| Name | Image | Type | Height | Opened | Location | Notes | Coordinates | Refs |
| WFTY-DT tower | | Guyed mast | 681 ft 208 m | 1984 | Middle Island | Tallest structure on Long Island, Suffolk County, and Town of Brookhaven | 40°53′23″N 72°57′11″W / 40 °N 72 °W / 40 ; -72 | |
| WLNY-TV tower (CBS Communications Services tower) | | Guyed mast | 642 ft 196 m | 1985 | Ridge | | 40°53′50″N 72°54′54″W / 40 °N 72 °W / 40 ; -72 | |
| Northport Power Station | | Chimney | 620 ft 190 m | 1967 | Fort Salonga | Tallest structure in Town of Huntington; tallest freestanding structure on suburban Long Island | 40°55′23″N 73°20′36″W / 40 °N 73 °W / 40 ; -73 | |
| WEHM tower | | Guyed mast | 510 ft 160 m | 1998 | Manorville | | 40°51′18″N 72°46′09″W / 40 °N 72 °W / 40 ; -72 | |
| Sayville Telefunken Mast | | Guyed Mast | 500 ft 150 m | 1912 | Sayville | Demolished in 1938; Former tallest structure in Town of Islip | 40°44′36″N 73°06′12″W / 40 °N 73 °W / 40 ; -73 | |
| American Tower tower | | Tower | 500 ft 150 m | 2000 | Islip | Tallest structure in Town of Islip | 40°45′06″N 73°12′48″W / 40 °N 73 °W / 40 ; -73 | |
| RCA Radio Central antennas | | Tower | 450 ft 140 m | 1921 | Rocky Point | 12 towers; Demolished in 1977 | 40°56′05″N 72°55′11″W / 40 °N 72 °W / 40 ; -72 | |
| United States Coast Guard Tower | | Tower | 440 ft 130 m | 2007 | Hampton Bays | Tallest structure in Town of Southampton | 40°50′54″N 72°30′12″W / 40 °N 72 °W / 40 ; -72 | |
| Port Jefferson Power Station | | Chimney | 434 ft 132 m | 1948 | Port Jefferson | | 40°57′01″N 73°04′43″W / 40 °N 73 °W / 40 ; -73 | |
| KeySpan weather tower | | Guyed mast | 420 ft 130 m | 1973 | Northville | Tallest structure in Town of Riverhead | 40°59′11″N 72°35′06″W / 40 °N 72 °W / 40 ; -72 | |
| KeySpan weather tower | | Guyed mast | 420 ft 130 m | 1973 | East Shoreham | | 40°57′26″N 72°52′57″W / 40 °N 72 °W / 40 ; -72 | |
| United States Coast Guard Tower | | Tower | 415 ft 126 m | 2006 | Fire Island | Tallest structure on the Outer Barrier | 40°37′29″N 73°15′37″W / 40 °N 73 °W / 40 ; -73 | |
| Univision tower | | Tower | 414 ft 126 m | 2014 | Islandia | | 40°48′26″N 73°10′46″W / 40 °N 73 °W / 40 ; -73 | |
| Grandview Development tower | | Guyed mast | 393 ft 120 m | 2006 | Hauppauge | | 40°48′55″N 73°10′42″W / 40 °N 73 °W / 40 ; -73 | |
| Reworld Hempstead (Covanta Hempstead) | | Chimney | 382 ft 116 m | 1989 | Uniondale | Tallest structure in Nassau County and Town of Hempstead | 40°44′20″N 73°35′24″W / 40 °N 73 °W / 40 ; -73 | |
| Suffolk County Police Department tower | | Tower | 380 ft 120 m | 1998 | Hauppauge | | 40°48′33″N 73°13′15″W / 40 °N 73 °W / 40 ; -73 | |
| Village of Greenport tower | | Guyed mast | 377 ft 115 m | 1997 | Greenport | Tallest structure in Town of Southold | 41°06′34″N 72°22′06″W / 41 °N 72 °W / 41 ; -72 | |
| WHLI tower | | Tower | 361 ft 110 m | 2006 | Hempstead | Formerly two towers; older guyed mast was dismantled in 2025 | 40°41′08″N 73°36′35″W / 40 °N 73 °W / 40 ; -73 | |
