Its eastern terminus is at a junction with U.S. Route 11 (US 11) in Pierrepont Manor, just east of Interstate 81 (I-81) and north of Mannsville.

NY 193 heads eastward through Ellisburg, crossing County Route 75 (CR 75; Heisel Road/Lake Road) at a rural two-lane junction.

NY 193 has some residences following the sides of the street, crossing South Sandy Creek over a bridge and into the eastern end of Ellisburg.

[4] After crossing South Sandy Creek, NY 193 intersects with CR 121 (Farm to Market Road).

[2] NY 193 was assigned to its current alignment between Ellisburg and Pierrepont Manor by the following year.