ɔːlðˈoʊ sˈaɪnd æz ɐn ˈiːst wˈɛst ɹˈaʊt, ɪt tˈeɪks ɐ mˈoːɹ nˈɔːɹθiːst saʊθwˈɛst kˈoːɹs əkɹˌɑːs ðə kˈaʊnti fɹʌm ˌɛnwˈaɪ θɹˈiːhˈʌndɹɪd nˈaɪnti fˈoːɹ nˌɪɹ ðə hˈæmlɪt ʌv ɹˈændɑːlf ɪnðə tˈaʊn ʌv kˈoʊldspɹɪŋ tʊ ˌɛnwˈaɪ sˈɪkstiːn ɪn mˈækiəz.
Although signed as an east–west route, it takes a more northeast–southwest course across the county from NY 394 near the hamlet of Randolph in the town of Coldspring to NY 16 in Machias.