| Altice USA tower | | Guyed mast | 360 ft 110 m | 1969 | Greenport | | 41°06′35″N 72°22′03″W / 41 °N 72 °W / 41 ; -72 | |
| Altice USA tower | | Guyed mast | 353 ft 108 m | 1969 | East Hampton North | Tallest structure in Town of East Hampton; Tallest structure east of the Shinnecock Canal | 40°59′37″N 72°10′17″W / 40 °N 72 °W / 40 ; -72 | |
| High-Tower Communications tower | | Tower | 350 ft 110 m | 1993 | Farmingville | | 40°50′32″N 73°02′23″W / 40 °N 73 °W / 40 ; -73 | |
| E. F. Barrett Power Station | | Chimney | 350 ft 110 m | 1963 | Barnum Island | | 40°36′58″N 73°38′50″W / 40 °N 73 °W / 40 ; -73 | |
| Suffolk County Water Authority tank | | Water Tower | 341 ft 104 m | 2006 | Stony Brook | | 40°54′18″N 73°06′47″W / 40 °N 73 °W / 40 ; -73 | |
| Pinnacle Towers tower | | Guyed mast | 329 ft 100 m | 1965 | Dix Hills | | 40°47′00″N 73°22′02″W / 40 °N 73 °W / 40 ; -73 | |
| WWSK tower | | Tower | 327 ft 100 m | 1998 | Brentwood | | 40°48′08″N 73°17′10″W / 40 °N 73 °W / 40 ; -73 | |
| Altice USA tower | | Tower | 327 ft 100 m | 1966 | Riverhead | | 40°56′10″N 72°39′10″W / 40 °N 72 °W / 40 ; -72 | |
| Altice USA tower | | Tower | 327 ft 100 m | 1969 | Southampton | | 40°53′58″N 72°23′04″W / 40 °N 72 °W / 40 ; -72 | |
| WALK-FM tower | | Guyed mast | 327 ft 100 m | 2002 | Farmingville | | 40°50′41″N 73°01′59″W / 40 °N 73 °W / 40 ; -73 | |
| Communications Leasing tower | | Tower | 325 ft 99 m | 1982 | Plainview | Tallest structure in Town of Oyster Bay | 40°47′48″N 73°27′47″W / 40 °N 73 °W / 40 ; -73 | |
| WLIW tower | | Guyed mast | 325 ft 99 m | 2004 | Plainview | | 40°47′19″N 73°27′08″W / 40 °N 73 °W / 40 ; -73 | |
| WBWD tower | | Guyed mast | 324 ft 99 m | 1969 | Islip | | 40°45′08″N 73°12′48″W / 40 °N 73 °W / 40 ; -73 | |
| Communications Leasing tower | | Tower | 320 ft 98 m | 1975 | Plainview | | 40°47′44″N 73°27′40″W / 40 °N 73 °W / 40 ; -73 | |
| Brookhaven National Laboratory Exhaust Stack | | Chimney | 320 ft 98 m | 1950 | Upton | Demolished in 2021 | 40°52′14″N 72°52′33″W / 40 °N 72 °W / 40 ; -72 | |
| Mackay Radio Tower | | Tower | 319 ft 97 m | 1995 | Napeague | | 40°59′54″N 72°03′06″W / 40 °N 72 °W / 40 ; -72 | |
| American Towers tower | | Tower | 310 ft 94 m | 1957 | Noyack | | 40°58′11″N 72°20′47″W / 40 °N 72 °W / 40 ; -72 | |
| WRCN-FM tower | | Guyed mast | 308 ft 94 m | 1982 | Manorville | | 40°51′08″N 72°45′53″W / 40 °N 72 °W / 40 ; -72 | |
| AT&T tower | | Tower | 308 ft 94 m | 1996 | Noyack | | 40°58′11″N 72°20′47″W / 40 °N 72 °W / 40 ; -72 | |
| Communications Leasing tower | | Tower | 305 ft 93 m | 1985 | Farmingville | | 40°50′32″N 73°01′33″W / 40 °N 73 °W / 40 ; -73 | |
| Stratcap Wireless Tower | | Tower | 305 ft 93 m | 1968 | Syosset | | 40°49′18″N 73°28′47″W / 40 °N 73 °W / 40 ; -73 | |
| Catholic Faith Network tower (Telicare tower) | | Tower | 304 ft 93 m | 2004 | Central Islip | | 40°48′12″N 73°12′24″W / 40 °N 73 °W / 40 ; -73 | |