Each year, the Bethpage Best of LI polls Long Islanders to lay down a roadmap “to the best, top-notch businesses and services throughout both Nassau and Suffolk counties." Organizers of the contest have been counting votes since it began, with the winners ultimately chosen by the Long Islanders who rely on those businesses each and every day.

In East Rockaway, Long Islanders voted Grandpa Tony’s on Althouse Avenue as this year’s favorite, unseating the 2021 winner, Vito’s Pizza in Glen Cove. “What makes Grandpa Tony’s the best Italian restaurant on Long Island? Is it the way that its chefs prepare each dish, putting the love and attention of an Italian grandmother into each meal?