALTY 05/04/2006 Active
PROPERTY 05/04/2006 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
4644174

Other Addresses

Address Type
SMITHTOWN, NY 11787
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: 05/16/2025 12:06:26 AM