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Kiamesha Lake is a hamlet within the town of Thompson, in east-central Sullivan County, on Route 42, between Monticello and Fallsburg, off New York State Route 17 Exit 105B, New York, United States. Kiamesha Lake is home to a year-round Hasidic community. It was originally a satellite community of the Vizhnitzer Hasidic Community of Monsey, New York, consisting of about 80 families. It has Zip code 12751.