I live in NYC area (Lakewood counts as NYC area) but I have been many times “out of town” and it is very different.
When you first realize it, it can be quite shocking.
Just for example Daily Minyanim can be difficult to find (especially MIncha and Maariv) Kosher Items are scarcier (Most national companies have several product runs and the ones in the Northeast are Kosher when runs in the South and West are not). Eating out is unheard of.
Taking off early for Friday can be next to impossible. “Secondary” Jewish Holidays like Sukkoth and Shavouth are unheard of. (Rosh Hashana, Yom Kippur Chanukah and Peseach are usually well known)
People who can be frum in such areas should have an extra schar for living there and able to stay frum under such environments