The calculated distance (air line) between Antsirabe Afovoany and Toamasina is approximately 155 miles respectively 249 kilometers.
By car or train, the actual journey to Toamasina is certainly longer, as only the direct route (as the crow flies) between Antsirabe Afovoany and Toamasina has been calculated here.
Air line (approximately)
249 kilometers
134 nautical miles