During his reign as boss, Patriarca formed strong relationships with the New York-based Genovese crime family and Colombo crime family. He worked with the Genovese family and decided that the Connecticut River would be the dividing line between the New York families and his family. The New England family controlled organized crime in Boston and Worcester, Massachusetts where Genovese capo Carlo Mastrototaro reigned as local boss for half a century, as well as the state of Maine; while the Genovese family controlled organized crime in Hartford, Connecticut, Springfield, Massachusetts, and Albany, New York.