New York City's first full-scale casino with live table games opened to gamblers Tuesday, more than a decade after voters approved an expansion of gambling in the state.

Resorts World, owned by Malaysia-based company Genting, beat out gaming giants such as Wynn Resorts , Las Vegas Sands , Caesars Entertainment and MGM Resorts to land one of three new casino licenses.

It's the first to launch because it was already operating a slots and electronic gambling facility, one of the most profitable in the world. Resorts World New York City is adjacent to the Aqueduct Racetrack and just a few miles away from John F. Kennedy International Airport.

"We got the license Dec.…