| Middle Island to Parma Heights (Ohio) | 459.99 mi (740.27 km) |
| Middle Island to Parole (Maryland) | 231.76 mi (372.98 km) |
| Middle Island to Parsippany (New Jersey) | 76.71 mi (123.46 km) |
| Middle Island to Pasadena (California) | 2,491.57 mi (4,009.80 km) |
| Middle Island to Pasadena (Maryland) | 225.24 mi (362.49 km) |
| Middle Island to Pasadena (Texas) | 1,466.80 mi (2,360.59 km) |
| Middle Island to Pasadena Hills (Florida) | 1,016.90 mi (1,636.54 km) |
| Middle Island to Pascagoula (Mississippi) | 1,135.44 mi (1,827.31 km) |
| Middle Island to Pasco (Washington) | 2,308.25 mi (3,714.78 km) |
| Middle Island to Passaic (New Jersey) | 61.83 mi (99.50 km) |
| Middle Island to Pataskala (Ohio) | 516.97 mi (831.99 km) |
| Middle Island to Patchogue (New York) | 9.36 mi (15.06 km) |
| Middle Island to Paterson (New Jersey) | 63.59 mi (102.33 km) |
| Middle Island to Patterson (California) | 2,560.03 mi (4,119.98 km) |
| Middle Island to Pawtucket (Rhode Island) | 106.30 mi (171.08 km) |
