One small town in New York State has made the list of the worst small towns in America. WalletHub looked at more than 1,300 small towns in the United States with populations between 25,000 and 100,000 to create the list. Its determinations are based on 43 key indicators of livability, such as housing costs, school-system quality, homeowner rates, restaurants per capita, crime rates, and the percentage of the population living in poverty.

The 99th percentile represents the top 1 percent of small cities in America.

Several towns in New York landed in the bottom 20 percentile, making them among the worst. My family is from New York and I've lived in New York City and now Buffalo, but I've only heard of a few of these towns before this.

Percentile - Town Name

20 - Elmont, NY

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19 - Shirley, NY

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18 - Newburgh, NY

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17 - Watertown, NY

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14 - Central Islip, NY

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12 - Coram, NY

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12 - Hempstead, NY

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This Small New York Town Is Among The Worst In The U.S.

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2 - Spring Valley, NY

Spring Valley is a village in the towns of Ramapo and Clarkstown in Rockland County, New York, United States.

No New York small towns made it into the 99th percentile, which is the best. But Saratoga Springs, NY, did make it into the 98th percentile. The best small town to live in Lancaster, Pennsylvania, according to the WalletHub Study.

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