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The first is in Moriches on Old Neck Road and Wilcox Avenue leading trucks around a low bridge beneath the Long Island Rail Road Montauk Branch.From here the road runs much closer to Lake Montauk, then intersects with other roads such as Star Island Road to the right, and then East Flamingo Road (former CR 95) to the left.Before the road reaches the Block Island Sound, it intersects with the northern terminus of CR 49.The road then takes a sharp right turn along the sound then loops around in the opposite direction and passes by the ferry port to Block Island, before returning to the intersection with CR 49.County Route 78 is Church Street in the southeastern part of the town of Islip, from NY 27 to Division Avenue in Patchogue.