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From West:
From I-90 E, take exit number 32- toward RT-233/WESTMORELAND.
Turn RIGHT at end of ramp onto CIDER ST (0.3 miles).
Turn LEFT at light onto NY-233. (2.9 miles)
Stay straight to go onto light at NY-5/SENECA TURNPIKE. Turn left. Continue to follow NY-5 E. (3.4 miles)
Turn RIGHT onto MIDDLE SETTLEMENT RD/CR-30. (0.7 miles)
End at 4350 MIDDLE SETTLEMENT RD -Dove Medical Park Building. COUGHLINGIAMBRONE is in AXA Financial Services wing on LEFT. 
From East:
From I-90 W, take the I-790 exit- exit number 31- toward RT-8/RT-12/UTICA. (0.7 miles)
Keep RIGHT after toll booth and turn right.

Go under overpass and turn RIGHT at light.

Take right onto ramp for 790 WEST.

Go approx 1.5 mi to exit for ROUTE 12 SOUTH - DOWNTOWN UTICA.

Continue on ROUTE 12 SOUTH for approx 5.5 miles to light at ROUTE 5 WEST/SENCA TURNPIKE.

Continue on ROUTE 5 WEST/SENECA TURNPIKE to light with Zebb's Grill on left. Turn LEFT onto MIDDLE SETTLEMENT RD.

Travel approx. .5 mi. to 4350 MIDDLE SETTLEMENT RD on LEFT - Dove Medical Park Building. COUGHLINGIAMBRONE is in AXA Financial Services wing on LEFT.