black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

CHANDRAKANT R. SHAH

PRODUCER NON-RESIDENT

License Number:
PRN498839
Status:
First Licensure:
10/18/2024
Cancel Date:
None

Mailing:
HICKSVILLE, NY 11801
Phone:
+1 (516) 733-6700
Fax:
+1 (516) 740-5807
Email:
crsinsurance@gmail.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 10/18/2024

Agency

Name Issue Date License Number Expiration Date Cancel Date
C R S INSURANCE AGENCY INC
10/19/2024 AGN498921

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

Authority

Description Issue Date Termination Date Status
CASUALTY 10/18/2024 Active
HEALTH 10/18/2024 Active
LIFE 10/18/2024 Active
PERSONAL LINES 10/18/2024 Active
PROPERTY 10/18/2024 Active

Responsible For

Name License Number
C R S INSURANCE AGENCY INC AGN498921

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
6406507

Other Addresses

Address Type
HICKSVILLE, NY 11801
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: 06/29/2025 08:42:21 AM