| Getnick, Livingston, Atkinson & Priore LLP | Professional, Scientific, and Technical Services | $299,480 | $301,392 | 19 | <$5M | AI Deep Dive |
| Mv Medical Practice PC | Health Care and Social Assistance | $297,800 | $299,750 | 30 | $9.4M | AI Deep Dive |
| Ritter & Paratore Contracting, Inc. | Construction | $297,295 | $299,478 | 22 | $8.2M | AI Deep Dive |
| U S Materials Handling Corporation | Wholesale Trade | $295,358 | $298,579 | 39 | $11.9M | AI Deep Dive |
| The Fortus Group Inc. | Administrative and Support and Waste Management | $295,330 | $297,175 | 25 | <$5M | AI Deep Dive |
| Sunset Anesthesia Associates, L.l.p. | Health Care and Social Assistance | $291,667 | $294,360 | 14 | <$5M | AI Deep Dive |
| Mohawk Valley Resource Center for Refugees Inc. | Health Care and Social Assistance | $290,651 | $292,355 | 23 | N/A | AI Deep Dive |
| Computer Connection of Central | Retail Trade | $289,035 | $292,741 | 29 | $8.9M | AI Deep Dive |
| Metal Logix Design and Fabrica | Manufacturing | $287,400 | $290,912 | 20 | <$5M | AI Deep Dive |
| Cny Eye Physicians and Surgeons, P.c. | Health Care and Social Assistance | $285,830 | $288,908 | 23 | $7.2M | AI Deep Dive |
| Cny Eye Physicians and Surgeons PC | Health Care and Social Assistance | $285,830 | $288,273 | 18 | $5.6M | AI Deep Dive |
| Adirondack Financial Services Corp | Finance and Insurance | $284,900 | $288,564 | 17 | $8.7M | AI Deep Dive |
| Metal Logix Design and Fabrication Inc. | Manufacturing | $276,105 | $278,775 | 33 | $8.6M | AI Deep Dive |
| Erc Transportation LLC | Wholesale Trade | $276,100 | $278,732 | 30 | $9.2M | AI Deep Dive |
| Rich Nimey's Sale & Service, Inc. | Other Services (except Public Administration) | $275,000 | $277,040 | 28 | $5.5M | AI Deep Dive |
| William a Graber MD PC | Health Care and Social Assistance | $274,335 | $276,282 | 27 | $8.5M | AI Deep Dive |
| Computer Connection of Cny Inc. | Professional, Scientific, and Technical Services | $270,405 | $273,620 | 24 | <$5M | AI Deep Dive |
| Rich Nimey's Sale & Service, Inc. | Other Services (except Public Administration) | $266,742 | $269,521 | 25 | <$5M | AI Deep Dive |
| Amandeep Arora DDS PC | Health Care and Social Assistance | $263,982 | $269,884 | 4 | <$5M | AI Deep Dive |
| Compassion Coalition Inc. | Retail Trade | $260,350 | $262,040 | 42 | N/A | AI Deep Dive |
| March Associates Architects and Planners P.c. | Professional, Scientific, and Technical Services | $259,677 | $261,790 | 16 | <$5M | AI Deep Dive |
| Slavin, Jackson & Burns, Dds, Pllc | Health Care and Social Assistance | $257,582 | $260,737 | 20 | <$5M | AI Deep Dive |
| Slavin Jackson & Burns DDS Pllc | Health Care and Social Assistance | $257,582 | $260,101 | 19 | <$5M | AI Deep Dive |
| Capraro Technologies Inc. | Professional, Scientific, and Technical Services | $252,974 | $254,942 | 20 | <$5M | AI Deep Dive |
| March Associates, Architects and Planners, P.c. | Professional, Scientific, and Technical Services | $251,232 | $253,386 | 16 | <$5M | AI Deep Dive |