| Middle Island to Ashtabula (Ohio) | 412.72 mi (664.20 km) |
| Middle Island to Ashwaubenon (Wisconsin) | 806.85 mi (1,298.49 km) |
| Middle Island to Aspen Hill (Maryland) | 251.58 mi (404.88 km) |
| Middle Island to Astoria (Oregon) | 2,529.59 mi (4,070.97 km) |
| Middle Island to Atascadero (California) | 2,587.20 mi (4,163.70 km) |
| Middle Island to Atascocita (Texas) | 1,455.48 mi (2,342.36 km) |
| Middle Island to Atchison (Kansas) | 1,171.11 mi (1,884.71 km) |
| Middle Island to Athens (Alabama) | 871.27 mi (1,402.17 km) |
| Middle Island to Athens (Georgia) | 745.20 mi (1,199.29 km) |
| Middle Island to Athens (Ohio) | 495.31 mi (797.12 km) |
| Middle Island to Athens (Tennessee) | 735.10 mi (1,183.02 km) |
| Middle Island to Athens (Texas) | 1,399.25 mi (2,251.87 km) |
| Middle Island to Atlanta (Georgia) | 798.71 mi (1,285.39 km) |
| Middle Island to Atlantic Beach (Florida) | 869.26 mi (1,398.94 km) |
| Middle Island to Atlantic City (New Jersey) | 131.02 mi (210.85 km) |
