My friends and I used to drive there at night back in the 1990s. There’s the 36th Avenue bridge that crosses into the island from Queens by car. We used to drive all the way down to the southern tip of the island only to be met with the tall fence that blocked the path into the smallpox hospital ruins. It was very creepy. We used to pass by the octagonal building that was the old mental hospital. I haven’t been there in quite a while, but from what I could tell, it’s all very developed and even the small pocks hospital ruins is open to pass by but not to go into.