| Trinity Catholic School | Educational Services | $140,656 | $142,066 | 30 | N/A |  AI Deep Dive |
| Massena Transport and Taxi Inc. | Transportation and Warehousing | $138,773 | $139,697 | 19 | $18.4M | AI Deep Dive |
| Pease and Gustafson, LLP | Professional, Scientific, and Technical Services | $136,272 | $137,978 | 10 | <$5M | AI Deep Dive |
| Seaway Orthopedics P.c. | Health Care and Social Assistance | $133,916 | $134,998 | 6 | <$5M | AI Deep Dive |
| Mrl Constructors of New York Ltd | Construction | $124,152 | $125,434 | 6 | $6.8M | AI Deep Dive |
| Massena Transport and Taxi Inc. | Transportation and Warehousing | $124,100 | $124,879 | 19 | $18.4M | AI Deep Dive |
| W a M Transportation, Inc. | Transportation and Warehousing | $119,757 | $120,630 | 8 | <$5M | AI Deep Dive |
| Judi and Don Ashleyllc | Accommodation and Food Services | $113,876 | $114,497 | 22 | <$5M | AI Deep Dive |
| Fay Motors INC | Retail Trade | $108,737 | $109,407 | 9 | <$5M | AI Deep Dive |
| Carl Scruggs | Health Care and Social Assistance | $105,602 | $106,794 | 8 | <$5M | AI Deep Dive |
| Carl R. Scruggs, DDS | Health Care and Social Assistance | $105,602 | $106,406 | 8 | <$5M | AI Deep Dive |
| Fay Motors, Inc. | Retail Trade | $99,713 | $100,401 | 9 | <$5M | AI Deep Dive |
| Noco Hospitality Group LLC | Accommodation and Food Services | $98,238 | $98,860 | 24 | <$5M | AI Deep Dive |
| North Country Adult Medicine Pllc | Health Care and Social Assistance | $96,219 | $97,197 | 12 | <$5M | AI Deep Dive |
| Perras Construction Services, Inc. | Construction | $95,800 | $96,440 | 7 | <$5M | AI Deep Dive |
| St. Lawrence Hotel Corp | Accommodation and Food Services | $93,264 | $93,926 | 12 | <$5M | AI Deep Dive |
| Judi & Don Ashley, LLC | Accommodation and Food Services | $87,160 | $88,060 | 23 | <$5M | AI Deep Dive |
| Seaway Valley Eye Care Dr. Gary Torbey, D.o., Pllc | Health Care and Social Assistance | $84,087 | $84,695 | 10 | <$5M | AI Deep Dive |
| Burke Excavation Demolition Inc. | Construction | $82,896 | $83,382 | 7 | <$5M | AI Deep Dive |
| Burke Excavation Demolition INC | Construction | $82,125 | $82,931 | 5 | <$5M | AI Deep Dive |
| Seaway Valley Eye Care Dr. Gary Torbey D.o. Pllc | Health Care and Social Assistance | $82,058 | $83,101 | 9 | <$5M | AI Deep Dive |
| D & M Food Company | Accommodation and Food Services | $81,775 | $82,335 | 17 | <$5M | AI Deep Dive |
| Snider & Smith LLP | Professional, Scientific, and Technical Services | $74,100 | $74,591 | 6 | <$5M | AI Deep Dive |
| Snider & Smith LLP | Professional, Scientific, and Technical Services | $74,100 | $74,934 | 6 | <$5M | AI Deep Dive |
| Sanjeev Gupta,md and Mukta Gupta,md | Health Care and Social Assistance | $72,825 | $73,587 | 5 | <$5M | AI Deep Dive |