New York State Route 169 runs north-south from south of Little Falls to Middleville. NY St Rt 169 passes through the following towns in Herkimer County. Little Falls Middletown NY St Rt 169 is multi-plexed in Herkimer County. New York State Route 5, at Little Falls. New York State Route 167, at Little Falls. NY St Rt 169 intersects the following highways in Herkimer County. New York State Route 5S, near Little Falls. Interstate 90, (New York State Thruway) near Little Falls. New York State Route 5, at Little Falls. New York State Route 167, at Little Falls. New York State Route 5, near Little Falls. New York State Route 167, near Little Falls. New York State Route 28, at Middletown. New York State Route 29, at Middletown.
